Does medacare pay for the hole total when you have surgery i can not aford medicare plus sup health insurance?

Unfortunately, Medicare does not pay 100% of expenses for surgeries, whether inpatient or outpatient. If you are on a fixed income and healthcare is too expensive, you may want to look into Medical Assistance. Another option is to look into local Medicare Advantage plans - often they offer more than regular Medicare for just slightly more money than Medicare.