Medicare Part B

Part B helps pay for important and common healthcare expenses such as doctor visits, lab work, diagnostic tests, and even durable medical equipment and home health visits. In contrast, Part A focuses on inpatient coverage, such as a hospital or hospice stay. These two parts of Medicare work together to cover a broad array of medical needs.

Like Part A, Part B coverage in Illinois can leave you with large, uncovered expenses. Coinsurance, deductibles, and copays generate many of these bills. Also, Original Medicare doesn’t pay for some health care services.

What Part B Doesn’t Cover

Eligibility may depend on your age and health. Most people qualify at age 65. However, some beneficiaries are younger and suffer from a qualified disability or end-stage renal disease.

Out-of-pocket expenses:

Most people have to pay a monthly premium for Part B coverage. They generally have this deducted from Social Security payments.

Every year, you will have a deductible to satisfy. After that, plans generally pay 80%, leaving you to pay 20%.

Covers foreign health care or prescriptions under very limited circumstances.

Coverage for a share of the Medicare-approved amount, no matter what the provider charges.

If you only have Medicare, you may have a tough time predicting future medical costs. Even 20% of the bill for visits to specialists or some outpatient procedures can add up to hundreds or thousands of dollars. That’s why most seniors enhance Original Medicare with other Medicare options.

Let Us Help You

SSI offers Medicare Supplement Plans that can help you reduce or even eliminate concerns over out-of-pocket expenses. Some plans even cover urgent medical care in other countries or charges from providers that bill for more than Medicare allows.

Our experienced insurance specialists have worked with seniors in Illinois for more than a decade and are well-versed in helping you enhance your Original Medicare benefits.


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