Medicare Part B Giveback Explained | Highmark (2024)

Medicare Part B Giveback Explained | Highmark (1)

What you need to know about the Medicare Part B giveback.

When it comes to choosing a Medicare plan, you want great coverage at a price that works for you. Good news — many of our Medicare Advantage plans offer $0 premiums. Some may even put money back in your Social Security check each month if they include a Medicare Part B giveback.

Keep reading to learn more about this giveback.

What is a Medicare Part B giveback?

A giveback can put money back in your wallet each month. It’s like a rebate — you get money back just for being a member of the plan. This benefit can also be referred to as “Social Security giveback,” “Part B premium reduction,” “Part B giveback,” or even just “money back in your Social Security check.”

Who’s eligible?

Eligibility depends on where you live, as well as the type of Medicare coverage you have. To qualify for the giveback, you must:

  • Be enrolled in Medicare Parts A and B.
  • Pay your own premiums (if a state or local program is covering your premiums, you’re not eligible).
  • Live in a service area of a plan that offers a Part B giveback.

You can check your eligibility by reviewing your plan’s Summary of Benefits or Evidence of Coverage, which will list your giveback amount if you qualify.

How will I be reimbursed?

A giveback can cover anywhere from 10 cents up to $100 in 2023. The amount you receive, if any, will depend on your location and plan. The giveback can be applied to your Social Security check or — if you don’t currently receive Social Security benefits — directly to your Part B premium.

For example, say your Social Security check is $1,400 and you qualify for a $25 giveback. Once the giveback is applied, the amount deducted from your Social Security check for your Part B premium will be $25 lower. This will increase your Social Security check to $1,425. If you’re not collecting Social Security and you pay your Part B premium directly to Medicare, your monthly premium will simply be reduced by $25.

When will I get it?

If you’re eligible, you don’t have to do anything to activate your giveback; the monthly amount will be applied to your Social Security checks or Medicare Part B premium. However, if you recently switched to a new plan with a giveback, it could take a few months to kick in.

When it does, you’ll be reimbursed for each month you weren’t compensated since joining your new plan. Once you're enrolled in a plan with a Part B giveback, you'll receive the giveback amount monthly either in your Social Security check, or as a "discount" on your Part B premium.

Is it worth a switch?

If your current plan doesn’t include a giveback, you may be considering switching to a different plan that offers one. But keep in mind that a larger giveback doesn’t necessarily indicate a better plan. First and foremost, you should look for a cost-effective plan that covers:

  • Your medications
  • Preventive care
  • In-network doctors, specialists, and pharmacists
  • Any other benefits, like dental or vision, that are important to you

These services can come with high out-of-pockets costs, so a plan that doesn’t cover them won’t be worth it – even if it offers a large giveback. However, if you find a plan that checks all your boxes and includes a giveback, then the extra money each month is a bonus.

Medicare Part B Giveback Explained | Highmark (2024)

FAQs

How does Medicare Part B give back work? ›

The Medicare Giveback Benefit is a Part B premium reduction benefit offered by some Medicare Part C (Medicare Advantage) plans . If you enroll in a Medicare Advantage plan with this benefit, the plan carrier will pay some or all of your Part B monthly premium.

Who qualifies for $144 back from social security? ›

How do I qualify for $144 back? In order to qualify for your Medicare Part B premium “given back”, you must be enrolled in a Medicare Advantage plan that offers that benefit.

How does Medicare Part B reimbursem*nt work? ›

When an item or service is determined to be coverable under Medicare Part B, it is reimbursed at 80% of a payment rate approved by Medicare, known as the “approved charge.” The patient is responsible for the remaining 20%.

What are the give back benefits for 2024? ›

Give back benefits can cover up to $174.70 per month in 2024, which is the full Part B monthly premium for most people. However, many plans offer less than the full Part B premium.

How do I get $800 back from Medicare Part B? ›

Medicare Part A and Part B know they can get up to $800 back

All the member has to do is provide proof that they pay Medicare Part B premiums. Each eligible active or retired member on a contract with Medicare Part A and Part B, including covered spouses, can get their own $800 reimbursem*nt.

Are Medicare giveback plans worth it? ›

These services can come with high out-of-pockets costs, so a plan that doesn't cover them won't be worth it – even if it offers a large giveback. However, if you find a plan that checks all your boxes and includes a giveback, then the extra money each month is a bonus.

How do I get a refund from Medicare Part B Premium? ›

If you or your dependents are eligible for Medicare Part B reimbursem*nt, CalPERS will automatically reimburse the eligible amount of the standard Medicare Part B premium, beginning the date of your enrollment into a CalPERS Medicare health plan.

How do I get my Medicare Part B back? ›

If you're looking to reenroll in Medicare Part B, follow these steps:
  1. Go to the Social Security Administration website.
  2. Complete the application.
  3. Mail all required documents to the Social Security office. Include all required official or certified documents to allow for a seamless process.
Aug 11, 2020

What is the Medicare Part B reimbursem*nt for 2024? ›

The Centers for Medicare & Medicaid Services (CMS) has announced that the standard monthly Part B premium will be $174.70 in 2024, an increase of $9.80 from $164.90 in 2023.

Is the senior give back plan legit? ›

The Medicare Giveback Benefit is a special benefit associated with Medicare Advantage plans. Medicare recipients who qualify for this benefit can get some or all of their Part B premiums paid by their plan provider. Now, it may be necessary to backtrack a little and explain how Medicare Advantage plans work.

Will seniors get a Social Security raise in 2024? ›

How much is the increase: Social Security benefits and Supplemental Security Income (SSI) payments for more than 71 million Americans will increase by 3.2% in 2024. This is the annual cost-of-living adjustment (COLA).

What is the monthly check for low income 2024? ›

The monthly maximum Federal amounts for 2024 are $943 for an eligible individual, $1,415 for an eligible individual with an eligible spouse, and $472 for an essential person.

How do you get Part B Medicare back? ›

If you're looking to reenroll in Medicare Part B, follow these steps:
  1. Go to the Social Security Administration website.
  2. Complete the application.
  3. Mail all required documents to the Social Security office. Include all required official or certified documents to allow for a seamless process.
Aug 11, 2020

Is the senior give back program legit? ›

Imagine having a $0 monthly cost insurance plan that also gives you back $100 or more each month. While it sounds like a scam, it's been around for over a decade and is completely legitimate. Think of it this way: the Medicare Advantage companies get X money from the government each month.

Does Medicare Part B pay retroactively? ›

A beneficiary who meets a share of cost of $501 or more in any one-month in which the premium was deducted from the Social Security check will be reimbursed retroactively for that month in a subsequent Social Security check.

How are Medicare premiums refunded after death? ›

A Medicare Premium refund may be issued to the person or organization that paid the beneficiary's premiums. If the beneficiary paid the premiums, refunds may be issued to a family member or the legal representative of the estate in the following order: The legal representative of the deceased person's estate.

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