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Medicare Part B

Medical Insurance

What it helps cover:

  • Medically necessary doctors' services, lab work and imaging

  • Outpatient care

  • Medically necessary chiropractic care

  • Home health services

  • Durable medical equipment (DME)

  • Many preventive services


What it costs:

  • Most 2025 Medicare members must pay a monthly premium of $185.

  • If you don't enroll in Medicare Part B as soon as you are eligible, you could be assessed a late enrollment penalty when you do enroll.

    • The penalty could be as high as a 10% increase in your premium for each 12-month period that you were eligible but not enrolled.

  • Your Part B premium could be higher depending on your income.

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Other Part B costs for 2025:

  • There is a $257 annual deductible for Medicare Part B in 2025. After the deductible, you’ll pay a 20% copay for most doctor services while hospitalized, as well as for DME and outpatient therapy.

  • There is a 20% copay of the Medicare-approved amount for doctor visits to diagnose a mental health condition after the deductible.

    • If you receive these services at a hospital outpatient department or clinic, additional copays or coinsurance amounts may apply.

  • There is a 20% copay of the Medicare-approved amount for outpatient services after the deductible.

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Items and services Medicare B doesn't cover:

  • Long-term care (also called custodial care)

  • Most dental care

  • Eye exams (for prescription glasses)

  • Dentures

  • Cosmetic surgery  

  • Massage therapy

  • Routine physical exams

  • Hearing aids and exams for fitting them

  • Concierge care (also called concierge medicine, retainer-based medicine, boutique medicine, platinum practice, or direct care)

  • Covered items or services you get from an opt-out doctor or other provider (except in the case of an emergency or urgent need​

To discuss detailed information to fit YOUR needs...
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