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What do I have to pay for services covered under Medicare Part B?

Question 4 of 7 (use "Last" or "Next" buttons to see more)
Last Update: July 29, 2010

Medicare Part B Costs
In 2010, you will pay...
Monthly Premium $96.40/$110.501  if your annual income is below $85,000 ($170,000 for couples).

A small number of 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.

Annual Deductible $155
Doctor and other medical services 20%2
Outpatient hospital care Coinsurance or Copayment3
Home health care Nothing
Clinical diagnostic lab services Nothing
Other diagnostic tests and x-rays4 20%
Diabetes self-management supplies (glucose monitors, lancets, test strips) 20%
Durable medical equipment (e.g., wheelchairs, hospital beds) 20%5
Physical therapy services 20%
Ambulance services 20%
Chiropractor services6 20%
Outpatient mental health services 45%
Blood 20% after first three pints each year
1 $96.40/month for people with an annual income below $85,000 for individuals ($170,000 for couples who file a joint tax return), although new enrollees and people who do not have their part B premium withheld from their social security benefit will pay $110.50/month.”.
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 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.
6 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.

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.

What doctors charge you may vary depending on where you live and whether or not they take “assignment” (accept Medicare’s approved amount as payment in full).

    To learn more about what you pay for doctors' services, click on the link in the GO TO box.

Case Examples
Mr. L cannot afford to pay for his diabetes monitoring supplies.

Mrs. G’s medical supply company asked for payment of her Part B deductible up front.

Related Questions
Will Medicare pay for transportation to my dialysis facility?

Will my Medigap policy cover mental health care?

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GO TO
What do I pay under Original Medicare when I go to the doctor?

What insurance can I buy to fill gaps in Original Medicare?

How can I get help with my Medicare costs and fill in the gaps in Medicare coverage?

I have Medicare. Are there government programs that can help me pay for my health care and prescription costs?

Will I pay more for Part B if my income is high?

What types of home health care will Medicare pay for?

Are there any hospitals or health facilities that offer care at a reduced cost?

Does Medicare cover diabetes services and supplies?

What is durable medical equipment (DME)?

 
LINKS
Medicare.gov -- Original Medicare Coverage Information Finder

Find a Medicare Durable Medical Equipment Supplier (Medicare.gov)

National Directory of Medicare Regional Carriers and Intermediaries

Medicare.gov: National A/B MAC Information

 
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