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Medicare Part B

What Does Medicare Part B Cover?

Part B covers two general categories of care: medically necessary services and preventive care. Medically necessary services generally require you to pay a copay or coinsurance, but you get preventive services at no cost.



Covers Doctor and Outpatient visits and associated services including:

  • Doctor visits – including an annual Wellness Visit
  • Ambulatory surgery center services
  • Outpatient medical services
  • Some preventative care like flu shots
  • Clinical laboratory services like blood and urine tests
  • X-rays, MRI, CT scans, EKGs and some other diagnostics
  • Durable medical equipment for use at home like wheelchairs and walker
  • Emergency Room Services
  • Skilled nursing care and health aide services for the homebound on a part-time or intermittent bases
  • Mental health care as an outpatient

Medicare Part B Cost

How Much Will I Pay for Medicare Part B?

Part BYou Pay:
Part B Premium for most people:$135.50 monthly
Yearly Deductible:$185 annual
Most doctor services (including in-patient hospital doctor services):20% of cost of visit
Clinical Lab Services:$0
Durable Medical Equipment:$0
Preventive Care:$0
*Those with higher incomes pay an increased premium.

Eligibility and Enroll for Part B

When you are turning 65, you will have a 7-month window to enroll without the Part B penalty. This is your Initial Coverage election Period (ICEP). This enrollment period begins 3 months before your 65th birthday, your birth month and 3 months after.

If you plan to work past age 65, you can delay enrollment in Part B and Medicare gives you enrollment period of 63 days after your employer plans ends.

People who have certain disabilities will be automatically enrolled after receiving 24 months of Social Security benefits.

How to enroll in Medicare

You can enroll in Medicare Part A and/or Medicare Part B in the following ways:

  • Online at www.SocialSecurity.gov.
  • By calling Social Security at 1-800-772-1213 (TTY users 1-800-325-0778), Monday through Friday, from 7AM to 7PM.
  • In-person at your local Social Security office.

Get Help with Medicare Part B

There are two main ways in which you can protect yourself against catastrophic medical spending.

1) Medicare supplements are available that cover the parts that A & B doesn’t.

2)Medicare Advantage plans are an option if you are open to getting your A & B benefits through a private health insurance plan with an HMO or PPO network.

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