Medicare Part B – Medical Insurance
Medicare Part B helps cover medically necessary healthcare services and preventive care that you receive outside of an inpatient hospital stay. This includes doctor visits, specialist appointments, outpatient procedures, diagnostic testing, laboratory services, ambulance transportation when medically necessary, and durable medical equipment such as wheelchairs, walkers, and oxygen equipment.
Part B also covers many preventive services designed to help you maintain your health and identify potential medical concerns early. These may include annual wellness visits, certain cancer screenings, vaccinations, cardiovascular screenings, and diabetes-related services.
Most people pay a monthly premium for Part B, and additional costs such as an annual deductible and coinsurance may apply. Under Original Medicare, beneficiaries generally pay 20% of the Medicare-approved amount for covered Part B services after meeting their deductible.
Together, Medicare Parts A and B make up what is commonly known as Original Medicare. While these two parts provide a foundation for healthcare coverage, they do not cover every medical expense. That's why many individuals explore additional coverage options, such as Medicare Supplement insurance or Medicare Advantage plans, to help address potential out-of-pocket costs and additional healthcare needs.
Frequently Asked Questions About Medicare Part B
How much does Medicare Part B cost?
Most people pay a monthly Part B premium. The amount can vary depending on income and the year. An annual deductible and coinsurance may also apply. Higher-income beneficiaries may pay an additional amount known as IRMAA.
What services are covered under Medicare Part B?
Part B covers medically necessary doctor visits, outpatient care, preventive screenings, laboratory tests, certain medical equipment, and many other outpatient healthcare services.
Is Medicare Part B mandatory?
Part B is generally optional, but delaying enrollment without qualifying coverage through current employment can result in a late enrollment penalty that may last as long as you have Part B.
What is the difference between Medicare Part A and Part B?
Part A primarily covers inpatient hospital care and certain related services, while Part B covers doctor visits, outpatient services, preventive care, and medically necessary medical equipment.
