Which of the following services will be covered by Medicare Part B?

Asked by: Ahmed Rogahn  |  Last update: February 5, 2025
Score: 4.8/5 (69 votes)

Part B covers things like: Durable medical equipment (DME) Limited outpatient prescription drugs. Mental health & substance use disorders. Oxygen equipment & accessories.

Which of these services are covered under Medicare Part B Quizlet?

What Does Medicare Part B Cover? Durable medical equipment such as wheelchairs, hospital beds, oxygen, walkers, prosthetics, orthotics, and other supplies.

What's not covered by Medicare Part B?

Medicare Part B does not pay for some services that fall under the coverage of other Parts. Examples include inpatient hospital services, which Part A funds, and most prescription medications, as Part D funds these. Medicare Part B regularly evaluates which services they will cover.

What does Medicare Part B premiums cover?

Medicare Part B Premium and Deductible

Medicare Part B covers physicians' services, outpatient hospital services, certain home health services, durable medical equipment, and certain other medical and health services not covered by Medicare Part A.

Which of the following services are not covered by Medicare Parts A or B?

We don't cover these routine items and services: Routine or annual physical checkups (visit Medicare Wellness Visits to learn about exceptions). exams required by third parties, like insurance companies, businesses, or government agencies. Eye exams for prescribing, fitting, or changing eyeglasses.

What does Medicare Part B Cover?

17 related questions found

Which services are covered by Medicare Part B benefits?

Part B covers things like:
  • Ambulance services.
  • Clinical research.
  • Durable medical equipment (DME)
  • Limited outpatient prescription drugs.
  • Mental health & substance use disorders.
  • Oxygen equipment & accessories.

What items are covered under Medicare Part B?

Medicare Part B helps cover medically-necessary services like doctors' services and tests, outpatient care, home health services, durable medical equipment, and other medical services.

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.

Who is eligible for Medicare Part B?

If you're receiving Social Security or Railroad Retirement Board benefits four months prior to your 65th birthday, you'll be automatically enrolled in Original Medicare (Parts A and B). Most people qualify for Original Medicare (Parts A and B) when they turn 65.

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.

Which item is generally covered under Medicare Part B?

Medicare Part B covers outpatient prescription drugs and biologicals (referred hereafter as drugs) under certain conditions, for example, drugs provided as part of (or incident to) a physicians' service, and drugs furnished for use with covered durable medical equipment.

Which is not a covered preventive service under Medicare Part B?

Certain services are never considered for payment by Medicare. These include preventive examinations represented by CPT codes 99381-99397. Medicare only covers three immunizations (influenza, pneumonia, and hepatitis B) as prophylactic physician services.

Does part B cover home health services?

Under Part B, you are eligible for home health care if you are homebound and need skilled care. There is no prior hospital stay requirement for Part B coverage of home health care. There is also no deductible or coinsurance for Part B-covered home health care.

Which is not covered by Medicare Part B?

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 physical exams. Cosmetic surgery.

On which type of form would Medicare Part B services be billed?

According to Medicare consolidated billing instructions, some Part B services are billed by LTC facilities on a UB-04 claim to Part A intermediaries, and others are billed by physicians and suppliers on a CMS-1500 claim directly to Part B carriers.

What insulin is covered by Medicare Part B?

Part B (Medical Insurance)

covers insulin if you use an insulin pump that's covered under Part B's durable medical equipment benefit. Part B doesn't cover insulin pens or insulin-related supplies like: Syringes.

Can I drop my employer health insurance and go on Medicare Part B?

Once you stop working (or lose your health insurance, if that happens first) you have an 8-month Special Enrollment Period (SEP) when you can sign up for Medicare (or add Part B to existing Part A coverage).

Who automatically gets part B Medicare?

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.

Which of the following expenses would be paid by Medicare Part B?

The major benefit under Part B is payment for physicians' services. In addition, home health care, durable medical equipment, outpatient physical therapy, x-ray and diagnostic tests are also covered.

What does part B of Medicare cover?

Medicare Part B helps cover medical services like doctors' services, outpatient care, and other medical services that Part A doesn't cover. Part B is optional. Part B helps pay for covered medical services and items when they are medically necessary.

What medical equipment is not covered by Medicare?

For example, Medicare does not cover incontinence pads, catheters, surgical facemasks, or compression leggings. However, if you receive home health care, Medicare pays for some disposable supplies–including intravenous supplies, gauze, and catheters–as part of your home health care benefit.

Does Medicare Part B pay for hospital stay?

Part B pays

Your inpatient hospital stay and, for most hospitals, all related outpatient services provided during the 3 days before your admission date.

Does Medicare Part B pay for equipment?

Medicare Part B covers durable medical equipment (DME), which is equipment that serves a medical purpose, is able to withstand repeated use, and is appropriate for use in the home. Your primary care provider must prescribe your DME, stating that it is medically necessary for use in the home.

Who is the largest third party payer in the nation?

Currently, the largest health payer is United Health Group, which provides networks for care and is a commercial and employer-based insurance company.

What drugs are included in Medicare Part B?

Examples of drugs covered under Medicare Part B include:
  • Injections for osteoporosis.
  • Some transplant medications.
  • Immunosuppressants.
  • End-stage renal disease (ESRD) medications.
  • Flu, pneumonia, and Hepatitis B shots.