What Are Preventive Services Covered by Medicare Part B Insurance?

According to the Affordable Care Act, Medicare Part B health coverage provides a comprehensive range of preventative health care benefits at no cost. These are some examples:

• An annual wellness check-up.

It’s critical to read the fine print here. For example, while many preventative procedures are covered at no or little cost under Part B, Medicare Part B does not cover annual physical exams, according to Jason Mackey, an insurance advisor for Medicare Blueprint Advisors LLC and an advisor and managing partner for M & A Prime Benefits LLC.

Mackey has also written “Medicare Blueprint.” Coverage might be perplexing. The shingles vaccination, for example, is an example of a preventative service that is not covered by Part B, according to Mackey. “The shingles vaccine is not covered under Part B; instead, it is reimbursed under Medicare Part D and can be quite costly.” I encourage folks covered by an employment or an ACA plan to look into the cost of Medicare before enrolling because the price may be lower or even accessible.”

What Is a Medicare Advantage Plan?

Instead of signing up for original Medicare, some people enroll in a Medicare Advantage plan offered by a private insurance company.

Although Medicare Advantage plans frequently have lower premiums than original Medicare, especially when combined with a Medigap plan that has an additional monthly premium, the network for a Medicare Advantage plan is generally tighter, and you may need prior authorization or a referral to see a specialist.