top of page

Medicare Part B

Medicare Part B

(Medical Insurance)


Part B is optional. Part B helps cover medically necessary services like doctor's services and outpatient care. (Including most doctor services while you're an inpatient in the hospital)

It also helps cover some preventive services to help maintain your health and keep certain illnesses from getting worse. It generally covers medically necessary services and equipment, including flu shots, Durable Medical Equipment (DME), etc. 


All Medicare beneficiaries must pay a Medicare Part B premium, which is calculated based on your annual income. The cost of Part B is correlated with your income and tax return. The average, as of 2024, is about $174.70 as a monthly premium fee.


Part B also requires a small deductible that must be reached before services are paid. ($240 for 2024) 

 

Once you pay your yearly Part B deductible, Medicare generally pays 80% of doctor visits and other medical services. It pays 50% of mental health services.


After you meet the deductible:


Medicare pays:
 

  • Generally, 80% of eligible covered charges; (you typically pay 20% of
    the Medicare-approved services)

  • 100% of Medicare-covered clinical laboratory services and blood tests 
    for diagnostic services.

  • Various amounts for preventive services

  • Nothing for any charges in excess of the Medicare-approved amount


Every Medicare Supplement plan covers your share of services such as 20% of Medicare-approved doctor services and 50% for mental health services.

Medicare approves the payment amount of reasonable health care services.


Are you are still working?
In most cases, for as long as you have group health insurance provided by an employer for whom you are still working, you can delay enrolling in Part B.
When you eventually retire or leave work, you'll be entitled to a special enrollment period of eight months to sign up for Part B without incurring a late enrollment penalty.


Late Enrollment Penalty:
•    In most cases, if you don't sign up for Part B when you're first eligible, you'll have to pay a late enrollment penalty. 
•    Your monthly premium for Part B m
ay go up 10% for each full 12-month period that you could have had Part B, but didn't sign up for it. 
•    Also, you may have to wait until the General Enrollment Period (from January 1 to March 31) to enroll in Part B. Coverage will start July 1st of that year.

T White Insurance will help you better understand your Medicare coverage options. 

Medicare has neither reviewed nor endorsed this information. Not connected with or endorsed by the United States government or the federal Medicare program.

Nurse with older man
bottom of page