Medicare Part B Coverage and Costs in 2021

In the United States, nearly 22 percent of adults over the age of 65 are in fair or poor health.

If you’re a senior and starting to notice your health is declining, or you want to get preventative treatment, it’s more important than ever to understand your options for Medicare.

We’re here to help clear up any confusion.

Keep reading to learn the basics about Medicare P

art B, including what it covers, how much it costs, and how to apply for coverage.

What Does Medicare Part B Cover?

One of the biggest mistakes you can make when it comes to Medicare is not understanding what the different parts cover.

For example, if you require a prolonged hospital stay for treatment, that’s only covered by Medicare Part A.

Medicare Part B, on the other hand, covers the following costs:

  • Doctor’s visits deemed medically necessary
  • Outpatient treatment
  • Home health care services
  • Certain medical equipment
  • Mental health treatment
  • Most preventative treatment services
  • Emergency transportation services

Additionally, within the first 12 months that you have coverage, you can schedule a preventative doctor’s visit called a “Welcome to Medicare” appointment. This includes an overview of your medical history, certain screenings, and immunizations as needed.

Costs Associated With Medicare Part B

Now that you have a better understanding of what is covered under Medicare Part B, it’s helpful to know how much you have to pay for it.

Like most forms of health insurance, you have to pay a monthly premium for your coverage.

As of 2021, the standard premium amount for Medicare Part B is $148.50. However, your premium may be higher, depending on your income in 2019.

Your monthly premium is determined based on your tax return from 2019 and whether you filed an individual or joint return.

You also have to meet a deductible before your Medicare coverage starts to pay for qualifying treatments.

In 2021, that deductible is $203. Once you meet that threshold, you’ll have to pay 20 percent of the costs for most services, while Medicare covers the other 80 percent.

How to Apply for Coverage

One important thing to note is that not everyone needs Medicare Part B coverage right away. For example, if you or your spouse still has health insurance through an employer, you might opt to delay your enrollment in Part B.

If you decide to enroll, keep in mind that you can only enroll during the following periods:

  • Your initial enrollment period, which is open during the three months leading up to and following your 65th birthday
  • A special enrollment period, based on meeting specific requirements
  • The general enrollment period, which lasts from January 1 to March 31

During those enrollment periods, you can either start the application process online via the Social Security website or visit your local Social Security office to get started.

Make Sure You’re Covered

Now that you know how to answer the question, “what is Medicare Part B?” you should feel more prepared to make a decision to enroll and what to expect when you do.

By taking advantage of this coverage, you’ll have peace of mind that you’re protected when you need medical treatment.

Looking for ways to make the most of your senior years? Be sure to read through our other articles before you go!

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