Medicare Part B - Medical

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What is Medicare Part B

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Part B covers 2 types of services

  • Medically necessary services: Services or supplies that are needed to diagnose or treat your medical condition and that meet accepted standards of medical practice.
  • Preventive services: Health care to prevent illness (like the flu) or detect it at an early stage, when treatment is most likely to work best.

You pay nothing for most preventive services if you get the services from a health care provider who accepts assignment



Medicare Part B Overview


Medicare Part B assists with covering various medical expenses, including doctor visits, diagnostic tests, and other outpatient services. It also includes preventive care. 


Deductible and Coinsurance

For 2024, there is an annual deductible of $240. Once this deductible is met, Medicare covers 80% of Part B medical expenses, leaving the remaining 20% for you to pay as coinsurance.


Premiums

You are required to pay a monthly premium for Part B coverage. The standard premium for 2024 is $174.70. However, if your income exceeds certain thresholds, you may have to pay a higher premium.

•Covers you outside of the hospital (except for Rx)


•Doctor visits, X-Ray, MRI, outpatient surgery, oxygen, etc.


•Cost = $174.70per month**


•Deductible = $240 per year. Then, 80/20 split with NO LIMIT*


**Changes annually

Examples of Medical Services Covered by Part B

  • Diagnostic Testing and Laboratory Tests
  • Outpatient Surgery
  • Radiation and Chemotherapy Treatments
  • Physical, Speech, and Occupational Therapy
  • Durable Medical Equipment like walkers, wheelchairs, oxygen equipment, hospital beds and other equipment
  • Prosthetics
  • Kidney Dialysis
  • Drugs Typically Administered in a Doctor’s Office
  • Mental Health Services
  • Emergency Room Care
  • Ambulance Services
  • Preventive Services such as screenings, flu shots, hepatitis B shots, pneumococcal shots and COVID-19 vaccines 


What Services are NOT Covered by Part B

  • Long-Term Care in a Nursing Home
  • Dental care
  • Glasses or contacts
  • Cosmetic surgery
  • Acupuncture or experimental treatments and procedures
  • Hearing aids
  • Routine foot care
  • Medical care in foreign countries


Go to Medicare.gov Part B

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