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Medicare Parts Explained

Medicare Part B - Medical Insurance
Medicare Experts
Medicare Experts

Medicare Part B - Medical Insurance

Medicare Part B (medical insurance) is a portion of the Medicare federal health insurance program. Medicare Part B covers medical services and supplies that are necessary for the treatment of a health condition. This could include outpatient care, preventive services, ambulance services, and medical equipment.

Medicare was created for people who are 65 or older, certain young people with disabilities, and people with permanent kidney failure requiring dialysis or a transplant, also known as End-Stage Renal Disease (ESRD). 

 

Medicare Part B

Medicare Part B specifically covers medically necessary services and preventative services.
Medically necessary services are those services or supplies necessary to diagnose or treat a medical condition while meeting acceptable medical practice standards.

Preventive services are health care services that prevent illnesses and help to correct health problems early stages when treatment can be most effective. Medicare Part B works so that most pay nothing for most preventive services when they’re provided by a health care facility accepting Medicare.

 

Medicare Part B covers things like clinical research, ambulance and emergency transport services, durable medical equipment (DME), mental health support services, inpatient and outpatient services, partial hospitalizations, and limited outpatient prescription drugs.
 

Medicare Part B doesn’t cover eye exams, eyeglasses, contact lenses, acupunctural therapy, most prescription drugs, in-home health care services, hearing tests or hearing aids, dental examinations, teeth cleanings, x-rays, and other routine dental care.

Your Medicare coverage will be based on 3 important factors. Federal and state laws, national coverage decisions made by the government about whether Medicare Part B will cover your situation, as well as local coverage decisions made by companies in each state that process claims for Medicare. These companies decide whether something is medically necessary and should be covered in your area.


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