Part B (Medical)
Outpatient care, doctors, and preventive services. You pay 20%, Medicare pays 80%, after the annual deductible.
What it covers
- What it pays for
- Doctor visits, outpatient surgery, imaging, preventive services, DME, and some infused drugs.
- How it works
- Nationwide provider acceptance; Medicare pays 80% of approved amounts after the annual deductible.
- Who can get it, and when
- No health underwriting; income-based IRMAA surcharges may apply at higher incomes.
What it costs
A standard monthly premium and a yearly deductible, then 20% coinsurance.
Hawkins Insurance Group, LLC is not connected with or endorsed by the United States government or the federal Medicare program. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
What is good about it
- Preventive services covered at 100% (no deductible)
The catch
- No annual cap on 20% coinsurance exposure
- Does not cover routine dental, most vision, or hearing aids
Mistakes to avoid
- Not planning for IRMAA surcharges. Higher income triggers higher Part B premiums with a 2-year lag
- Late Part B enrollment penalty: 10% premium increase per 12-month period of delay, applied permanently
Common questions
- Income-Related Monthly Adjustment Amount. It is a surcharge on Part B (and Part D) premiums for higher-income beneficiaries, based on income from 2 years prior.
Keep learning
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