What's the difference between Medicare Plan A and Medicare Plan B?

Asked by: Deborah Cassin  |  Last update: August 16, 2023
Score: 5/5 (57 votes)

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.

Do you really need Medicare B?

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.

Do you get Medicare A and B together?

However, if you want to buy Medicare coverage and you want Part A, you also have to buy Part B. If you buy Part A and/or Part B (you must pay a premium for both), you must sign up during your Initial Enrollment Period, during a General Enrollment Period, or a Special Enrollment Period (see pages 11–13).

Is Medicare Part A and Part B free?

While Medicare Part A – which covers hospital care – is free for most enrollees, Part B – which covers doctor visits, diagnostics, and preventive care – charges beneficiaries a premium.

What does Medicare Part B cost me?

If you don't buy Part A when you're first eligible for Medicare (usually when you turn 65), you might pay a penalty. Most people pay the standard Part B monthly premium amount ($164.90 in 2023). Social Security will tell you the exact amount you'll pay for Part B in 2023.

Medicare-Explained 2023 Parts A & B (Plus Advantage vs Supplement)

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Does Medicare Part B always cost money?

Medicare Part B is only free if you have a low income and are enrolled in one of the Medicare Savings Programs for financial assistance.

Does everyone pay the same for Medicare Part A and B?

If you have higher income, you'll pay an additional premium amount for Medicare Part B and Medicare prescription drug coverage. We call the additional amount the “income-related monthly adjustment amount.”

Who gets Medicare Part B automatically?

If you are receiving benefits, the Social Security Administration will automatically sign you up at age 65 for parts A and B of Medicare. (Medicare is operated by the federal Centers for Medicare & Medicaid Services, but Social Security handles enrollment.)

What benefits do you get with 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.

Why would you not take Medicare Part B?

Why would I opt out of Medicare? Part B comes with a premium in most cases. Some people delay Medicare open enrollment in Medicare Part B to avoid paying the premium – especially if they have other coverage. The same can be true of Part A, for people that must pay a premium for it.

Why would someone not have Part B Medicare?

A person does not have to sign up for Medicare Part B when they turn age 65, providing they have creditable insurance coverage. Creditable coverage provides at least the same coverage level as Medicare, and people usually obtain it through an employer.

What does Part B not cover?

Generally, most vision, dental and hearing services are not covered by Medicare Parts A and B. Other services not covered by Medicare Parts A and B include: Routine foot care. Cosmetic surgery.

Why is Medicare Part B so expensive?

Medicare costs, including Part B premiums, deductibles and copays, are adjusted based on the Social Security Act. And in recent years Part B costs have risen. Why? According to CMS.gov, “The increase in the Part B premiums and deductible is largely due to rising spending on physician-administered drugs.

What is the best Medicare insurance to get?

Best Medicare Advantage Plans of 2023
  • Best Overall: AARP / UnitedHealthcare.
  • Best for Additional Drug Coverage in the Gap: Aetna.
  • Best Value Plans: Blue Cross Blue Shield.
  • Great for Nationwide Coverage: Humana.
  • Best for Customer Satisfaction: Kaiser Permanente.
  • Lowest Cost: Cigna.

What is the best Medicare to apply for?

  • Best for size of network: UnitedHealthcare Medicare Advantage.
  • Best for extra perks: Aetna Medicare Advantage.
  • Best for member satisfaction: Kaiser Permanente Medicare Advantage.
  • Best for low-cost plan availability: Humana Medicare Advantage.
  • Best of the Blues: Highmark Medicare Advantage.

What happens if you don't enroll in Medicare Part A at 65?

Part A late enrollment penalty

If you have to buy Part A, and you don't buy it when you're first eligible for Medicare, your monthly premium may go up 10%. You'll have to pay the penalty for twice the number of years you didn't sign up.

Do I need to notify Social Security when I turn 65?

Do I need to notify Social Security when I turn 65? You don't need to notify Social Security that you're turning 65. Instead, you apply for Social Security when you want your benefits to start, which could be as early as age 62 or as late as age 70.

How much will Part B go up in 2023?

The Centers for Medicare & Medicaid Services (CMS) has announced that the standard monthly Part B premium will be $164.90 in 2023, a decrease of $5.20 from $170.10 in 2022.

How do you qualify for $144 back from Medicare?

To qualify for the giveback, you must:
  1. Be enrolled in Medicare Parts A and B.
  2. Pay your own premiums (if a state or local program is covering your premiums, you're not eligible).
  3. Live in a service area of a plan that offers a Part B giveback.

How much comes out of your Social Security check for Medicare?

Medicare Deduction From Social Security 2023

Similarly, for Medicare, the tax rate is 1.45% for both parties, making it a total of 2.9%.

How much is taken out of Social Security for Medicare in 2023?

For most people, $164.90 will be deducted each month from your Social Security to pay for Medicare Part B (medical insurance). This amount will be higher for those who have higher incomes.

How do I get my $800 back from Medicare?

There is no specific reimbursement amount of $800 offered by Medicare. However, Medicare may reimburse eligible individuals for certain medical expenses, such as durable medical equipment, certain types of therapy, and some preventive services. To request reimbursement, you will need to submit a claim to Medicare.

Do you need more than Medicare Part A and B?

It depends. The automatic and traditional type of Medicare (Part A and Part B) will not cover long-term care, routine dental or eye care, dentures, or hearing aids. 11 In order to have fuller coverage, it is important to look into additional options like Medicare Advantage (Part C) or Medigap coverage.

How do I add Part B to my Medicare?

Contact Social Security to sign up for Part B:
  1. Fill out Form CMS-40B (Application for Enrollment in Medicare Part B). ...
  2. Call 1-800-772-1213. ...
  3. Contact your local Social Security office.
  4. If you or your spouse worked for a railroad, call the Railroad Retirement Board at 1-877-772-5772.