Medicare Part B
"Medical Insurance"
What Is Medicare Part B?
Medicare Part B helps with covering services such as: doctor services, outpatient care services, and other select medical services that Part A may not cover. Medicare Part B is optional for you and it helps pay for medically necessary items such as medical services and medical items. Medicare Part B also covers some (not all) preventative services. These services would be services that help prevent, find, or manage a medical problem that you may face or be facing.
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It is important to note that with Medicare Part B, most people do pay a monthly premium. Not all beneficiaries pay the same premium. The premium for this is usually removed directly out of your Social Security check. However, if you are not receiving a Social Security check each month, then you will be billed quarterly for the premium. It is also important to note that if you decide you do not want to enroll initially, but decide you want to later, there may be a late enrollment penalty that you will pay each month and this penalty will be for the lifetime of the plan.
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With Medicare Part B there is as an annual deductible. Once you meet your deductible you will be covered at 80%. Generally you will need to purchase a supplemental policy to cover the 20% that isn't covered by Medicare Part B.
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If you have any questions in regards to this plan, do not hesitate to reach out to me via phone, email, or fill out the form on this site. I would be happy to assist you with getting you into the right plan!
Medicare Part B Covers The Following:
Provider Services: This care is services that are received from a licensed health professional that are medically necessary.
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Durable Medical Equipment (DME): DME considers things such as: Walkers, Wheelchairs, and Oxygen Tanks. These are pieces of equipment that serves a medical purpose that is able to withstand multiple and repeated uses and is also appropriate for use at home. With this plan you have the option to purchase or rent the equipment from a Medicare-approved shelter once your medical provider certifies it is needed.
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Home Health Services: If you are homebound and need skilled or therapy care, then this plan will help cover the services within your home.
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Ambulance Services: This service is typically only covered for emergency transportation to and from hospitals. It is important to note that with this plan, coverage for non-emergency ambulance is limited. The limitations for non-emergency transportation is when it is medically necessary and there are no safe alternative transportation options available to you.
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Preventive Services: With this service, you are typically covered for screenings and counseling that are intended to prevent illness, detect conditions, and keep you healthy. Preventative services are things such as: exams, lab tests, and screenings. In most cases, preventative care is covered by Medicare with no coinsurance needed.
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Therapy Services: If services such as outpatient physical, speech, and occupational therapy services are needed, then these services will be provided by a Medicare-certified therapist.
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Additional Services: In addition to the services listed above. The Medicare Part B plan also covers other services such as:
Mental Health Services
X-Rays
Lab Tests
Chiropractic Care: It is important to note that this only applies when manipulation of the spine is medically necessary to fix when one or more of the bones of the spine moves out of position. (Also known as subluxation of the spine.)
Prescription Drugs: It is also important to note that this only covers select prescription drugs. It typically covers drugs such as: immunosuppressant drugs, some (not all) anti-cancer drugs, some (not all) anti-emetic drugs, some (not all) dialysis drugs, and select other drugs that are typically administered by a physician.
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One thing to note is that the list above only includes the most common covered services. It is not a complete list of what is covered. Please also keep in mind that Medicare does not typically pay the full cost of your care with this plan. This means you will likely be responsible for some portion of the cost-sharing from the services. The cost-sharing parts for Medicare-Covered Services would be things such as: Deductibles, Coinsurances, or Copayments.
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Please remember, that I am always here to help. If you choose me to be your insurance advisor, you will have exclusive contact to me via phone or email which is answered within 1 to 2 business days.
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If you have any questions in regards to this plan, do not hesitate to reach out to me via phone, email, or fill out the form on this site. I would be happy to assist you with getting you into the right plan!