|
|
|
|
 |
Medicare Part B (Outpatient
Insurance)
Benefits
Doctor Services
Part B Costs
-
Part B premium – Usually taken out of the monthly Social
Security, Railroad Retirement, or Civil Service Retirement check sent to
a beneficiary. If a beneficiary does not receive any of these
payments each month, a bill will be sent every three months.
Beginning in 2007, for individuals with annual incomes exceeding
$80,000, the Medicare Part B premium increases each year will be tied to
income.
-
Deductible – Beneficiaries are responsible for the Part B
deductible each calendar year. This amount will be adjusted
annually according to increases in Medicare expenditures.
-
Part B Co-insurance – In most cases, Medicare Part B pays 80%
of the Medicare approved charges. After meeting the deductible,
the beneficiary is responsible for 20% of the Part B approved
charges.
-
Excess Charges – A beneficiary must also pay the excess
charges when the physician or supplier does not accept Part B
“assignment.”
Non-covered Services
-
Most routine physical examinations and related tests.
(However, new enrollees are entitled to a “Welcome to
Medicare” Physical within six months of initial enrollment in
Medicare.)
-
Most routine foot care
-
Examinations for fitting a hearing aid
-
Examinations for eyeglasses unless required by cataract
surgery
-
Most routine dental care or false teeth
-
Acupuncture
-
Cosmetic surgery
-
Experimental medical procedures
-
Custodial Care
|
Disclaimer