Everything You Need to Know About Medicare Part B in 2022

Medicare Part B, what you need to know, Medicare, outpatient, coverage

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This article is updated for 2022 Medicare costs. 

Medicare Part B costs and premiums

The Medicare Part B monthly premium that you pay can vary due to many factors, including incremental yearly increases, the amount of income you earn, whether you enrolled in Part B late and are paying a penalty (a 10% increase per year you enroll late), and whether or not you are on Social Security. On average, the Medicare Part B premium has gone up 7.7% each year since 1966. See what changes are in store for 2022.

Medicare Part B costs

Medicare Part B involves costs. You’ll pay both a monthly premium and a yearly deductible for Medicare Part B. The monthly premium amount may vary depending on your specific situation. The standard Part B premium for 2022 is $170.10.

You may have to pay a higher premium if your yearly income is above a certain amount, as reported on your tax return from two years ago (2020). See Part B Costs for specific 2022 informaiton. In addition, if you didn’t enroll in Medicare Part B when you were first eligible, you may have to pay a late-enrollment penalty in the form of a higher premium, unless you’re eligible for a Special Enrollment Period.

Note: In addition to your monthly premium, you’ll pay $233 for the yearly Part B deductible in 2022. After you meet your deductible, you’ll pay 20 percent of the Medicare-approved amount for doctor services, outpatient therapy, and durable medical equipment (DME).

For individual services and supplies, your Medicare Part B costs may vary. Some preventive services are completely covered if your provider accepts Medicare assignment. If the Medicare Part B deductible applies, you must pay all costs until you meet the yearly deductible amount before Medicare begins paying its share.

After your deductible is met, you typically pay 20 percent of the Medicare-approved amount for the service. You may also owe a copayment for certain outpatient services.

What is Medicare Part B coverage?

Original Medicare is made up of two parts: Part A and Part B. While Part A covers hospital stays, Part B focuses on medical insurance.

Medicare Part B helps cover medically-necessary services and supplies needed for the diagnosis or treatment of your health condition. These include outpatient services received at a hospital, doctor’s office, clinic, or other health facility. Medicare Part B also helps cover many preventive services to thwart illnesses or detect them at an early stage.

Medicare Part B benefits

Medical services and supplies covered by Medicare Part B include (but may not be limited to):

  • Doctor visits
  • Clinical research
  • Laboratory tests and X-rays
  • Emergency ambulance services
  • Mental health services
  • Durable medical equipment (DME)
  • Preventive services, such as pap tests, flu shots, and screenings
  • Getting a second opinion before surgery
  • Rehabilitative services, including physical therapy, occupational therapy, and speech-language pathology services
  • Some outpatient prescription drugs

If in doubt, check to find out if Medicare covers a service or item.

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Supplements to Medicare Part B

If you feel you might need extra help paying your expenses, you can purchase a Medigap plan to help cover expenses for drugs for a chronic illness or other medical needs.

There are also Medicare Advantage plans (Medicare through a private insurer that covers Parts A and B, and often D) if you choose not to go with Original Medicare. Note that you may NOT have Medicare Advantage and Medigap plan at the same time.

Medicare supplement plans incur the same Part B premium costs (plus the extra premiums of these plans). However, with Medigap you have the peace of mind of knowing your extra costs are covered, and with Medicare Advantage, there is a maximum limit on what you can spend out of pocket per year on Part A and B expenses ($7,550 for 2022).


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