Medicare Supplement Specialists
Medicare Supplement Insurance

For Quotes

CALL 954-384-8647

Full Name
Additional Information
Email
Phone
Date of Birth
Zip Code
Part B Effective Date
Tobacco Use


Medicare Part B

Medicare Part B helps pay for Doctor's Services, Hospital Outpatient Care, Home Health Care and some Preventive Care Services.

Part B Premium for 2016:

  • For individuals whose annual income is equal to or below $85,000 or couples whose annual income is equal to or below $170,000 the Part B premium for 2016 is $121.80.
  • For individuals whose income is $85,001 to $107,000 and for couples whose income is between $170,001 and $214,000, the Part B premium is $170.50 in 2016.
  • For individuals whose income is $107,001 to $160,000 and for couples whose income is between $214,001 and $320,000, the Part B premium is $243.60 in 2016.
  • For individuals whose income is $160,001 to $214,000 and for couples whose income is between $320,001 and $428,000, the Part B premium is $316.70 in 2016.
  • For individuals whose income is above $214,000 and for couples whose income is above $428,000, the Part B premium is $389.80 in 2016.

 

Medicare Part B Deductible amount in 2016 is $166.

 

Part B Covered Services and Cost:

  • Doctor Office Visits - You pay 20% co-insurance of Medicare-approved amount and the Part B deductible applies.
  • Chiropractic Services - You pay 20% co-insurance of Medicare-approved amount and the Part B deductible applies. (routine care not covered)
  • Podiatry Services - You pay 20% co-insurance of Medicare-approved amount and the Part B deductible applies. (routine care not covered)
  • Outpatient Mental Health Care - You pay 20% of Medicare-approved amount and the Part B deductible applies.
  • Outpatient Substance Abuse Care - You pay 20% co-insurance of Medicare-approved amount and the Part B deductible applies.
  • Outpatient Services/Surgery - You pay 20% co-insurance. Specified co-payment for outpatient hospital facility charges. Co-payment cannot exceed Part A inpatient hospital deductible. You pay 20% co-insurance for ambulatory surgical center facility charges.
  • Ambulance Services - You pay 20% co-insurance of Medicare-approved amount and the Part B deductible applies.
  • Emergency Care - You pay 20% co-insurance for the doctor. Specified co-payment for outpatient hospital emergency room (ER) facility charge. ER Co-payment cannot exceed Part A inpatient hospital deductible. You don't have to pay the emergency room co-payment if you are admitted to the hospital for the same condition within 3 days of the emergency room visit. Not covered outside the U.S. except under limited circumstances.
  • Urgently Needed Care - You pay 20% co-insurance or a set co-payment. Not covered outside the U.S. except under limited circumstances.
  • Outpatient Rehabilitation Services - You pay 20% co-insurance of Medicare-approved amount and the Part B deductible applies.
  • Durable Medical Equipment - You pay 20% co-insurance of Medicare-approved amount and the Part B deductible applies.
  • Prosthetic Devices - You pay 20% co-insurance of Medicare-approved amount and the Part B deductible applies.
  • Diabetes Self-Monitoring Training, Nutrition Therapy, and Supplies - You pay 20% co-insurance of Medicare-approved amount and the Part B deductible applies.
  • Diagnostic Tests, X-Rays, Lab Services, and Radiology Services - You pay 20% co-insurance for diagnostic tests and x-rays. You pay $0 co-payment for Medicare-covered lab services.
  • Bone Mass Measurement - No co-insurance, co-payment or deductible. Covered once every 24 months (more often if medically necessary) if you meet certain medical conditions.
  • Colorectal Screening Exams - No co-insurance, co-payment or deductible for screening colonoscopy or screening flexible sigmoidoscopy. Covered when you are high risk or when you are age 50 and older.
  • Immunizations - You pay $0 co-payment for Flu, Pneumonia, and Hepatitis B vaccines.
  • Mammograms (Annual Screening) - No co-insurance, co-payment or deductible. Covered once a year for all women with Medicare age 40 and older.
  • Pap Smears and Pelvic Exams - No co-insurance, co-payment or deductible for Pap smears. No co-insurance, co-payment or deductible for Pelvic and clinical breast exams. Covered once every 2 years. Covered once a year for women with Medicare at high risk.
  • Prostate Cancer Screening Exams - You pay 20% co-insurance for the digital rectal exam. You pay $0 for the PSA test; 20% co-insurance for other related services. Covered once a year for all men with Medicare over age 50.
  • End-Stage Renal Disease - You pay 20% co-insurance for renal dialysis. You pay 20% co-insurance for Nutrition Therapy for End-Stage Renal Disease.
  • Part B Drugs - You pay 0% to 20% of the cost for Part B-covered drugs (not including Part B-covered chemotherapy drugs). You pay 20% co-insurance of the cost for Part B-covered chemotherapy drugs. You pay 0% to 30% of the cost for Part B drugs out-of-network.
  • Dental Services - Preventive dental services (such as cleaning) not covered.
  • Hearing Services - Routine hearing exams and hearing aids not covered. You pay 20% co-insurance for diagnostic hearing exams.
  • Vision Services - You pay 20% co-insurance for diagnosis and treatment of disease and conditions of the eye. Routine eye exams and glasses not covered. Medicare pays for one pair of eyeglasses or contact lenses after cataract surgery. Annual glaucoma screenings covered for people at risk.
  • Welcome to Medicare; and Annual Wellness Visit - During the first 12 months of your new Part B coverage, you can get either a Welcome to Medicare exam or an Annual Wellness visit. After your first 12 months, you can get one Annual Wellness visit every 12 months. There is no co-insurance, co-payment or deductible for either the Welcome to Medicare exam or the Annual Wellness visit. The Welcome to Medicare exam does not include lab tests.
  • Health/Wellness Education - Smoking Cessation: Covered if ordered by your doctor. Includes two counseling attempts within a 12-month period if you are diagnosed with a smoking-related illness or are taking medicine that may be affected by tobacco. Each counseling attempt includes up to four face-to-face visits. You pay co-insurance, and Part B deductible applies. You pay $0 co-payment for the HIV screening, but you generally pay 20% of the Medicare-approved amount for the doctor's visit.
  • Transportation (Routine) - Not covered.
  • Acupuncture - Not covered.

 

The Facts

The Insurers

Medicare Supplement Insurers
 

The States

Click on your state to view the insurance companies we're contracted with in your area.

Medicare Supplement Plans by State
Alabama Delaware Indiana Massachusetts Nevada Oklahoma Texas
Alaska D.C. Iowa Michigan New Hampshire Oregon Utah
Arizona Florida Kansas Minnesota New Jersey Pennsylvania Vermont
Arkansas Georgia Kentucky Mississippi New York Rhode Island Virginia
California Hawaii Louisiana Missouri North Carolina South Carolina Washington
Colorado Idaho Maine Montana North Dakota South Dakota Wisconsin
Connecticut Illinois Maryland Nebraska Ohio Tennessee Wyoming

 

 

 

 

 

 

Site Map

Plan A | Plan B | Plan C | Plan D | Plan F | Plan High Deductible F | Plan G | Plan K | Plan L | Plan M | Plan N

Medicare Supplement Specialists is not connected with or endorsed by the United States Government or the federal Medicare program. Copyright (c) 2010. medicaresupplementspecialists.com. All rights reserved.