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What Does Medicare Part B (Medical Insurance) Cover?

  • Writer: Cassidy Clark
    Cassidy Clark
  • Feb 9
  • 1 min read

Medicare Part B covers many of the medical services you use on a regular basis. This is the part of Medicare that helps with everyday healthcare needs outside of hospital stays


Medicare Part B Helps Cover: 


  • Doctor and specialist visits 

  • Outpatient care and procedures 

  • Preventive services and screenings, such as annual wellness visits 

  • Lab tests, imaging, and diagnostic services 

  • Mental health services 

  • Durable medical equipment like walkers, wheelchairs, or oxygen 


When Part B May Not Cover Care: 


  • Services that aren’t medically necessary (i.e. cosmetic procedures) 

  • Visits with providers who don’t accept Medicare assignment 

  • Services another insurance is supposed to pay for first (i.e. employer health insurance) 

  • Routine dental, vision, or hearing services (oftentimes covered by Medicare Advantage plans) 


Important things to know about Part B: 


  • Part B has a monthly premium set each year by Medicare ($202.90 for 2026) 

  • Most services include a deductible and coinsurance 

  • Many preventive services are covered at no cost when Medicare guidelines are followed 

  • Seeing providers who accept Medicare assignment can help limit out-of-pocket costs 


Understanding how Part B works is important because it often works together with other coverage like Medicare Advantage or Medigap. Your SGIA Benefit Consultant can help you understand your Part B costs and ensure your healthcare needs are covered. 



 
 
 

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