Medicare Part B

Medicare Part B


Nurse prepping patient for lab workMedicare Part B or medical insurance covers medically critical supplies and service required for the treatment or diagnosis of your health state. This includes outpatient services provided in a hospital, clinic, doctor’s office, or any other health facility. Moreover, Part B helps cover a number of preventative services to detect illnesses or avoid them at an early stage.

Benefits of Medicare Part B

Medical supplies and services covered by Medicare Part B include, but are not limited to:

  • Visits to the doctor
  • X-rays and lab tests
  • Long-lasting medical equipment
  • Mental health services
  • Preventative services, like flue flu shots, pap tests, and screenings
  • Rehab services, including occupational therapy, physical therapy, as well as speech-language pathology services

The coverage offers you access to a range of outpatient medical services, as well as ordinary outpatient services such as doctor’s visits, home health care, ambulance ride, lab testing, and some kind of chiropractic care.

However, it also sometimes covers more costly services that occur in the hospital, such as radiation, surgeries, chemotherapy for cancer, medical equipment, and dialysis for failing kidneys.


Cost of Medicare Part B

You are required to make a monthly payment in order to receive the benefits of Medicare Part B. Most US citizens will pay the normal monthly payment as set by the government.

The base rate in 2018 for Part B is $134 per month for those individuals who are new to Medicare. But remember that you might owe more if your earnings are above a specific level.

For 2018 and 2019 the Medicare Part B Premium will be.

  • Individuals with income between $85,000 to $107,000 or married couples with income between $170,000 to $214,000, the Part B monthly premium amount would be Standard premium + $53.50 = $187.50.
  • Individuals with income between $107,000 to $133,500 or married couples with income between $214,000 to $267,000, the Part B monthly premium amount would be Standard premium + $133.90 = $267.90.

The income thresholds that determine the income-related premium payments are frozen through 2019 but will increase by about 2 percent in 2020 and will be indexed after that for general price inflation.

Besides, if you did not enroll in Part B when you were first eligible, you might have to pay a late-fee penalty via a higher premium, unless you are qualified for a Special Enrollment period. For individual supplies and services, your Medicare costs may differ accordingly.

Certain preventative services are fully covered if your health care provider accepts Medicare assignment. If the Part B deductible is applicable, you must pay all costs until you meet the annual deductible amount before Medicare starts paying its part.

Once your deductible has been met, you generally pay around 20% of the Medicare-approved amount for the service. You might also owe a copayment for some types of outpatient services. Consult with your doctor or healthcare provider regarding the supplies or services that you will need in order to better estimate the final cost.

Get Your Free Copy of the “Ultimate Guide to Medicare” video and eBook from Florida Medicare Agency!

This book helps you learn about the different parts of the Medicare program, including Medicare Part A and Part B (together, they are often called “Original Medicare”), Part C (often called “Medicare Advantage”) and Part D (the part of Medicare that covers your prescription medications).

Sign Up For Medicare

We understand that Medicare matters can get quite complicated. It is better to get help understanding Medicare before you sign up for a plan. With our help, you will have in-depth health insurance knowledge of the benefits offered by basic and supplement plans. Call 754-205-2005 right away for your Health Insurance Quotes!

This website and its contents are for informational purposes only. Nothing on the website should ever be used as a substitute for professional medical advice. You should always consult with your medical provider regarding diagnosis or treatment for a health condition, including decisions about the correct medication for your condition, as well as prior to undertaking any specific exercise or dietary routine.

Florida Health Agency is a licensed health insurance agency certified to sell Medicare products.
Medicare has neither reviewed nor endorsed this information.

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