Back

Medicare Part B Costs
In 2018, you will pay
 
Monthly Premium $134 1 if your annual income is below $85,000 ($170,000 for couples). If you are covered by hold harmless, on average you will pay $109.

People with high incomes have a higher Part B premium.

 
Annual Deductible $183 Same
 
Doctor and other medical services 20% if your provider accepts assignment2 Same
 
Outpatient hospital care Coinsurance or copayment that can be no higher than the Part A hospital deductible ($1,340 in 2018)3 Same
 
Home health care Nothing Same
 
Clinical diagnostic lab services Nothing Same
 
Other diagnostic tests and x-rays4 20% Same
 
Diabetes self-management supplies (glucose monitors, lancets, test strips)5 20% Same
 
Durable medical equipment (e.g., wheelchairs, hospital beds)6 20%7 Same
 
Physical therapy services 20% Same
 
Ambulance services 20% Same
 
Chiropractor services8 20% Same
 
Outpatient mental health services9 20% Same
 
 Annual Wellness Visit  Nothing
 
 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.
1 $134/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% 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 psychiatrists and psychologists do not. If your provider does not accept assignment, federal law allows the provider to charge up to 15% above the Medicare approved amount.

 

Back


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.