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What Medicare Part B Covers

Medicare is divided into four parts that cover various health-related expenses. Medicare Parts A and B are considered Original Medicare. Medicare Advantage is Part C, while Prescription Drug Coverage is Part D. Private insurance companies provide Parts C and D.

This article would outline what Medicare Part B covers, as well as any additional facts about Medicare Part B, such as does Medicare Part B Cover Prescriptions or medicare part b premium 2022.

Medicare Part B

Part B, often called medical coverage, is a component of Original Medicare, which covers medically essential services and materials to address your medical condition. Outpatient treatment, preventative care, ambulance services, or hospital equipment are all examples of this. It also includes part-time home health as well as rehabilitation services like physiotherapy if they have been instructed by a physician to cure your condition.

What Medicare Part B Covers?

Part B includes a wide range of medically essential outpatient services. Service must be medically essential if it is required to properly diagnose or cure a health problem.

The following are examples of coverage provided by Part B:

• Ambulance service.
• Chemotherapy.
• Durable medical gear like oxygen equipment, walkers, and wheelchairs.
• Emergency room.
• Kidney dialysis.
• Laboratory tests like urine tests and blood tests.
• Mental health and outpatient hospital treatment.
• Occupational therapy.
• Physiotherapy.
• Transplants.

Part B additionally includes a few preventative services. Here are several examples:

• Bone density tests.
• Cancer screenings.
• Diabetes screenings.
• Heart disease screenings.
• Hepatitis B, C, and HIV tests.
• STI screening.
• Immunizations for flu, pneumococcal disease, and hepatitis B.

What services are excluded from Part B coverage?

There are various services that Part B does not cover. If you require these facilities, you will have to purchase them by yourself. The following are a few examples:

• Physical examinations.
• Prescribed medications.
• Cosmetic surgery.
• Dental care.
• Vision-related services.
• Hearing aids.
• Alternative healthcare services.

Eligibility for Medicare Part B

Following people are eligible for Medicare Part B:

• adults aged 65 or above
• persons who are disabled
• those who have a renal disease that has progressed to the end-stage (ESRD).

When a person initially becomes eligible for Medicare, they first must apply for Part A before they can enrol in Part B. People usually pay their Medicare taxes when working, so most people who qualify for Part A could be enrolled for Part B when they first become qualified for Medicare.

Qualification Requirement

• be 65 years old or older
• individual must be a US resident for a minimum of five years

Medicare part b premium 2022

Following are the costs related to medicare part b premium 2022.

Monthly premium

The monthly medicare part b premium 2022 is the amount you have to pay monthly. The regular medicare part b premium 2022 is $170.10.

Monthly premiums could be higher for individuals with higher annual incomes. Your annual income is calculated using the tax return of the previous two years. It will be your tax return for 2020 for 2022.

Deductibles

It is the amount of money you must pay for insurance from out of pocket before Medicare Part B will cover services. Part B deductible is $233 for 2022.

Coinsurance

After you’ve met your deductible, coinsurance is a proportion of the expense of a part b service that is paid from out of pocket. For Medicare Part B, it’s usually around 20%.

Copays

It is a predetermined fee for the services. Part B isn’t usually related to copays. But, you might be required to pay for the one in specific circumstances if you take hospital outpatient care as an example.

Maximum out-of-pocket expenses

It is a yearly limit on the amount you will have to spend for insurance coverage out of pocket. There is no out-of-pocket limit with Original Medicare.

Do You Need Medicare Part B?

Medicare part b covers medically required outpatient treatments. Some therapeutic services are also covered. It’s included in the original Medicare plan. Now that you know what Medicare Part B covers, you can decide whether or not you require it. There are factors to consider when choosing a Medicare Plan

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