MEDICARE PART B EXCLUSIONS
01.Core Concepts
• Part B does NOT cover: • Prescription drugs not administered by a doctor • Services provided outside the U.S. • Most routine physical exams • Routine eye exams • Dental care • Hearing aids • Eyeglasses • Medigap insurance usually recommended with selection of Original Medicare 49 PRESCRIPTION DRUG: MEDICARE PART D • Insurance coverage for prescription drugs • Beginning in 2025, there are three phases of coverage. • Deductible • Maximum $590 in 2025 • Copay/coinsurance • Maximum out-of-pocket $2,000 in 2025 • Catastrophic • Participant must enroll and pay a monthly premium. • Must have Part A or B, or C, to be eligible. • A smoothing provision is available beginning in 2025. • Allows the out-of-pocket costs to be spread out over the course of a year