Medicare part B basics - covered service and premium

Four categories of Medicare insurance: Parts A, B, C, and D.

1. Part A. Provides hospital facilities, nursing facilities, hospices and home health facilities.

2. Part B. covers physician services, ambulatory care and non-hospital services.

3. Part C. Medicare advantage plan, both includes Parts A and B.

4. Part D. Prescription plan.



Medicare Part B




All persons entitled to Part A are also entitled to Part B. Usually, the monthly premium has to be collected from person. An annual Part B deduction also applies, and coins will be processed in each claim, which means that Medicare pays a share of the allowed amount for all covered services and the patient has to pay the remaining 20 % or co-insurance.



The most important thing to remember about Part B is that it covers doctoral bills, wherever they may be, at home, in the doctor's office, in a clinic and hospital.

Part B also covers:

• Outpatient hospital services
• X-rays and diagnostic tests
• Ambulance services
• Durable medical equipment (e.g. wheelchairs )
• Certain non-physician services
• Physical therapy

Medicare Part B covers numerous preventive companies to assist seniors and adults with disabilities to stay healthy. These embrace an Annual Wellness Visit, most cancers screenings, vaccines, and testing and management of chronic situations.


Medicare Part B Premium

In a number of ways, Part B premiums can be collected. In case an enrollee receives social security and railway pension , Part B premiums shall, by legislation, be deducted  automatically. In addition, Part B premiums are deducted from the benefits of retired persons of the Federal Civil Service. The purpose of auto collection of premiums is to maintain a minimum of premium collection costs.

The normal monthly premium for Part B was $135.50 in 2019.

Medicare Part B Eligibility and Enrollment

A person who has worked in covered employment and who has paid Medicare payroll tax for 40 quarters is eligible to receive Medicare Part A premium-free benefits at the age of sixty-five. All persons eligible for part A (whether eligible for Part A premium-free), also have the right to register in Part B. An old person who is not eligible in part A can register in part B when he or she is 65 or older, and either an American citizen or foreign national is legally permitted in the name of a permanent resident.


Common Medicare Questions

Q: Do I have to apply to Medicare or do I receive it automatically?

A: When you've received Medicare, you've been registered automatically for both Parts A and Part B when you get some type of Social Security (pension advantages or disability benefits).

Do both parts A and B have to be taken?

A: The need for the part A and B of Medicare depends on whether Medicare will be your primary or secondary insurer. Part A is hospital and Part B is health insurance. You do not need either Part A or Part B if your present employer insurance is primary. Most individuals choose to take Part A because it is free for them. For example, if you have a retirement or a COBRA insurance, you need both Part A and Part B since Medicare is the primary one.


How do I pay for Medicare if my Social Security Check does not automatically take it away?

A: If you do not automatically take your Part B premium from your social security check, you can send your check to your local social security office. It is however a good idea to automatically taken from your social security check.


Is there additional insurance for which I can buy that to pay for the deductibles and coinsurance?

A: Yes. A: Yes. Medigap policy can help pay your Medicare copays and allowable deductible amount.   See if you have the right to purchase a Medigap plan by the State Insurance Department