Medicare loves to pay for things that are not especially useful... like your annual "wellness exam". Then, they don't want to pay for things that are, like vaccinations. It is "Medical Theater", that sounds good on the campaign trail but is only a poor distortion of scientific medicine. They pay lots more for multiple "single problem visits" than for a single complex visit that is respectful of the time of patient and provider. And on and on. My best decision, medically, was to Opt out, by a long shot. To quote e.e.cummings, "There is some s*** I will not eat."