What Is Part B (Medical Insurance)?
Part B helps cover medically-necessary services like doctors' services,
outpatient care, home health services, and other medical services. Part B also
covers some preventive services. Check your
Medicare card
to find out if you have Part B.
How Much Does Part B Cost?
You pay the Part B premium each month. Most people will pay the standard premium
amount (link to current amount?. However, if your modified adjusted gross income
as reported on your IRS tax return from 2 years ago is above a certain amount,
you may pay more.
Your modified adjusted gross income is your taxable income plus your tax exempt
interest income. Social Security will notify you if you have to pay more than
the standard premium. If you have to pay a higher amount for your Part B premium
and you disagree (even if you get Railroad Retirement Board benefits), call
Social Security at 1-800-772-1213. TTY users should call 1-800-325-0778.
If you don't sign up for Part B when you are first eligible, you may have to pay
a late enrollment penalty.
How You Get Part B
- If you get benefits from Social Security or the Railroad Retirement
Board (RRB), in most cases you'll automatically get Part B starting the
first day of the month you turn 65. If your birthday is on the first day of the
month, your Part B will start the first day of the prior month.
- If you're under 65 and disabled, you'll automatically get Part
B after you get disability benefits from Social Security or certain disability
benefits from the RRB for 24 months. You’ll get your Medicare card in the mail
about 3 months before your 65th birthday or your 25th month of disability.
- If you don't want Part B, follow the instructions that come
with the card, and send the card back. If you keep the card, you keep Part B and
will pay Part B premiums.
- If you have ALS (Amyotrophic Lateral Sclerosis, also called Lou Gehrig’s
disease), you automatically get Part B the month your disability
benefits begin.
Services Part B Covers
There are two kinds of Part B-covered 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 or detect it at an early stage, when treatment
is most likely to work best (for examples see
Medicare & You Handbook
).
What You Pay for Part B Services
Costs for Part B services depend on whether you have Original Medicare or are in
a Medicare health plan. For some services, there are no costs, but you may have
to pay for the doctor’s visit. If the Part B deductible applies, you must pay
all costs until you meet the yearly Part B deductible before Medicare begins to
pay its share. Then, after your deductible is met, you typically pay 20% of the
Medicare-approved amount of the service. You can save money if you choose
doctors or providers
who accept assignment.