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Medicare Part B Coverage

Part B Medicare covers medical and outpatient doctor services, durable medical equipment, as well as Part B Drugs. It is optional coverage and requires a monthly premium unless a beneficiary would qualify for help through some type of Medicaid assistance. The monthly premium is determined by your annual income. Once year in October/November CMS will announce a pre determine schedule of premium payments for the up coming year. See monthly (Part B Premium) matrix below.
Part B requires a deductible of a $155.00 per year before Medicare will begin paying 80% of the approved schedule medical costs. Medicare beneficiary is responsible for the remaining 20% charge with no stop loss maximum.
Medicare Part B covers doctors' services that are received from a Medicare approved facility or a medical practice.

Many other services Medicare Part B will help pay for include:

• Outpatient service and hospital procedures
• X-rays and lab tests
• Diagnostic testing & supplies
• Flu and pneumonia shots
• Blood
• DME, medical equipment
• Prosthetic devices
• Kidney dialysis and transplants
• Limited nursing care
• Intravenously delivered drugs outpatient Dr Visits
• Home health care and aids
• Counseling services

Enrollment in Medicare Part B

There are some specific requirements for enrolling in Medicare Part B. It is a good idea to contact Social Security prior to turning age 65 for information about enrollment and about limitations on Medicare payments for specific services.

Prior to turning age 65, if you are receiving Rail Road Retirement benefits or Social Security through early retirement Social Security you will automatically enroll you in Medicare Part A and Medicare Part B. However, if you are not presently in the Social Security system as a beneficiary you will receive an initial enrollment packet from Medicare about 90 days before your 65th birthday. If you have not received your packet, call Social Security to find out if they have an updated address or what the problem may be.

Each beneficiary is given an (IEP) Initial Enrollment Period to sign up for Medicare Part B if they did not become automatically registered. This time period consist of 3 calendar months prior to the month of your 65th birth date, your birth date month and 3 months there after. This time period totals up to 7 months to enroll and start fully taking advantage of all the Part B Medicare benefits available to you. You could be assessed a late penalty fee if you do not enroll in Part B when available to you unless you have had credible coverage through an employer, spouses employer or other entity. You must show proof through a termination letter of group plan to be able to enroll in Medicare Part B without penalties.

Disability beneficiaries of Social Security must wait until the start of their 25th month of receiving benefits before they will qualify to purchase Part B premium. They to will receive an Initial Enrollment Packet will same enrollment period before a late charge maybe assessed. Part B is a requirement to have before enrollment can occur in any of the Part C Managed Care Plans or Medigap Plans refer to by many as Medicare Supplements.

Schedule of Part B Premiums

Social Security will use an average of the last two years of Federal Tax Forms filed by an Individual or Married Couple based on annual income.

2010 Beneficiaries who paid Part B premiums of $96.40 in 2009 and have incomes less than $85,000 as a single income tax filer and 170,000 as joint filers will continue to pay those same premiums through out 2010.

Beneficiaries new to Medicare Part B and turning 65 in 2010 will pay:

$110.50 for Part B Premium.
• When Single Filers $0- $85,000 and Joint Filers $0- $170,000 annual income.

$154.70 for Part B Premium
• When Single Filers $85,001-$107,000, and Joint Filers have $170,001- $214,000 annual income

$221.00 for Part B
• When Single Filers $107,001-$160,000 and Joint Filers have $214,001- $320,000 annual income

$287.30 for Part B
• When Single Filers $161,000-$214,00 and Joint Filers have $320,001- $428,000 annual income

$353.60 for Part B
• When Single Filers $214,000 and above - Joint Filers have $428,000 and above annual income

2010 Part B Premium Calculations and Tables are a Little Different for Married Filing Jointly

$96.40 for Part B Premium
• 2010 Beneficiaries who paid Part B premiums of $96.40 in 2009 and have incomes less than $85,000
$110.00 for all others.
$287.30 for Part B Premium
• Makes less than $129,000 as Married Filing Single Return
$353.60 for Part B Premium
• Earns more than $129,000

Part B Premiums did increase by 15% in 2010 in expectation of rising Part B Medical Expense Increases.
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