The standard Part B premium in 2021 is $170.10. Most people pay the standard Part B premium amount. If your modified adjusted gross income as reported on your IRS tax return from 2 years ago is above a certain amount, you'll pay the standard premium amount and an Income Related Monthly Adjustment Amount (IRMAA). IRMAA is an extra charge added to your premium
ANNUAL DEDUCTIBLE
MEDICARE COVERS
Incurred Expenses offer the required Medicare deductible
YOU PAY
$226 annual Deductible
MEDICAL EXPENSES: Physicians services for inpatient and outpatient medical/surgical services, physical/speech therapy, and diagnostic test.
MEDICARE COVERS
80% of approved amount
YOU PAY
20% of approved amount
EXCESS DOCTOR CHARGES
MEDICARE COVERS
0% Above approved amount
YOU PAY
All costs
CLINICAL LABORATORY SERICES
MEDICARE COVERS
Generally 100% of approved amount
YOU PAY
You could pay all costs if not approved.
HOME HEALTHCARE
MEDICARE COVERS
100% of approved amount, 80% of approved amount for durable medical equipment
YOU PAY
Nothing for services; 20% of approved amount for durable medical equipment
OUTPATIENT HOSPITAL TREATMENT
HOSPITALIZATION DAYS
Medicare payment to hospital, based on outpatient procedure payment rates
MEDICARE COVERS
Coinsurance based on outpatient payment rates
BLOOD
MEDICARE COVERS
80% of approved amount after first 3 pints of blood
YOU PAY
First 3 pints plus 20% of approved amount for additional pints
When you’re first eligible for Medicare, you have a 7-month Initial Enrollment Period to sign up for Part A and/or Part B.
If you’re eligible for Medicare when you turn 65, you can sign up during the 7-month period that:
Your employer cannot require you at 65 years old to go on Medicare, or pay for the premiums for a Medicare Supplement Plan or Advantage Plan to induce you to take Medicare. However, the law (known as ERISA) applies only to employers with 20 or more workers. So if you work for a smaller business or organization, you may be required to enroll in Part B at age 65.
If you are, receiving Social Security you will automatically be enrolled in Part A and Part B just before your 65th birthday. The letter sent to you with your Medicare card explains your right to opt out of Part B if you have employer insurance that is (creditable) coverage. To opt out, follow the instructions included in that letter within the specified deadline.
You automatically get Part A and Part B after you get one of these:
You can apply online by copying and pasting:
https://secure.ssa.gov/iClaim/rib
Or call Social Security at: 800-772-1213
NO: If you receive COBRA benefits you are no longer working for this employer. If you wait until these benefits have expired before enrolling in Part B, you won’t qualify for a special enrollment period for Part B. Instead, you’ll likely pay late penalties, and you would be able to enroll only during the General Enrollment Period that runs from Jan. 1 to March 31 each year, with coverage not beginning until the following July 1.
If you are drawing your Social Security, you should receive your Medicare card 3 months before your 65th birthday. If you are not receiving Social Security, you need to apply for Medicare.
READY TO TAKE THE NEXT STEP
To get more information to help make a good decision about your Medicare Insurance Plan or compare your present plan, call 800-641-3315 or set a phone appointment with a licensed agent.
There is no cost to our services
WELCH INSURANCE PROVIDES
800-641-3315
By Appointment Only
17011 Beach Blvd.
Suite 900
Huntington Beach CA 92647
License Number: 0E81972
