Medicare Part B: Medical Insurance
Medicare Part B, also known as hospital insurance, helps cover outpatient medically necessary services and supplies used to diagnose or treat health conditions. It also includes preventive services to help detect illnesses early and keep you healthy.
Part B covers doctor visits, outpatient care, preventive screenings, and durable medical equipment. Unlike Medicare Part A, Part B has a monthly premium, and most people pay the standard premium amount, though this can vary based on income.
What Does Medicare Part B Cover?
Medicare Part B covers a wide range of services, including:
- Doctor visits (primary care and specialists).
- Outpatient care and procedures.
- Preventive services (e.g., flu shots, cancer screenings, annual wellness visits).
- Diagnostic tests (e.g., lab work, imaging).
- Durable medical equipment (e.g., walkers, wheelchairs, oxygen equipment).
- Ambulance services.
- Chemotherapy, dialysis, and other medically necessary treatments.
It's important to note that Part B does not cover routine dental, vision, hearing care, hearing aids, most prescription drugs, or alternative treatments like acupuncture (except in limited cases).
Who Is Eligible for Medicare Part B?
You are eligible for Medicare Part B if:
- You are 65 or older.
- You are under 65 and have a qualifying disability.
- You have End-Stage Renal Disease (ESRD).
Enrollment in Part B is optional, but if you delay without other creditable coverage, you may be subject to a late enrollment penalty. That's why many people enroll as soon as they are eligible. You may or may not be automatically enrolled in Part B depending on your situation.
Out-of-Pocket Costs with Medicare Part B?
The standard monthly premium for Medicare Part B is set annually and may be higher based on your income (using your tax return from two years prior). In addition to the monthly premium, you're responsible for:
- An annual deductible.
- Coinsurance, typically 20% of the Medicare-approved amount for services.
- Copayments for some outpatient services.
Need Help Navigating Medicare?
Understanding Medicare and choosing the right coverage can feel overwhelming, but you don't have to do it alone. As a licensed local agent, we can guide you through the process and help you make informed decisions about your healthcare and retirement needs.
We can help you:
- Understand your Medicare options and eligibility.
- Review plan costs, benefits, and coverage choices.
- Avoid late enrollment penalties.
- Find a plan that fits your health needs and budget.
Get personalized support from a trusted local professional. Call (530) 842-1674 today to schedule your no-cost, no-obligation consultation.
*Disclaimer: This page has not been reviewed or endorsed by Medicare.gov or any member of the Centers for Medicare & Medicaid Services (CMS).
