Medicare Part B

What does Part B cover?

Medicare Part B covers outpatient medical services such as:

  • Doctor visits

  • Outpatient surgery procedures

  • Durable Medical Equipment (DME) such as oxygen, CPAP supplies, wheelchairs, ramps, etc

  • ​Ambulance services

  • Outpatient mental health services

  • Chemotherapy

  • Kidney dialysis

  • Some outpatient medications (if administered by a physician)

How much do I pay for Part B?

In 2022 the monthly premium for Medicare Part B is $170.10/month. Some individuals do pay more and some do pay less. The premium amount is based upon your yearly income. Click here to view the income chart which shows how much you will be responsible for based on your household income.

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. Remember that these are your cost if under Part B only without any extra coverage (like a Medigap plan). Contact us today to find out what you can do to get coverage to assist of eliminate these expenses.

 

  • Before Medicare begins to pay you must meet the annual Part B deductible. In 2022 the Part B deductible is $233/year. This deductible must be met once 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

When am I eligible for Part B?

Just like Medicare Part A, you are eligible to begin receiving your Part B benefits on the 1st day of your 65th before 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.