347 N. Pottstown Pike, Suite 200 | Exton, PA 19341

Medicare Other Coverages

Dental Coverage

  • Medicare AdvantageSOME carriers include benefits (benefit and network limitations apply)
  • Medicare SupplementVERY FEW carriers offer discounts as a value add
  • Can purchase standalone plan
    • Visit our Dental/Vision plans through Ameritas to check rates, check benefit options and apply.
    • Ameritas has a comprehensive nationwide network of providers because they utilize 7 different dental networks including: Dentemax, United Concordia, Physician Mutual, Connection Dental, Zelus, Stratus  and Ameritas.  Click Here to search Dentists

Vision Coverage

  • Medicare AdvantageSOME carriers include benefits (benefit and network limitations apply)
  • Medicare SupplementSOME carriers offer discounts as a value add
  • Can purchase standalone plan
    • Visit our Dental/Vision plans through Ameritas to check rates, check benefit options and apply.
    • Please know: Major medical vision (glaucoma, cataracts, eye infections, macular degeneration etc.) are Medicare eligible services. So vision insurance would be for routine vision.

Hearing Coverage

  • Medicare AdvantageSOME carriers include benefits (benefit and network limitations apply)
  • Medicare SupplementSOME carriers offer discounts as a value add
  • Can purchase standalone plan (bundled with some Dental/Vision plans)
    • Visit our Dental/Vision plans through Ameritas to check rates, check benefit options and apply.
    • Hearing Benefits included in the PrimeStar Total Plan which covers Hearing aids at a  50% co-insurance up to $200 year 1, $300 year 2 and $400 year 3. Limit of one benefit use every five years.

Gym Memberships

  • Medicare AdvantageMANY carriers include this
  • Medicare SupplementFEW carriers offer this as a value add

Home Healthcare, Nursing Home and Assisted Living Coverage

Medicare, Medicare Supplements and Medicare Advantage plans provide limited coverage for Skilled Nursing and very minimal Skilled Home Care.  Typically this has to meet extensive criteria including that the care is “skilled”.

This means that if you need help with personal everyday activities like getting dressed, bathing, preparing your meals and/or transferring (getting from a laying to seated or standing position), Medicare will not pay.

It is prudent to have a Short Term Care or Long Term Care plan in place to provide funds to pay for this type of care if you ever need it.