Who Needs Medicare Part B Insurance?
Over the past several years, I have received endless questions about Medicare; but, probably, the most-asked question deals with Medicare Part B Insurance—more specifically: Do I need to enroll in Part B? The correct answer to this question—for you—is absolutely critical. For, if you don’t have the proper understanding to this query, it cost you a lot of money in penalties, premiums, and out-of-pocket costs. So, I applaud you for exploring the answer to this issue.

What Is Medicare Part B Insurance?

First of all, what is Medicare Part B Insurance? Part B (medical insurance) is part of Original Medicare and covers services and supplies that are medically necessary to treat one’s health conditions. This can include doctor charges (not only doctor office visits, but also doctor charges while an inpatient in the hospital), general outpatient care, preventive services, ambulance services, and durable medical equipment. (For more on how Part B covers medical costs, see the post “How Does Medicare Work?”)

While Medicare Part A has no premium for those who qualify for Medicare (U.S. citizens or legal residents who have resided in the U.S. for a minimum of five years and who have worked at least ten years in Medicare-covered employment), Part B has a premium of $174.70 for those entering Medicare in 2024. So, does everyone need to enroll in Medicare Part B Insurance?

Does Everyone Need to Enroll in Medicare Part B?

For most people turning 65, the answer is yes or face a late enrollment penalty. (The Medicare enrollment period includes three months prior to the month you turn 65, the month of, and three months following the month you turn 65.) This monthly penalty will continue as long as you have Medicare.

But for some, the answer is no. If you or your spouse (or family member if you’re disabled) are still working and you have insurance through that employer or union that does not work in conjunction with Medicare, you will likely not need to enroll in Medicare Part B Insurance. (This includes federal or state employment, but not military service (unless on active duty).) In this case, it may be to your advantage to delay Part B enrollment, as you will not need to pay the monthly Part B premium while covered on that company plan.

However, if your company coverage mandates that you enroll on Medicare Part B (as, in that case, your company insurance works in conjunction with Medicare coverage), it may be to your advantage to look at individual supplemental coverage—especially if you are not carrying a younger spouse on your coverage. If you will need to pay for the Part B premium on your company coverage, you may find that you can get better coverage for less money with an individual Medicare supplement.

To Discover What Insurance Coverage Is Best for You . . .

To find out what will be the best for you, make an appointment with an independent insurance agent / consultant who represents multiple companies (one who can shop for you). Certainly, a no-obligation meeting with an independent consultant will be worth finding out what will be your best option, as it could, potentially, save you a lot of money down the road.


Shari BrockShari Brock
22:12 18 Apr 24
John sat down with both of us and explained everything and answered any questions we had. He researched for the best plans for us. Highly recommend!!
Eric GuvernatorEric Guvernator
03:16 16 Apr 24
With all the endless solicitations I had received as I approached my 65th birthday, I had never expected to feel so comfortable and relieved to have John guide me seamlessly through the process. I couldn’t have asked for a finer experience. Not really having a clue going into our meeting, I left having confidence that I was gifted with the perfect plan as well as an advocate in my corner.I continue to get timely explanations and guidance anytime I send a question on Medicare material.If like me you are approaching this monumental deadline, contact John and let him handle this important process. You will not be disappointed.
Judi CarrollJudi Carroll
23:28 15 Apr 24
John answered all my questions and found me a great plan at an affordable premium.
Lynn SmithLynn Smith
20:41 15 Apr 24
The change to Medicare and supplemental health insurance can be terrifying. John Claeys and The Claeys Group Insurance Services made the process unbelievably simple. John is incredibly knowledgeable and up to date on all of the latest requirements. He explained the process and my options in a very simple and concise way and easily helped guide me in making the best decision for my situation. I cannot imagine navigating this medicare system without him. I also feel confident that he will safeguard and watch my situation in the event of future changes. Knowing that he is watching out for me going forward is the best part of all!
Tena BoneTena Bone
18:06 15 Apr 24
John Claeys has been very thorough with every detail of this important decision for me and my future Healthcare. He has such a sweet and caring spirit. I can't imagine using anyone else for my insurance needs.
Dollene BrownleeDollene Brownlee
15:26 10 Apr 24
John was very helpful explaining different Medicare options
January ShubertJanuary Shubert
13:50 08 Apr 24
Excellent customer service. Professional and knowledgeable. Received what I needed and wanted at a reasonable price.
Melton TimmonsMelton Timmons
23:05 05 Apr 24
John is a great person first. As an agent he is very knowledgeable of the products and services he offers. For every question I had, he provided answers and solutions. I am very comfortable with him and if you need a capable agent, please contact John Claeys.
Rosa MartinRosa Martin
21:53 05 Apr 24
John is a very knowledgeable person in his profession. He has helped my husband, my sister, and myself to find the best affordable insurance for each of us…He made navigating through Medicare a breeze for me. He is willing to help in any way and any time of the day.Thank you John for all your help.
Johnny CoffmanJohnny Coffman
16:33 05 Apr 24
He explained the ins and outs of how Medicare works and clarified the confusion. Highly recommend John Claeys!
Mark BleuerMark Bleuer
22:48 03 Apr 24
John is very professional and courteous. His knowledge and attention to detail is exemplary. I can highly recommend Claeys Group Insurance. He does a great job.
sheila Rhynesheila Rhyne
14:58 03 Apr 24
I have had excellent customer service.Claeys insurance company has helped me for several years now and he does a wonderful job setting me up with the right insurance that fits my needs .I really appreciate the job he does and Thank you again.
Scott GillScott Gill
00:34 03 Apr 24
Highly professional with attention to detail. Felt like John was genuinely interested in matching my needs to the various options.
Karen DeemKaren Deem
21:02 02 Apr 24
John was very pleasant and professional. Medicare can be very confusing. He had all the answers for me.
Beth HamillBeth Hamill
17:52 02 Apr 24
I am so thankful for John's help and kindness...he explains everything so clearly and I feel confident that he is truthful and finding the best plan for me.
Margie FisherMargie Fisher
22:38 13 Feb 24
My husband and I have used John's services for several years, as do many of our friends. At no time has his recommendations let us down. He is kind, patient in making sure we understand our choices and was there for any and all questions afterwards. He would be our ONLY choice when it's your turn to use his insurance services. He will not let you down. What a professional! 🙂
Jerry JonesJerry Jones
02:27 08 Feb 24
John was very helpful in guiding me through the medicare choices. He explained everything thoroughly and answered all my questions.
marvitta hallmarvitta hall
23:31 07 Feb 24
Tonda SammonsTonda Sammons
21:26 07 Feb 24
Judy CraftonJudy Crafton
20:54 07 Feb 24
Mr. Claesy, was a pleasure to work with on just a short time table, my not paying attention to dates for Medicare changes! We really appreciated his response and meeting personally with us. We highly recommend him for your insurance needs. Thanks again for doing a wonderful service.
Dannie SkipperDannie Skipper
20:50 07 Feb 24
John was very helpful in selecting insurance companies for Roy. He demonstrated that he was very knowledgeable about what was available and what was needed. He made recommendations, provided details, and gave good advice to us. He was flexible and did what we asked of him to complete the process of selecting the best insurance companies for the situation. We are grateful for his help and pleased with the results.
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