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

Medicare Part B Giveback Explained | Highmark? ›

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.”

How does the Part B giveback work? ›

What is the Medicare Part B Giveback Benefit? 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.

How do you get $144 a month back from Medicare? ›

You must be enrolled in Medicare Part A and Part B and live in the same service area as the Medicare Advantage Plan you are seeking. Additionally, you must pay your own Part B premium (without state-funded or local financial assistance) and be a citizen or legal resident of the U.S. for at least five years.

How does the Part B reimbursem*nt work? ›

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.

Is the senior giveback program legit? ›

The Social Security Give Back for Medicare is a real benefit offered on certain Medicare Advantage plans. However, it is not available in all parts of the country. To check if there is a Part B Give Back plan available in your area, schedule an appointment with us.

How do you qualify for the Medicare give back benefit? ›

To get a give back benefit, Medicare doesn't require you to meet any additional eligibility standards. The biggest qualifications are being eligible for Medicare Advantage, and finding a plan in your area that offers a give back benefit.

How do you qualify for Medicare Part B giveback? ›

Who Is Eligible for the Medicare Giveback Benefit?
  1. Be enrolled in a Medicare Advantage plan.
  2. Pay Part B premiums from your Social Security benefits.
  3. Live in a giveback benefit coverage area.
Oct 18, 2023

Does my zip code add money back to my Social Security? ›

Social security benefits are not impacted by geographic location but other federal benefits are.

What is the $600 Medicare reimbursem*nt account? ›

The account is used to reimburse member-paid Medicare Part B premiums. For more information on how to obtain reimbursem*nt, please visit www.fepblue.org/mra or call 888-706-2583.

What zip codes are eligible for the Part B giveback? ›

Which ZIP Codes Are Eligible for the Give Back Benefit? All ZIP Codes in the United States and its territories are eligible for the Give Back Benefit because they are all eligible for Medicare Advantage plans.

Does everyone pay $170 for Medicare Part B? ›

If you don't buy Part A when you're first eligible for Medicare (usually when you turn 65), you might pay a penalty. Most people pay the standard Part B monthly premium amount ($174.70 in 2024). Social Security will tell you the exact amount you'll pay for Part B in 2024.

Can I get a refund on Medicare Part B premium? ›

Yes, if you've paid more than the standard Medicare Part B premium, an IRMAA refund can be applied for.

Why would Social Security stop paying Medicare Part B? ›

There are a few scenarios where your Social Security benefits and Medicare premium deduction could stop entirely: You (or your spouse) returned to work and had Social Security payments suspended. Your disability benefits ended due to medical recovery or income limits.

Is the $900 grocery stimulus for seniors on Medicare? ›

$900 grocery benefit for Medicare recipients

It has come to attention that there might be scams circulating, where individuals claim to represent Medicare, offering a free debit card loaded with a $900 grocery allowance. Please be aware that these claims are fraudulent.

How do I get the $16728 Social Security bonus? ›

Have you heard about the Social Security $16,728 yearly bonus? There's really no “bonus” that retirees can collect. The Social Security Administration (SSA) uses a specific formula based on your lifetime earnings to determine your benefit amount.

Why does your zip code matter for Medicare? ›

One of the biggest factors impacting your Medicare benefits is what plans are available in your state and in your specific zip code area. Medicare Advantage Plans in particular can vary significantly by location. Some zip codes may have 10+ Advantage Plans to choose from, while others may only have 1 or 2 plan options.

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

Medicare Reimbursem*nt Account (MRA)

Basic Option members who pay Medicare Part B premiums can be reimbursed up to $800 each year. You must submit proof of Medicare Part B premium payments through the online portal, EZ Receipts app or by fax or mail.

How long does it take to get reimbursed from Medicare Part B? ›

Your Medicare Part A and B claims are submitted directly to Medicare by your providers (doctors, hospitals, labs, suppliers, etc.). Medicare takes approximately 30 days to process each claim.

How do I get a refund for overpaid Medicare Part B premiums? ›

Medicare beneficiaries who need to request a Medicare premium refund can do so by reaching out to the Social Security Administration directly. A representative will be able to assist in gathering the necessary information required to submit a claim.

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