Items and Services That Are Not Covered Under the Medicare Program

The Department of Health and Human Services - Centers for Medicare and Medicaid published a guide on Items and Services not covered under the Medicare program

The guide is broken down into the following 4 sections:

• Services and supplies that are not medically reasonable and necessary
• Excluded items and services:
• Items and Services Furnished Outside the U.S. (with exceptions)
• Custodial Care (with exceptions)
• Cosmetic Surgery (with exceptions)
• Dental Services
• Certain Foot Care Services and Supportive Devices for the Feet (with exceptions)
• Services Related to and Required as a Result of Services That Are Not Covered (with exceptions)
• Examples of services and supplies that have been denied as bundled or included in the basic allowance of another service include:
• Physician standby services
• Prolonged care
• Examples of items and services reimbursable by other organizations or furnished without charge:
• Items and Services Authorized or Paid For by a Government Entity
• Defective Equipment or Medical Devices Covered Under Warranty

To download the full guide with more examples, please click the following link: Items and Services That Are Not Covered Under the Medicare Program