| Medicare Part B is a federal health insurance | | | | Medicare Part B coverage start date is not |
| program additional to Medicare Part A that helps | | | | delayed, you should apply three months before |
| pay for some services and products not covered | | | | the month you turn 65. This is the beginning of |
| by Part A, generally on an outpatient basis. This | | | | your 7 month Initial Enrollment Period. If you wait |
| voluntary program requires a insurance premium | | | | until you are 65, or in the last 3 months of your |
| and covers doctor and outpatient services. | | | | Initial Enrollment Period, your Medicare Part B |
| Medicare is a social insurance program | | | | coverage start date will be delayed. |
| administered by the United States government, | | | | To apply, you can call or visit your local Social |
| providing health insurance coverage to people who | | | | Security office or call Social Security at |
| are aged 65 and over. There are some others, | | | | 1-800-772-1213. You can apply online (using the |
| under age 65, who meet other special criteria and | | | | Internet) if you meet certain rules. To apply |
| are eligible for Part B, but this article does not | | | | online, visit You must answer a series of |
| cover those people. Medicare operates as a | | | | questions that will tell if you can apply online. For |
| single-payer health care system. Simply put, the | | | | example, you must be at least 61 years and 9 |
| American taxpayer pays the bills through the | | | | months old; plan to start receiving Social Security |
| Federal government which in turn has contracts | | | | retirement benefits within the next 4 months; live |
| with private companies to handle the paperwork. | | | | in the United States or one of its territories |
| Medicare is voluntary, and those who enroll in it | | | | commonwealths; agree to get your Social |
| have the premiums ($96.40 per month in 2009) | | | | Security benefits by direct deposit to your bank |
| deducted from their Social Security monthly | | | | or other financial institution. You must answer |
| payments. Part B Medicare covers charges by | | | | some other questions as well. |
| physicians, laboratory tests and X-rays among | | | | What does Medicare Part B cover? |
| other non-hospital charges. Many people with | | | | Part B coverage includes physician and nursing |
| other health insurance will decline Part B Medical | | | | services, x-rays, laboratory and diagnostic tests, |
| coverage, thinking that with the other health | | | | influenza and pneumonia vaccinations, blood |
| insurance, they may not need to pay for it. That | | | | transfusions, renal dialysis, outpatient hospital |
| may or may not be true. It depends on the | | | | procedures, limited ambulance transportation, |
| source and type of the other health insurance. | | | | Immunosuppressive drugs for organ transplant |
| Keep in mind that if you defer signing up for | | | | recipients, chemotherapy, hormonal treatments |
| Medicare Part B you may be subject to a lifetime | | | | such as Lupron, and other outpatient medical |
| penalty (10% per year) should you join later. | | | | treatments administered in a doctor's office. |
| When and where do I sign up? | | | | Medication administration is covered under Part B |
| 1. If you already get Social Security benefits - | | | | only if it is administered by the physician during an |
| You will not need to do anything. You will be | | | | office visit. |
| automatically enrolled in Medicare Part A and Part | | | | Part B also helps with durable medical equipment |
| B effective the month you are 65. For example, if | | | | (DME), including canes, walkers, wheelchairs, and |
| your 65th birthday is February 20, 2001, your | | | | mobility scooters for those with mobility |
| Medicare effective date would be February 1, | | | | impairments. Prosthetic devices such as artificial |
| 2001. (Note: if your birthday is on the 1st day of | | | | limbs and breast prosthesis following mastectomy, |
| any month, Medicare Part A and Part B will be | | | | as well as one pair of eyeglasses following |
| effective the 1st day of the prior month. For | | | | cataract surgery, and oxygen for home use is |
| example, if your 65th birthday is February 1, | | | | also covered. Complex rules are used to manage |
| 2001, your Medicare effective date would be | | | | the benefit, and advisories are periodically issued |
| January 1, 2001.) Your Medicare card will be mailed | | | | which describe coverage criteria. |
| to you about 3 months before your 65th | | | | What does Medicare Part B cost? |
| birthday. If you do not want Medicare Part B, | | | | The monthly cost for 2009 Part B is $96.40. The |
| follow the instructions that come with the card. | | | | amount is automatically deducted from your |
| For complete information on enrollment see the | | | | regular Social Security Insurance benefit each |
| Initial Enrollment Package section. | | | | month. For 2009, higher Medicare Part B |
| 2. You want to apply for both Social Security | | | | premiums apply to anyone with a modified |
| Retirement Benefits and Medicare - If you are | | | | adjusted gross income (MAGI) exceeding $85,000 |
| close to age 65 and not yet getting Social | | | | for single taxpayers and $170,000 for married |
| Security benefits or Medicare, you can apply for | | | | filing joint income tax returns. |
| both at the same time. To make sure that your | | | | |