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Original Medicare (Parts A and B) does not cover gym memberships because they do not consider these services to be medically necessary.. Under Original Medicare, a person is responsible for 100% ...
However, gym memberships and fitness programs are not part of that coverage. Optional Medicare plans like Medicare Advantage and Medigap, on the other hand, may offer coverage for fitness services.
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Medicare is the primary payer for most services, but Medicaid covers benefits not offered by Medicare. Medicare coverage for dual-eligibles includes hospitalizations, physician services, prescription drugs, skilled nursing facility care, home health visits, and hospice care.
Under an HCBS waiver, states can use Medicaid funds to provide a broad array of non-medical services (excluding room and board) not otherwise covered by Medicaid, if those services allow recipients to receive care in community and residential settings as an alternative to institutionalization. [1]
fitness membership wellness services If a person is not sure whether a service will be covered, they should check with their Medicare Advantage provider before enrolling.