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Medicare Part B

Medicare has several parts to consider when making your health care insurance choices. Understanding Medicare and how it works will allow you to choose the best plan to fit your needs. One part of the Medicare program is called Part B.

Part B Premiums

Most people have to pay a premium for Part B. You can check to see if you are qualified to receive help from your state to pay for premiums or deductibles. Otherwise, the premium is usually deducted from a Social Security, Railroad Retirement or Civil Service Retirement check. The Part B premium can also be paid every quarter or through the electronic payment option, or Medicare Easy Pay. Premiums will be based on income beginning January of 2007.

What is Part B?

Medicare Part B is a medical insurance provided by the federal government to eligible beneficiaries. The coverage provided by Part B includes medically necessary doctor's services, outpatient care, and most other services that Part A does not cover such as some physical or occupational therapies and some home health care services. Part B covers preventive services as well.

What does Part B Cover?

Medicare Part B covers many services, tests, preventive treatments, etc. that are common among health care patients, but are not covered in the Part A plan. Though many services and products are covered, keep in mind that Part B is still not a 100% insurance coverage plan. So, as with any other insurance policy, you should understand the plan and coverage completely upon enrolling. Part B helps cover only the medically necessary services listed below:
  • Tests, Labs and Screenings
  • Preventive services include exams, lab tests, or screening inoculations that will help prevent, manage, or diagnose a medical problem.
  • Glaucoma tests are covered once per year if performed by a legally authorized eye examiner.
  • Bone mass measurement is covered every two years (or as medically necessary). This is to see if you are at risk for broken bones.
  • Lab Services such as blood tests or urinalysis are covered.
  • Colorectal cancer screenings to find any pre-cancerous growths. Tests may include (a) annual fecal occult blood test, (b) flexible sigmoidoscopy (every four years), (c) screening colonoscopy (every ten years), or (d) barium enema (every four years).
  • Diabetic screenings are covered if you have high blood pressure, dyslipidemia, obesity, or high blood sugar.
  • Diabetic supplies covered include monitors, test strips, lancet devices, and therapeutic shoes.
  • Diabetic self-management training is covered if prescribed by your doctor
  • Cardiovascular screenings to help prevent heart attack or stroke are covered. A screening consists of testing your triglyceride, lipid, and cholesterol levels every five years.

Doctor, Hospital and Home Health Care
  • Home health services include limited reasonable and only medically necessary part-time care and services such as skilled nursing care, physical or occupational therapy, home health aide service, speech language pathology, and medical social services. It also includes certain home use medical equipment such as wheelchairs, hospital beds, walkers, oxygen equipment, and other medical supplies.
  • Chiropractic services will be covered if it is to correct one or more of the bones that has moved out of place in your spine subluxation).
  • Ambulance services are covered if any other form of transportation would endanger your health.
  • Blood (pints) that you receive during an outpatient visit or another Part B covered service.
  • Clinical trials may be covered if it will help to diagnose, prevent, or treat diseases.
  • Ambulatory surgery center fees are covered for approved services.
  • Emergency room services for bad injuries, severe illness, or any time you believe your life is in danger
  • Doctor services do not include routine physical exams except the one time "Welcome to Medicare" exam.
  • Eyeglass coverage is limited to one pair of glasses and standard frames after cataract surgery.

Preventive Shots

  • Flu shots are covered one time per year during flu season.
  • Three hepatitis B shots are covered if you are at medium or high risk.

Additional services covered include, but are not limited to:
  • Hearing and balance exams
  • Mammograms
  • Dialysis
  • Pap tests or pelvic exams
  • Mental health care
  • Medical nutrition therapy
  • Hospital services
  • Occupational therapy
  • Outpatient surgery service and supplies
  • Limited prescription drugs
  • Practitioner services
  • Physical therapy
  • Prosthetic devices
  • Transplant services

Overall, Part B will provide additional coverage to help minimize your health care insurance worries. Whatever health care insurance coverage you choose, make sure you have a clear understanding of options, coverage, and premiums. Seek a Medicare representative that will take time to explain what type of coverage you will receive and will offer clear instructions for signing on with a Medicare program.

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BIRDSEYE FINANCIAL DISCLOSURE
Tax and Legal Disclosure

Birdseye Financial, Corbin Lindsey and any associate affiliated with Birdseye Financial, does not offer tax or legal advice. We provide strategies for educational purposes only. You should consult your tax or legal professional for complete information regarding any tax and legal matters.

Website Content
The information listed on this website and on any document from Birdseye Financial that is provided by Birdseye or by a third party has been obtained from sources believed to be reliable, but accuracy and completeness cannot be guaranteed by Birdseye Financial. While the publisher has been diligent in attempting to provide accurate information, the accuracy of the information cannot be guaranteed. Laws and regulations change frequently, and are subject to differing legal interpretations. Accordingly, neither the publisher nor any of its licensees or their distributors shall be liable for any loss or damage caused, or alleged to have been caused, by the use or reliance upon this information.

All items on this website are not to be considered a recommendation to purchase or to sell an insurance or investment holding. No insurance company has endorsed or reviewed this website content. Before purchasing any type of insurance and/or investment product, it is important that you do your own due diligence, and that you consult a properly licensed professional if you should have any specific questions that relate to your individual situation. All of the names, marks, and materials that were used within this website are the property of their respective owners.

We are NOT affiliated with the U.S. Government or Federal Medicare Program

Product Illustrations
​And as always, it’s important to keep in mind that past performance is definitely no guarantee of the future results that you’ll receive in most any financial vehicle.

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​Should you complete an online form of any type, you are agreeing to be contacted by Birdseye Financial or one of our referral partners.
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