Items and services that Medicare doesn't cover include, but are not limited to the following:

• Acupuncture,
   
• Chiropractic services (with some exceptions),
   
• Cosmetic surgery,
   
• Custodial care (such as help with bathing or using the bathroom), except when you also get skilled nursing care in a skilled nursing facility, at home, or in a hospice,
   
• Deductibles, co-insurance, or co-payments when you get certain health care services,
   
• Dental care and dentures (with only a few exceptions),
   
• Eye care (routine exam), eye refractions (exam that measures your ability to see at specific distances), and most eyeglasses (with some exceptions),
   
• Foot care (routine) like cutting corns or calluses (with few exceptions), Hearing aids and exams for the purpose of fitting a hearing aid, Hearing tests that haven't been ordered by your doctor,
   
• Laboratory tests for screening purposes (with some exceptions), Long-term care, for example, if you only need custodial care in a nursing home,
   
• Orthopedic shoes (with few exceptions),
   
• Physical exams (routine or yearly). Medicare will cover a one-time physical exam within the first 6 months of enrolling in Part B (co-insurance and Part B deductible applies),
   
• Prescription drugs. Most precription drugs aren't covered by Part A or Part B, Shots to prevent illness (with some exceptions),
   
• Syringes or insulin, unless the insulin is used with an insulin pump, but it may be covered by Medicare Prescription Drug Coverage (Part D), and
   
• Travel (health care while you're traveling outside the United States... with some exceptions).  

Medigap policies don't cover long-term care (like care in a nursing home), vision or dental care, hearing aids, eyeglasses, and private-duty nursing.