Part B (Doctors)

Medicare Coverage Part B will automatically start the first day of the month you're Turning 65, if you get Social Security Benefits or RRB benefits. Some people may need to sign up for Medicare Part B.

Contact your Social Security office at www.ssa.gov if you don't want to enroll in Medicare Part B.

Medicare Part B premiums must be paid by you each month. Most people will pay the standard premium amount, which is $104.90 in 2013. However, your monthly premium will be higher if you meet certain conditions. If you have limited income and resources, you may qualify for help paying your Medicare Part B premiums.

Medicare Part B helps cover, Doctors visits, Medically necessary services- services or supplies that are needed for the diagnosis treatment of your medical condition and meet accepted standards of medical practice, preventive services- health care to prevent illness or detect illness at an early stage, when treatment is most likely to work best. ( For ex. pap tests, flu shots and prostate screenings)

What YOU PAY in 2014 with Medicare ONLY!

  • Part B Deductible.....
      You pay the first $147 for Part B-covered services or items each benefit period.

  • Medical and Other Services.....
      You pay 20% of the Medicare-approved amount for most doctor services (including most doctor services while you are a hospital inpatient), outpatient therapy*, most preventive services, and durable medical equipment.

* In 2010, there may be limits on physical therapy, occupational therapy, and speech-language pathology services. If so, there may be exceptions to these limits.

  • Outpatient Hospital Services.....
      You pay a coinsurance or copayment amount that varies by service for each individual outpatient hospital service. No copayment for a single service can be more than the amount of the inpatient hospital deductible.

  • Clinical Laboratory Services.....
      You pay $0 for Medicare-approved services.

  • Home Health Services.....
      You pay $0 for Medicare-approved services. You pay 20% of the Medicare-approved amount for durable medical equipment.

  • Mental Health Services.....
      You pay 45% of the Medicare-approved amount for most outpatient mental health care.

  • Blood.....
      In most cases, the provider gets blood from a blood bank at no charge, and you won't have to pay for it or replace it. However, you will pay a copayment for the blood processing and handling services for every unit of blood you get, and the Part B deductible applies. If the provider has to buy blood for you, you must either pay the provider costs for the first 3 units of blood you get in a calendar year or have the blood donated by you or someone else. You pay a copayment for additional units of blood you get as an outpatient (after the first 3), and the Part B deductible applies.

  • Other Covered Services.....
      You pay copayment or coinsurance amounts.


MedicareOhioHelp.com
Since 2008