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What does Medicare Part B cover?
Medicare Part B covers outpatient medical services such as:
Outpatient surgery procedures
Durable Medical Equipment (DME) such as oxygen, CPAP supplies, wheelchairs, ramps, etc
Outpatient mental health services
Some outpatient medications (if administered by a physician)
Costs for Medicare Part B
In 2023, the standard monthly premium for Medicare Part B is $164.90/month.
If you qualify for Medicaid, you may receive assistance on a portion or all of the Part B premium.
If you are a high earner, you might have to pay more than the standard Part B premium. This increased Medicare premium amount is referred to as IRMAA.
Click here to view more information about how IRMAA works, the IRMAA income levels chart and your rights to appeal IRMAA.
Eligibility for Medicare Part B
Just like Medicare Part A, you are eligible to begin receiving your Part B benefits on the 1st day of your 65th birthday month (unless your birthday falls on the 1st day of the month which then you are eligible a month earlier). Also like Part A, some individuals are eligible for Part B earlier than 65 if they become permanently disabled.
If you are still working you may wish to postpone your Part B enrollment and continue with your employee coverage. Determining if you should postpone or not can be a difficult decision to make. Finding out how much your employee coverage cost you and how well it covers you will be the deciding factors. We are happy to give you guidance as to whether or not you should wait to enroll into Part B or not.
How much do I pay for
covered Part B services?
Just like with Medicare Part A you are left with out-of-pocket cost under Medicare Part B. Below we will show you what cost you will be responsible for.
Keep in mind these amounts are if you have Part B only and do not have any extra coverage (like a Medigap plan).
Contact us for information on what coverage options are available to protect yourself from these expenses.
Before Medicare begins to pay you must meet the annual Part B deductible. In 2023, the Part B deductible is $226 (per calendar year).
Once the deductible is satisfied, you pay 20% of the remaining cost for the remainder of the year
If you see a doctor who does not participate with Medicare then you are responsible for the excess charges beyond what Medicare allows
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