Which services are excluded from Medicare Part C?

Medicare Part C, also known as Medicare Advantage, is an alternative to Original Medicare that is offered through private insurance companies. While Medicare Advantage plans typically cover a wide range of services that Original Medicare offers, they also have certain exclusions.

Hospice care is typically covered under Original Medicare and is not included as a standard benefit in Medicare Advantage plans. This is because hospice care is primarily for individuals who are terminally ill and are choosing to opt for palliative care rather than curative treatments, areas traditionally covered by Original Medicare directly.

On the other hand, doctor’s visits, preventive services, and emergency room visits are generally included in Medicare Advantage plans. Part C plans often provide additional benefits beyond what Original Medicare covers, including additional services and often managing healthcare coordination. Therefore, it is significant to understand that while many benefits are available under Medicare Advantage, hospice care remains primarily under Original Medicare, making it a notable exclusion from Medicare Part C coverage.