Medicare Part B forms part of Original Medicare, offering health insurance coverage for medically necessary and preventive services so that you can receive the care you need. Give SBI Benefits a call today to meet with our insurance agent and learn more about the benefits of Medicare Part B in Las Vegas and Sparks, Nevada!
What Medicare Part B Covers +
Medically necessary services include services or supplies required for diagnosing and treating your condition, in compliance with recognized standards of medical practice. Preventive services is the type of care which focuses on preventing illness and on the early diagnosis of illnesses. Part B care may include:
- Clinical research
- Ambulance services
- Durable medical equipment (DME)
- Mental health care (including inpatient, outpatient and partial hospitalization)
- Limited outpatient prescription drugs
- Part-time or intermittent home health care and home rehabilitation services
- Screenings for disease and other medical conditions, including cardio-vascular disease, cancer, diabetes and more
For a complete overview of the preventive care services and other benefits included in Medicare Part B coverage, please speak with our insurance agent or consult the “Medicare and You” Medicare handbook.
Medicare Part B Eligibility +
- You are age 65 or older
- You are a U.S. citizen
- You have permanent residence and have legally resided in the United States for a minimum of five uninterrupted years
You may also be eligible for automatic enrollment in Medicare Part B if you have a disability. If you are under the age of 65 and receive disability benefits, you will be automatically enrolled in Medicare Part A and Part B following the completion of 24 months of disability benefits.
You may be eligible for Part B enrollment prior to the age of 65 if you suffer from either of the following conditions:
- End-stage renal disease (ESRD)
- Amyotrophic lateral sclerosis (ALS, or Lou Gehrig’s disease)
Medicare Part B Enrollment +
If you do not enroll in Part B during the initial enrollment period and do not qualify for a special enrollment period, you will be able to enroll during the general enrollment period. General enrollment runs from January 1st to March 31st, with insurance protection commencing on July 1st. Please be aware that you may incur a late fee if you do not enroll when you are first eligible.
If you do not automatically enroll, you may apply for Medicare through Social Security. This may be done in person at your local Social Security office, online via the Social Security website, or by calling 1-800-772-1213 (TTY user 1-800-325-0778) from 7:00 a.m. to 7:00 p.m. Monday through Friday.
If you are 65 or older and have Part B health insurance, you may enroll in Medigap during the six-month open registration period. This is a good time to purchase supplemental insurance plans, such as Medicare Advantage, as during your open enrollment period you have the “guaranteed right” to buy any Medigap plan with no need to purchase medical insurance coverage or pay higher premiums due to a pre-existing condition. This is a one-time initial guaranteed enrollment period after enrolling in Medicare Part B.
Delaying Part B Enrollment +
Should you choose to delay registering for Part B healing insurance due to currently being covered through your employer, you may register later during a special enrollment period. You can enroll in Medicare Part B at any time provided you have group coverage through your existing employer’s plan group (or through the employer of your spouse).
After the end of your employer’s health coverage or the end of your employment (depending on which comes first), there will be a special enrollment period of eight months in which you can enroll in Medicare Part B without a late penalty.
Please note that coverage for retirees and COBRA is not considered health coverage based on current employment and will not qualify you for a special enrollment period. If you benefit from COBRA, do not wait until your COBRA coverage expires before enrolling in Part B coverage.
Medicare Part B Premiums +
If you are receiving benefits from Social Security, the Railroad Pension Board or federal retirement benefits, your Part B premium may be deducted directly from your regular monthly benefit. If not, you will be invoiced quarterly (every three months).
Please be aware that there may be a late registration penalty applied if you did not register for Part B Medicare when you became eligible. For example, monthly premiums can be 10% greater for every 12-month qualifying period you were eligible but did not enroll in Part B coverage.
If you have questions about monthly premiums, please speak with our insurance agent.
Part B Deductibles and Coinsurance +
We recommend that you contact our insurance agent or your plan for further details, as restrictions, copayments and limitations may be applicable, and benefits are subject to change without prior notice on January 1st of each year.