Adult-Gerontology Clinical Nurse Specialist (CNS) Practice Exam

Which of the following is NOT typically covered by Medicare?

1. Home health care

2. Routine dental care

3. Hospice care

4. Inpatient hospital care

The correct answer is: Routine dental care

Medicare is a federal health insurance program primarily for individuals aged 65 and older, as well as for certain younger individuals with disabilities. Understanding what is covered by Medicare is essential for managing patient care effectively. Routine dental care is not typically covered by Medicare. This includes regular dental check-ups, cleanings, and procedures like fillings and extractions unless they are deemed necessary as part of a more extensive treatment plan, such as for a medical condition or an emergency. In contrast, other options such as home health care, hospice care, and inpatient hospital care are generally covered by Medicare under specific conditions. Medicare Part A covers inpatient hospital stays, hospice services, and some skilled nursing facility care, while Medicare Part B typically covers home health services if they are medically necessary and prescribed by a physician. Recognizing the limitations of Medicare coverage helps healthcare providers navigate the complexities of patient billing and care options, ensuring that patients receive the appropriate services based on their healthcare needs.