What Is Not Covered by Medicare?


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Latinos are the largest and fastest growing racial and ethnic group in the United States. Despite gains made with the passing of the Affordable Care Act, Latinos are also still the largest uninsured population in the country.

One of the major ways that many Latinos have attained healthcare has been through Medicare. Currently, Medicare provides health coverage for most Americans when they reach age 65 or have been receiving Social Security disability benefits for 24 months.

The service covers a portion of the health care costs of over 55 million Americans, including approximately 4.1 million Latinos.

Recently, the Centers for Medicare & Medicaid Services (CMS) released an updated guide that outlines what Medicare doesn’t cover.

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The guide offers information on the four specific categories of items and services not covered under Medicare. The four categories of items and services not covered are:

  • Services and supplies that are not medically reasonable and necessary: Such as hospital services that exceed Medicare length of stay limitations.
  • Non-covered items and services: Such as doctor visits in another country.
  • Services and supplies denied as bundled or included in the basic allowance of another service: Such as prolonged care or physician standby services.
  • Items and services reimbursable by other organizations or furnished without charge: Such as something covered by automobile or liability insurance.

The guide also outlines exceptions for each of the four categories.

Those interested can view and/or download the updated Medicare guide for free here.

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By The Numbers By The Numbers



of Latinos remain without health insurance coverage

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