Medicare Part B in Ohio

Ohio Medicare Part B is the second part to Original Medicare, which helps eligible patients in paying for medical services, such as the diagnosis and treatment of illnesses, and preventive services for conditions, like the flu. Specifically, an OH Medicare Part B plan covers certain services rendered by a doctor, which may be needed to treat your condition, whereas Part A covers most services rendered by a registered nurse, and is largely used to cover inpatient care. In order to receive benefits through Medicare Plan B, some patients will need to complete an application if they have not been automatically enrolled. Review the different features of Plan B Medicare in Ohio, what it costs and how you can become a recipient by reading the sections below.

What is Medicare Part B in Ohio?

Medicare Part B is one part of a federal healthcare program structured to be used as medical insurance for elderly and disabled patients. Medicare Part B plans in Ohio cover all aspects directly related to your medical treatment that may be administered by a doctor. While Medicare Part A covers inpatient care at hospitals and other qualified facilities, OH plans in Medicare Part B are structured to assist patients in paying for medical treatment in the mid-to-long-term. As such, some services covered by Plan B Medicare include the use of medical equipment, outpatient prescription medication, mental health services and preventive screening of illnesses. Review additional services covered by Medicare Plan B by downloading our free and informative guide.

Ohio Medicare Part B Coverage and Services

Given that Medicare Plan B is meant to be used as medical insurance for the diagnosis and treatment of illnesses, there is a considerable number of services that may begin as inpatient procedures, but continue as outpatient treatments. Some of these services include:

  • Ambulance transportation services.
  • Use of durable medical equipment (DME).
  • Mental health care.
  • Surgical opinions.
  • Limited outpatient medication.
  • Preventive care services.

As a feature of partial inpatient coverage, Medicare Part B will cover the cost of transportation to or from a hospital or another qualified medical facility in order to begin treating a patient. Note that Plan B Medicare in Ohio will only cover transportation to the nearest medical facility capable of providing the patient with care. In some instances, Medicare Plan B will cover the cost of transportation to a facility outside of the patient’s local area, if nearby facilities are unable to provide the appropriate care.When a patient is admitted into a medical treatment facility, plans in Medicare Part B will cover the use of durable medical equipment, as prescribed by a doctor. This equipment is anything medically-necessary that is intended for repeated use, such as hospital beds. DME also includes equipment prescribed for use at home, such as crutches, blood sugar monitors and canes.

Mental health care is a mid-to-long-term service that is provided as both an inpatient and outpatient treatment. As an inpatient treatment, Medicare Part B covers visits with mental health professionals at psychiatric facilities, rather than general health care facilities. These include psychiatric evaluations and individual and group therapy and counseling services. As an outpatient treatment, mental health care under plans in Part B Medicare includes partial hospitalization and medication management.

Surgical opinions and outpatient medication are two limited services covered by Medicare Part B, as they relate to surgical procedures before and after the fact. Surgical opinions are covered in order to help you understand your treatment options, and to encourage you to make educated decisions about your treatment options. Note that Medicare Part B will not cover procedures or opinions that are not deemed medically necessary by your primary doctor. Moreover, outpatient medication also has limited coverage for prescriptions used alongside some DME as recommended by your doctor, vaccinations and other injections. Learn more about different types of Medicare coverage by downloading our comprehensive guide.

Ohio Medicare Part B Cost and Fees

Medicare Part B costs in Ohio are generally based upon the patient’s standard Part B deductible, which is a number derived from the patient’s income. Once this amount is paid, your Ohio Medicare Part B plan costs will then be based on a percentage of the Medicare-approved cost of the treatment or service.

If the patient has received ambulance or other emergency transportation services, the cost of Medicare Part B for this service will be dependent upon the type of transportation and the party that has provided it. This will be a percentage of the Medicare-approved cost of the service, plus the standard Part B deductible. This is also the case for coverage of durable medical equipment.

Should the patient receive mental health care services, then the Medicare Plan B standard deductible and percentage will apply. An additional coinsurance fee may apply if the patient has received treatment in an outpatient clinic or a department within a hospital.

The Ohio State Medicare Part B costs for medication and preventive illness services are contingent upon whether the patient receives it at a doctor’s office/pharmacy or as a hospital outpatient. If the patient receives the prescription from the former, the standard deductible will apply, along with the Medicare-approved percentage. If the patient receives the prescription from the latter, the patient must either make a copayment or pay for 100 percent of the medication, depending on his or her other Medicare coverage.

How to Apply for Medicare Part B in Ohio

Some candidates for Medicare Part B in Ohio have not been automatically enrolled into a plan. If this is the case, then these candidates must complete an application before receiving medical benefits through Medicare. Initial eligibility for Medicare Part B plans depends chiefly upon your age and disability status. Candidates can enroll into a plan for Medicare Part B either online through the Social Security Administration’s website or in person at a Social Security office.

Note that if you have not been automatically enrolled, then you will be able to do so either during a General or Special Enrollment Period. Learn more about how to sign up for Medicare in Ohio by downloading our complimentary guide.

Ohio Health Services

What Health Care Services Can I Receive in Ohio?

The state of Ohio offers various types of health services to residents, and these health programs include Medicare for the elderly, Medicaid for those in need, and more. To find out how you can apply for these medical assistance benefits, or how you can automatically be enrolled in certain programs, download our comprehensive health services guide.

Who Can Get Health Benefits in Ohio?

While Ohio offers various health service programs for residents of the state, applicants must meet certain eligibility requirements in order to qualify for the programs. Eligibility requirements often depend on income and whether or not the applicant falls into a certain category, such as seniors, pregnant women and children. Find out if you might be eligible for the benefits of these health care programs by downloading our guide.