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Medicare Part B
Coverage for doctors’ services and outpatient care
How much does Medicare Part B coverage cost?
- You pay the Medicare Part B premium each month – most often this is deducted from your Social Security check.
- You also pay an annual Part B deductible before Medicare starts to pay its share
- The Part B deductible and premium rates may change every year in January
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Financial assistance available
You may be able to get help from Medicaid to pay your Part B premium and deductible – find out how.
What does Medicare Part B cover?
Medical and other services
Clinical laboratory services
Home health care
Outpatient hospital services
Blood
Medical and other services
- Doctors' services, but not routine physical exams except for a "Welcome to Medicare" one-time physical exam within the first six months you have Part B
- Outpatient medical and surgical services and supplies
- Diagnostic tests
- Ambulatory surgery center facility fees for approved procedures
- Durable medical equipment, including wheelchairs, hospital beds, oxygen, and walkers
- A second – and sometimes a third – surgical opinion for non-emergency surgery that isn’t an emergency (in some cases)
- Outpatient mental healthcare
- Outpatient occupational and physical therapy, including speech-language pathology
Clinical laboratory services
- Blood tests
- Urinalysis
- Some screening tests and more
Home health care
- Reasonable and necessary part-time or intermittent skilled nursing care and home health aide services
- Physical therapy, occupational therapy, and speech-language pathology ordered by your doctor and provided by a Medicare-certified home health agency
- When skilled nursing care or therapy services are being provided, home health aide services may also be covered if needed
- Medical social services
- Durable medical equipment, including wheelchairs, hospital beds, oxygen, and walkers
- Medical supplies and other services
Outpatient hospital services
Hospital services and supplies received as an outpatient as part of a doctor’s care.
Blood
Pints of blood you receive as an outpatient or as part of a Part B-covered service.
Medicare Part B and Employer or Union Coverage
If you or your spouse work, and you have coverage through an employer, union or under COBRA, your Part B enrollment rights can be affected.
For more information call 1-800-MEDICARE; TTY users should call 1-877-486-2048, 24 hours a day, 7 days a week.
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What is Medicare Part B?
