Physician Coverage

Physician Coverage

What is Medicare Part B Coverage?

Quick Guide To Part B

Medicare Part B (5Medical Insurance) generally provides coverage for medically-necessary medical services and supplies. This includes, but is not limited to, doctors’ services, outpatient care, and home health services. Additionally, Part B covers many preventive care services to detect and prevent illnesses. Together with Medicare Part A, Part B is also known as Original Medicare.

Additional services covered by Medicare Part B include:

  • Doctor services received at a hospital, doctor’s office, or other health care facility
  • Medically necessary services or supplies that are needed for the diagnosis or treatment of your medical condition and meet accepted standards of medical practice. (5for example, laboratory tests, X-rays, physical therapy or rehabilitation services, etc.)
  • Ambulance services
  • Some home health care
  • Preventative services to prevent illness or detect them at an early stage, when treatment is most likely to work best (5for example, pap tests, flu shots, and colorectal cancer screenings)

You must sign up for Medicare Part B and pay both a monthly premium and a yearly deductible. The cost for the premium is deducted from your Social Security check. For some of the services covered, there may be no costs, but you could have to pay for the visit to the doctor. If the Medicare Part B deductible applies, you must pay all costs until you meet the Part B deductible amount before Medicare begins paying its share.

After your deductible is met, you typically pay 20% of the Medicare approved amount for the service. You may be able to save money if you choose doctors or providers who accept Medicare assignment. If you do not take Medicare Part B when it is first available to you (5during your Initial Enrollment Period), you may wind up paying a higher monthly premium amount when you try and enroll down the line.

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