Medicare Part B is one of the two parts of Original Medicare and provides medical coverage. Beneficiaries who are eligible for Medicare Part A are also eligible for enrollment in Part B once they are entitled to Part A.
Medicare Part B is a voluntary program which requires the payment of a monthly premium for all months of coverag
Talk to your doctor or other health care provider about why you need certain services or supplies. Ask if Medicare will cover them. You may need something that’s usually covered but your provider thinks that Medicare won’t cover it in your situation. If so, you’ll have to read and sign a notice. The notice says that you may have to pay for the item, service, or supply.
National coverage decisions made by Medicare about whether something is covered.
Local coverage decisions made by companies in each state that process claims for Medicare. These companies decide whether something is medically necessary and should be covered in their area.
What's not covered by Part B?
Most dental care
Eye exams related to prescribing glasses
Dentures
Cosmetic surgery
Massage therapy
Routine physical exams
Acupuncture
Hearing aids and exams for fitting them
Long-term care
Concierge care
What does Part B cost?
Part B Premiums
The standard Part B premium amount in 2020 is $144.60, and most people will pay this amount. However, if your modified adjusted gross income is above a certain threshold, you may pay an Income Related Monthly Adjustment Amount (IRMAA).
Your Part B premium will be automatically deducted from your benefit payment if you get benefits from one of the following:
Social Security
Railroad Retirement Board
Office of Personnel Management
If you do not receive one of these benefit payments, you’ll receive a quarterly bill for your Medicare Part B premium.
Late Enrollment Penalty
If you didn’t get Part B when you were first eligible your monthly premium may go up 10% for each 12-month period you could’ve had Part B but didn’t sign up. In most cases you’ll have to pay this penalty each time you pay your premiums for as long as you have Part B.
Part B Deductible & Coinsurance
In 2020 you will pay $198 for your Part B deductible. After you meet your deductible for the year you typically pay 20% coinsurance of the Medicare-approved amount for the following approved services:
Most doctor services (including while you’re a hospital inpatient)