aja8888
Moderator Emeritus
What I have discovered by having Long Covid is everything is NOT covered. If you have a well known heart condition or a broken arm, a lot of treatments (but not all) are covered. What is not covered in well hidden, but the doctors know what they can and cannot prescribe based on the codes. Hanging out in doctors' offices, I have heard doctors tell nurses and PA's no you can't prescribe that under Medicare, the alternative is x (something less effective but a lot cheaper.) It's almost impossible to get the neurological testing I need, because there is no diagnosis and corresponding code for this. But I can get a sleep study and a CPAP machine, which are routinely approved.
I have original Medicare and AARP/UHC Plan F. The so-called gold standard. My treatment across two different health care organizations has been more like Medi-Cal (California Medicaid) than what I expected from Medicare. The supplement pays with no argument, but only for tests and procedures approved by Medicare.
I have to agree that not everything is covered. I've had two hip replacements, DW has had a heart valve replaced and several other surgeries, plus she's on O2 which is covered. We have never run into a procedure that was not covered. I understand that some cancer drugs are not covered but we haven't been there yet.