LibGuides: Medicare Law: Medicare Part B

Introduction

Medicare Part B covers medically necessary doctor's visits, preventative care, durable medical equipment, hospital outpatient services, lab tests, x-rays, mental health care, some home health and ambulance services.

It is a federal government program. You can use any provider who accepts Medicare.

It is paid for by the monthly premiums and by the Supplementary Medical Insurance Trust Fund.

For enrollment periods, see the Medicare Part A page of this guide.

US Code

42 USC Sec. 1395j- 1395w
Supplementary Medical Insurance Benefits for Aged and Disabled (Medicare Part B).
42 USC 1395t
Law creating the Federal Supplementary Medical Insurance Trust Fund
The Affordable Care Act, Public Law 111–148—MAR. 23, 2010
Waived the deductibles and co-pays for preventative services under Medicare Part B.

CFR

42 CFR 407.17
Automatically enrolled in Part B, when you become eligible for Part A. You can decline Part B.
42 CFR 408.20
Part B premiums are set by actuaries to cover 50% of the monthly actuarial rate.
42 CFR 410.29
Part B does not include most self-administered drugs. That is why patients buy Medicare Part D.
Medicare Program; CY 2023 Inpatient Hospital Deductible and Hospital and Extended Care Services Coinsurance Amounts
Federal Register
42 CFR 419.2
Outpatient services are covered under Medicare Part B and paid under the outpatient prospective payment system (OPPS).
2023 Medicare Parts A & B Premiums and Deductibles
CMS.gov

Forms

Medicare Income-Related Monthly Adjustment Amount - Life Changing Event
If your income has gone down in the last two years, you may use this form to request a reduction in your income-related monthly adjustment amount (IRMMA)

Medicare Law: Medicare Part B

Introduction

US Code

CFR

Links

Forms