08/19/2026
Medicare is comprehensive, but it contains gaps that can impact your long-term independence.
For women, these planning variables are particularly notable. Living longer on average typically means planning for years of out-of-pocket health expenses that original Medicare does not cover.
When you look at the details, the exclusions are significant:
→ Long-Term Custodial Care: Assisted living facilities and nursing homes are not covered by Medicare. This is often a substantial expense families face in later years.
→ Routine Vision, Dental, and Hearing: Daily essentials like cleanings, root canals, eye exams, and hearing aids are entirely out-of-pocket under original Medicare.
→ Daily Support at Home: Personal care assistance for daily tasks is not covered unless you also require active, skilled nursing care.
→ Prescriptions and Travel: Outpatient drugs require separate private insurance policies, and medical care received outside the United States is generally not covered.
Over a retirement that spans decades, these out-of-pocket expenses can strain a portfolio if they are not factored into your cash-flow projections.