What is part B Medicare coverage?

Asked by: Arnulfo Kub  |  Last update: June 15, 2025
Score: 4.1/5 (66 votes)

Part B helps pay for covered medical services and items when they are medically necessary. Part B also covers some preventive services like exams, lab tests, and screening shots to help prevent, find, or manage a medical problem. Cost: If you have Part B, you pay a Part B premium each month.

What is the main difference between Medicare Part A and B?

Part A provides inpatient/hospital coverage. Part B provides outpatient/medical coverage. Part C offers an alternate way to receive your Medicare benefits (see below for more information). Part D provides prescription drug coverage.

Is Medicare Part B free at age 65?

Medicare Part A (hospital insurance) is free for almost everyone. You have to pay a monthly premium for Medicare Part B (medical insurance). If you already have other health insurance when you become eligible for Medicare, you may wonder if it's worth the monthly premium costs to sign up for Part B.

What is Medicare Part B and why do I need it?

Medicare Part B (Medical Insurance)

Part B helps cover medically necessary services like doctors' services, outpatient care, and other medical services that Part A doesn't cover. Part B also covers many preventive services. Part B coverage is your choice. However, you need to have Part B if you want to buy Part A.

Why is Social Security no longer paying Medicare Part B?

There could be several reasons why Social Security stopped withholding your Medicare Part B premium. One common reason is that your income has exceeded the threshold for premium assistance. Another reason could be that there was a mistake or error in your records.

What does Medicare Part B Cover?

20 related questions found

How much is deducted from social security for Medicare Part B?

Medicare Part B Premium and Deductible

The standard monthly premium for Medicare Part B enrollees will be $185.00 for 2025, an increase of $10.30 from $174.70 in 2024. The annual deductible for all Medicare Part B beneficiaries will be $257 in 2025, an increase of $17 from the annual deductible of $240 in 2024.

Does everyone pay $170 for Medicare Part B?

Most people pay no premiums for Part A. For Medicare Part B in 2025, most beneficiaries will pay $185 per month. Certain factors may require you to pay more or less than the standard Medicare Part B premium in 2025.

Do I automatically get Medicare Part B when I turn 65?

If you are approaching age 65 and you already receive Social Security or Railroad Retirement benefits through early retirement, you will be automatically enrolled in Medicare Parts A (hospital insurance) and B (medical insurance) when you turn 65.

How do you qualify for Medicare Part B for free?

Individuals already receiving Social Security or RRB benefits at least 4 months before being eligible for Medicare and residing in the United States (except residents of Puerto Rico) are automatically enrolled in both premium-free Part A and Part B. People who are automatically enrolled have the choice of whether they ...

Is Medicare Part B free now?

There is a $240 annual deductible for Medicare Part B in 2024 . After the deductible, you'll pay a 20% copay for most doctor services while hospitalized, as well as for DME and outpatient therapy .

Is Medicare Part B automatically deducted from Social Security?

The answer is yes. If you receive benefits from Social Security, Railroad Retirement Board (RRB), or Office of Personnel Management (OPM), then your Part B premium will be deducted from your benefit payment. It will come out of your check every month starting with your Part B effective month.

What are the 6 things Medicare doesn't cover?

Some of the items and services Medicare doesn't cover include:
  • Eye exams (for prescription eyeglasses)
  • Long-term care.
  • Cosmetic surgery.
  • Massage therapy.
  • Routine physical exams.
  • Hearing aids and exams for fitting them.

Do I have a copay with Medicare Part B?

Original Medicare Part A has a copayment. Medicare Part B may also have a copayment in certain cases, such as for hospital visits on an outpatient basis. People enrolled in Medicare Advantage or Medicare Part D prescription drug plans may pay copayments. However, the amount will depend on the plan provider's rules.

What is the best supplemental insurance for Medicare?

The best Medicare supplement plan providers
  • Best for extra plan benefits: Humana.
  • Best for straightforward coverage: State Farm.
  • Best for extensive medical care coverage: AARP by UnitedHealthcare.
  • Best for a range of Medigap plans: Blue Cross Blue Shield.

At what age do you get 100% of your Social Security?

For anyone born 1960 or later, full retirement benefits are payable at age 67.

Is Medicare Part B mandatory?

Part B is optional. Part B helps pay for covered medical services and items when they are medically necessary. Part B also covers some preventive services like exams, lab tests, and screening shots to help prevent, find, or manage a medical problem.

Who is the best person to talk to about Medicare?

Talk to someone
  • Call us at 1-800-MEDICARE (1-800-633-4227). Help from Medicare is available 24 hours a day, 7 days a week, except some federal holidays. ...
  • Contact your local State Health Insurance Assistance Program (SHIP) – Get free personalized health insurance counseling.

How do I avoid paying Medicare Part B?

You may refuse Part B without penalty if you have creditable coverage, but you have to do it before your coverage start date. Follow the directions on the back of your Medicare card if you want to refuse Part B.

Does social security pay for Medicare Part B?

Part B (Medical Insurance)

Covers certain doctors' services, outpatient care, medical supplies, and preventive services. premium deducted automatically from their Social Security benefit payment (or Railroad Retirement Board benefit payment).

Why is the state no longer paying Medicare Part B premiums?

This is because DHCS will not pay your Part B premium in months when: Your Medi-Cal share-of cost (SOC) is over $500 • AND • Your medical expenses are lower than your SOC. Your SOC is the amount that you must pay or promise to pay for medical expenses before Medi-Cal will pay.

Does Medicare check your income every year?

Each fall, when we ask the IRS for information to determine next year's premiums, we ask for tax information to verify your reports of changes affecting your income-related monthly adjustment amounts, if any. We also ask the IRS for your two-year-old MAGI if we've temporarily used three-year-old MAGI.

How do you qualify for $144 back from Medicare?

To be eligible for the Medicare Part B Giveback Benefit, you must:
  1. Be enrolled Original Medicare (Parts A and B)
  2. Pay your own Part B premium.
  3. Live in the service area of a plan that offers a Part B giveback.