Part B

Medicare Part B is the other half of Original Medicare, the first being Medicare Part A. Part B provides coverage for critical medical and diagnostic services, as well as outpatient care, home health care, and durable medical equipment.

What Medicare Part B covers

Medical caregiving services covered by Part B include:

  • Ambulance services
  • Durable medical equipment
  • Mental health services
  • X-rays and lab tests
  • Certain outpatient prescriptions
  • Provider services
  • Screenings and vaccines

Premiums and deductibles

For 2020, Part B’s monthly premium is set at $144.60. This amount may be greater if your annual income is more than $87,000. Additionally, the annual deductible is $198.

Part B eligibility

Medicare Part B is available for people who are:

  • 65 years or older
  • A U.S. citizen, or a permanent resident of at least five years

The eligibility guidelines for automatic enrollment in Part B depend on whether an individual qualifies for premium-free Part A. People eligible for premium-free Part A equally qualify for Part B enrollment once they are eligible for Part A.

Other qualifications for automatic Part B enrollment include:

  • Being under 65 but received Social Security or Railroad Retirement benefits for at least 24 months
  • Having End-Stage Renal Disease (ESRD) or Amyotrophic Lateral Sclerosis (ALS)

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    Special information for Part B enrollment

    People who already have Social Security or RRB benefits no less than four months before being eligible for Medicare and living in the United States (excluding Puerto Rico residents) are enlisted in both Part A and Part B automatically. Individuals who have joined automatically also have an option to retain or refuse Part B coverage. Puerto Rico residents who qualify for automatic enrollment can only join premium-free Part A; they must physically enroll in Part B to obtain this coverage.

    People who do not receive Social Security or RRB benefits are not automatically enrolled in Part B. Individuals who refused Part B initially, or who canceled their Part B enrollment may enroll or reenroll in Part B only at certain enrollment periods. In many cases, if a person doesn’t enroll in Medicare part B when they were initially eligible, they will pay a late enrollment penalty during the period they have Part B.

    For all your Medicare questions, contact Sunsurance Agency. We are the leading Medicare insurance brokers on hand to address any concerns about eligibility, coverage, and costs that you may have. Reach out today at 334-494-8282 or email us at edfoy@sunsuranceagency.com.