Medicare is a U.S. based federal health insurance program for adults 65 and older and some younger people with impairments or health conditions.

Even if you have employer-provided health insurance at 65, enrolling in Medicare to replace or supplement your current coverage has several benefits. Take a few moments to read about the fundamentals. Now, let’s dive into what the Medicare give back benefit is and further details on it.

What Does Medicare Pay For?

Medicare provides healthcare coverage to those 65 and older, as well as people with disabilities and some chronic diseases, through five major options:

  • Basic hospitalization coverage through Medicare Part A.
  • Outpatient treatment, such as doctor visits and diagnostic tests, is in Medicare Part B.
  • Part C (Medicare Advantage) is a private option that combines Part A and Part B coverage while also providing additional benefits.
  • Prescription drug coverage comes under Medicare Part D.

Medicare Give Back – What Is It?

If you are on Medicare and looking forward to maximizing your savings, you might wonder what the Medicare give back benefit is. This is a term for a Medicare Part B premium decrease featured in some Medicare Advantage plans rather than an official Medicare program. The Part B premium reduction is the give back benefit. The terms of the plan you choose and a few other considerations will determine whether you receive this discount. 

How Does Medicare Part B Give Back Plans Work?

Instead of Medicare, Part B Give Back plans are health plans offered by commercial insurance firms.

Beneficiary of Medicare Part A and Part B coverage and some bonuses enjoy the same benefits as other Medicare Advantage plans.

These bundled plans offer complete coverage that lowers out-of-pocket expenses for hospitalization, doctor visits, and other outpatient healthcare services. Prescription medicine coverage is a standard part of the additional benefits.

Another extra feature that distinguishes these plans is the give back campaign. The insurance company pays Part B premiums on behalf of their policyholders, saving them money each month.

How Can I Qualify for the Give Back Benefit?

Well, that depends on where you reside and whether or not you have access to a Medicare Advantage Plan that provides this benefit. To enroll in this plan, you must live in the plan’s service area.

If no plans with a give back benefit are available in your area, you will not be able to acquire it unless you relocate to another area where one of the plans is available.

With a Part B Give-Back Plan, How Much Do I Get Back?

The amount you get back ranges between $0.10 to $148.50 in various jurisdictions. In addition, the amount you receive will be determined by the options available in your location. Furthermore, multiple give back counties may have varying premium buy-downs for the same plan name.

Things to Think About Before Choosing This Plan

You want to weigh all of the advantages, including:

  • Service co-payments
  • The plan’s yearly maximum out-of-pocket expense
  • The price of your prescription
  • Check to see if your doctors are part of the network.

Where Can I Look For Plans That Include This Benefit?

The Medicare Plan Finder is undoubtedly the right place to start. On the details page, you will notice if a plan offers the Part B premium reduction. Finding the exact amount of the reduction will almost certainly necessitate a search through plan paperwork or a phone call to the plan.

Bottom Line

We think that now you must have answers to the question “what is the Medicare give back benefit?” The monthly Give Back may not be worth it if the prices are significantly greater than other plans. You might be able to find another plan that is more cost-effective in the end. You should compare plans to discover which one makes the most sense for you.