Skip to Main Content
Back to Learn

Understand Medicare

Medicare Part B:
Medical Coverage

Medicare Part B is coverage for your medical care and helps cover costs for visits to doctors and other providers. Generally, there’s a monthly premium for Part B that you pay to the Federal Government, usually deducted from your Social Security check. If you’re not drawing Social Security, you will be billed quarterly for your Part B premium.


Part B Costs

The chart below defines the out-of-pocket costs associated with Part B, including premium, deductible and coinsurance amounts.

PART B IN 2019*
Monthly Premium*
Annual Deductible
Medicare-approved Expenses for Eligible Services and Supplies
20% after deductible

Doctor's Services

Includes office and home visits, hospital, surgery, and radiology.

Medical Supplies and Services

Includes diabetes testing supplies, ventilator-assist devices, durable medical equipment used at home, surgical dressings, casts and prosthetic devices, and other treatment procedures not covered by Part A.

Diagnostic Tests

Includes tests your doctor orders, like lab tests and X-rays.

Outpatient Services

Includes diagnostic treatment services, rehabilitation, and some certified ambulatory surgical center services.

Preventive Care Services

Part B Medicare covers certain preventive care services and screenings, most at no cost to you. These services help you and your healthcare provider detect conditions early when more treatment options are available. Some of these include:

    Screening & Other Services
  • Abdominal aortic aneurysm screenings
  • Alcohol misuse screenings
  • Bone mass measurements
  • Cardiovascular disease screenings
  • Cervical and vaginal cancer screenings
  • Colorectal cancer screenings
  • Depression screenings
  • Diabetes screenings
  • Diabetes self-management training
  • Glaucoma tests
  • Hepatitis C screenings
  • HIV screenings
  • Lung cancer screenings
  • Mammograms (screenings)
  • Obesity screenings & counseling
  • Prostate cancer screenings
  • Sexually transmitted infections screenings
  • Flu shots
  • Hepatitis B vaccines
  • Pneumococcal vaccines

    Preventive Visits
  • One-time "Welcome to Medicare"
    preventive visit within first 12 months
    of Part B coverage
  • "Wellness" visit once
    every 12 months

* Your Part B premium is separate from monthly premiums or cost sharing you may pay for supplemental or private Medicare coverage.
** Higher for individual incomes over $85,000 or married couples over $170,000.

Man playing with his grandchildren.

Need Help?

(TTY: 711)
Get More Info

Are You Covered?

Every plan is different, find the right plan for you. Quickly search our resources to see if a plan includes your doctor and drugs. 

Select a plan
Ready to Enroll?

Medica is a Cost, HMO-POS amd PPO plan with a Medicare contract. Enrollment in Medica depends on contract renewal.

Y0088_4947 CMS Approved
Last Updated:March 2019