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February 14, 2026

8 min read 

Tyler Dalton 

# 10 Surprising Things Medicare Does NOT Cover

From long-term care to dental work, these 10 Medicare coverage gaps surprise most Alabama seniors. Here's what you'll pay out-of-pocket.

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Medicare is powerful — but it has some surprising blind spots. Here are 10 things most Alabama seniors don't realize Medicare won't pay for.

## 1\. Long-Term Care in a Nursing Home

Medicare only covers skilled nursing care for up to 100 days after a hospital stay. If you need long-term custodial care, you're on your own — and the average Alabama nursing home costs **$7,300/month**.

## 2\. Dental Care

Original Medicare doesn't cover routine dental work: no cleanings, fillings, dentures, or extractions. Yet dental health directly impacts heart disease and diabetes management.

## 3\. Vision and Eye Exams

Routine eye exams and eyeglasses aren't covered. Medicare only covers eye care for specific medical conditions like glaucoma or cataracts.

## 4\. Hearing Aids

Despite hearing loss affecting 1 in 3 seniors, Medicare doesn't cover hearing aids or routine hearing exams. A single hearing aid can cost **$1,500-$3,000**.

## 5\. Overseas Healthcare

Planning to travel? Original Medicare provides almost no coverage outside the United States. A medical emergency abroad could cost you everything.

## 6\. Cosmetic Surgery

Even procedures that seem medically necessary — like removing excess skin after weight loss — are typically not covered if deemed "cosmetic."

## 7\. Acupuncture (Except for Back Pain)

Medicare recently started covering acupuncture, but only for chronic lower back pain. Other uses aren't covered.

## 8\. Concierge or Private-Duty Nursing

If you want a private nurse at home for non-skilled care, Medicare won't help. This includes help with bathing, dressing, and daily activities.

## 9\. Most Prescription Drugs (Without Part D)

Original Medicare Parts A and B don't cover prescriptions you fill at a pharmacy. You need a separate Part D plan.

## 10\. Alternative Therapies

Massage therapy, naturopathy, and most chiropractic services beyond spinal manipulation aren't covered.

### Fill the Gaps in Your Coverage

A Medicare Supplement plan can cover many of these out-of-pocket costs. Talk to us about your options.

[Schedule Free Review →](/appointments)

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## About the Author

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Licensed Medicare Advisor

Tyler Dalton is a licensed Medicare advisor specializing in helping seniors navigate Medicare enrollment and coverage options. With expertise in Medicare Advantage, Medigap, and Part D plans,Tyler provides personalized guidance to help you find the best coverage for your needs.

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## Continue Reading

[

Mar 2, 2026 • 11 min read 

### Does Medicare Cover Dental, Vision, and Hearing?

Original Medicare doesn't cover routine dental, vision, or hearing. Here are your options for getting that coverage in 2026.

Read article→ ](/blog/does-medicare-cover-dental-vision-hearing)[

Feb 17, 2026 • 8 min read 

### 10 Surprising Things Medicare DOES Cover

Medicare covers more than you think — from home health care to mental health services. These 10 covered benefits surprise most Alabama seniors.

Read article→ ](/blog/ten-things-medicare-does-cover)[

Mar 7, 2026 • 10 min read 

### Does Medicare Cover Ambulance Rides? What You'll Pay

Medicare Part B covers 80% of emergency ambulance rides after your deductible. Here's what's covered, what's not, and what you'll owe.

Read article→ ](/blog/does-medicare-cover-ambulance-rides)

In This Article

-   [What Medicare Covers for Diabetes](#what-medicare-covers)
-   [Insulin, CGMs, and Supplies](#insulin-cgms-supplies)
-   [Costs and Gaps](#costs-gaps)
-   [How to Get Help](#get-help)

Related Resources

-   [Medicare Supplement Plan G vs N](/blog/plan-g-vs-n-alabama)
-   [What Is IRMAA?](/blog/what-is-irmaa)
-   [Working Past 65 & Medicare](/blog/working-past-65)
-   [Turning 65 Checklist](/blog/turning-65-checklist)

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