Medicare Part B

Doctor showing a chest x-ray to a patient

Medicare Part B: Medical Insurance

Medicare Part B helps cover outpatient medically necessary services and supplies used to diagnose or treat health conditions. It also includes preventive services to help detect illnesses early and keep you healthy.

Part B covers doctor visits, outpatient care, preventive screenings, and durable medical equipment. Unlike Part A, Part B has a monthly premium, and most people pay the standard amount (which can vary based on income).

What Does Medicare Part B Cover?

  • Doctor visits (primary care and specialists).
  • Outpatient care and procedures.
  • Preventive services (flu shots, cancer screenings, annual wellness visits).
  • Diagnostic tests (lab work, imaging).
  • Durable medical equipment (walkers, wheelchairs, oxygen).
  • Ambulance services.
  • Chemotherapy, dialysis, and other medically necessary treatments.

Part B does not cover routine dental, vision, or hearing care, hearing aids, most prescription drugs, or alternative treatments like acupuncture (with limited exceptions).

Who Is Eligible for Part B?

  • You're 65 or older.
  • You're under 65 with a qualifying disability.
  • You have End-Stage Renal Disease (ESRD).

Enrollment is optional, but delaying without other creditable coverage may trigger a late enrollment penalty.

Out-of-Pocket Costs with Part B

  • The standard monthly premium (may be higher based on income).
  • An annual deductible.
  • Coinsurance, typically 20% of the Medicare-approved amount.
  • Copayments for some outpatient services.

Need Help Navigating Medicare?

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*Disclaimer: This page has not been reviewed or endorsed by Medicare.gov or any member of the Centers for Medicare & Medicaid Services (CMS).