Medicare Part B costsQuestion 4 of 8 (use "Last" or "Next" buttons to see more) Last Update: January 07, 2013
| Medicare Part B Costs |
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In 2013, you will pay... |
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| Monthly Premium |
$104.90 1 if your annual income is below $85,000 ($170,000 for couples).
People with high incomes have a higher Part B premium.
 To find out how a high income affects your Part B premium, click the link in the GO TO box.
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| Annual Deductible |
$147 |
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| Doctor and other medical services |
20% if your provider accepts assignment2 |
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| Outpatient hospital care |
Coinsurance or copayment that can be no higher than the Part A hospital deductible ($1,184 in 2013)3 |
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| Home health care |
Nothing |
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| Clinical diagnostic lab services |
Nothing |
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| Other diagnostic tests and x-rays4 |
20% |
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| Diabetes self-management supplies (glucose monitors, lancets, test strips)5 |
20% |
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| Durable medical equipment (e.g., wheelchairs, hospital beds)6 |
20%7 |
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| Physical therapy services |
20% |
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| Ambulance services |
20% |
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| Chiropractor services8 |
20% |
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| Outpatient mental health services9 |
35% |
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| Annual Wellness Visit |
Nothing |
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| Preventive Care |
You pay nothing for many preventive care services that are recommended by the U.S. Preventive Services Task Force. There may be copays and deductibles for some preventive services. |
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1 $104.90/month for people with an annual income below $85,000 for individuals ($170,000 for couples who file a joint tax return).
2 Of Medicare-approved amount for providers who accept assignment. If your doctor does not accept assignment, federal law allows him or her to charge up to 15 percent above Medicare’s approved amount.
3 Based on diagnosis.
4 Copies of x-rays are not covered.
5 In some states, Medicare will only cover your mail-order diabetic supplies if you get them from an approved supplier, call your State Health Insurance Assistance Program (SHIP) to see if you need to use an approved supplier.
6 In some states Medicare will only cover most DME if you get it from an approved supplier, call your State Health Insurance Assistance Program (SHIP) to see if you need to use an approved supplier.
7 Of Medicare-approved amount for DME suppliers who accept assignment. Medicare does not limit how much suppliers who do not accept assignment can charge above Medicare’s approved amount. Your Medigap plan will not cover anything above the Medicare approved amount.
8 When manipulation of the spine is medically necessary to fix a subluxation of the spine. A subluxation is when one or more of the bones of the spine move out of position.
9 Social workers must accept assignment but phsychiatrists and psychologists do not. If your provider does not accept assignment, federal law allows the provider to charge up to 15 percent above the Medicare approved amount.
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The above chart includes common services and items covered by Medicare. It is not a complete list.
Medicare does not cover all health care services.
To learn more about how to fill the gaps in Medicare's coverage, click on the link in the GO TO box.
To learn more about what you pay for doctors' services, click on the link in the GO TO box.
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