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Medicare Part B

seniors looking to retireWhat does Medicare Part B cover? Should I Consider a Supplement Plan?

The first thing you need to know is that all supplement plans sold are identical with every company that offers them. There are 11 plans (A through N designed by the Federal Government).

For example, Plan F sold by one company has the same coverage as a Plan F sold by another company.

Our agents meet with you in person at your home, our office, or even a coffee shop so you can meet them and have everything laid out in front of you.

Unlike an HMO, Medicare Supplements offer freedom to use virtually any doctor and any hospital of your choice in the United States, and you never need a referral. You may even choose a plan that covers your entire doctor visit, tests, hospital stays, etc. without having to pay a co-pay or deductible.

Just show your card, and walk away. It’s all paid for! Isn’t this the way insurance is supposed to be?

Medical Expenses – Medicare Part B Is The Medical Insurance Portion Of Your Plan

If you’re in a Medicare Advantage Plan or other Medicare plan, your plan may have different rules. But, your plan must give you at least the same coverage as Original Medicare. Some services may only be covered in certain facilities or for patients with certain conditions.

NEW INSULIN BENEFIT! If you use an insulin pump that’s covered under Part B’s durable medical equipment benefit, or you get your covered insulin through a Medicare Advantage Plan, your cost for a month’s supply of Part B-covered insulin for your pump can’t be more than $35. The Part B deductible won’t apply. If you get a 3-month supply of Part B-covered insulin, your costs can’t be more than $35 for each month’s supply. This means you’ll generally pay no more than $105 for a 3-month supply of covered insulin. If you have Part B and Medicare Supplement Insurance (Medigap) that pays your Part B coinsurance, you plan should cover the $35 (or less) cost for insulin.

Part B covers 2 types of services

  • Medically necessary services: Services or supplies that are needed to diagnose or treat your medical condition and that meet accepted standards of medical practice.
  • Preventive servicesHealth care to prevent illness (like the flu) or detect it at an early stage, when treatment is most likely to work best.

You pay nothing for most preventive services if you get the services from a health care provider who accepts assignment.

Part B covers things like:

  • Clinical research  
  • Ambulance services
  • Durable medical equipment (DME)
  • Mental health
    • Inpatient
    • Outpatient
    • Partial hospitalization
    • Intensive outpatient program services (starting January 1, 2024)
  • Limited outpatient prescription drugs

Read about Medicare Part C here.

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