Part B - The Medical Insurance Portion of Original Medicare
Medicare Part B beneficiaries receive coverage for medical expenses that are important for outpatient health care. Anyone eligible for Medicare Part A is qualified for Medicare Part B by enrolling and paying a standard monthly premium. Supposing a person is not eligible for Medicare Part A. In that case, a person can qualify for Medicare Part B when turning 65 if they are a U.S. citizen or a permanent resident residing in the U.S. for at least five continuous years.
Coverages Include:
- Physician Services.
- Outpatient Surgery.
- Lab & X-ray Services.
- Ambulance Services.
- Some Preventive Services.
- Durable Medical Equipment.
The Costs Associated With Part B:
- Medicare Part B Monthly Premium – The Amount Changes Annually.
- Annual Deductible – The Amount Changes Annually.
- 20% Co-Insurance – The Covered Medical Expenses Medicare Does Not Pay.
- Any Late Penalty’s Incurred From Not Obtaining Part B Coverage When First Eligible.
A Partial List of Services Not Covered By Medicare:
- Preventative Care & Wellness Programs.
- Routine Hearing Exams & Hearing Aids.
- Routine Vision Exams & Corrective Lenses.
- Comprehensive Dental Coverage.
- Worldwide Emergency Assistance Outside The U.S.
Medicare Part B Enrollment:
Automatic enrollment in Part B Medicare insurance happens during the month of a person’s 65 birthday if they currently receive Social Security retirement benefits or Railroad Retirement Board benefits. If a person qualifies for Medicare insurance because of a disability before age 65, then enrollment is automatic for Medicare Part B when that person is considered Medicare eligible. Medicare Part B benefits start on the first day of the month during the month of turning 65. FYI – If a birthday falls on the first day of the month, the benefits will begin the first of the month, the month before turning 65. If a person is not eligible for automatic enrollment and wants Medicare Part B when they turn 65, they must apply to get enrolled in Medicare Part B. If a person who is not eligible for automatic enrollment but wishes to continue with their employers’ group health plan, then they will qualify for a Special Election Period at their time of retirement. But, if a person does not enroll in Part B when they are first eligible for coverage and do not qualify for a Special Election Period from CMS. Then CMS will charge a lifetime late penalty to the monthly premium.CMS Initial Enrollment Period – A Seven-Month Enrollment Timeline:
This Time Frame Includes:
- Three Months Before The Month Of A 65th Birthday.
- The Month Of A 65th Birthday.
- Three Months Following The Month Of A 65th Birthday.
Ways To Enroll In Medicare Part B:
- Create A My Social Security Account At: SSA.gov And Enroll Online.
- Call Social Security: 800-772-1213, Monday-Friday, 7 am To 7 pm EST.
- TTY Users Should Call 1-800-325-0778.