Psychiatric-Mental Health Nurse Practitioner Exam

What is a requirement for Medicare Part B coverage?

1. Annual wellness check-ups

2. Monthly premium payments and an annual deductible

3. Emergency room visits without prior authorization

4. Coverage for dental services

The correct answer is: Monthly premium payments and an annual deductible

Medicare Part B coverage is designed to provide important medical services beyond what is covered by Medicare Part A. One of the fundamental requirements for beneficiaries to access this coverage includes the responsibility to pay a monthly premium as well as an annual deductible. This means individuals must budget for these costs to ensure they have coverage for outpatient hospital visits, physician services, preventive and diagnostic services, and other medically necessary treatments. Annual wellness check-ups, while part of the preventive services covered under Medicare, are not a requirement for coverage themselves. Emergency room visits, while included in Medicare Part B, do not require prior authorization for services provided in an emergency situation. Coverage for dental services is generally not part of Medicare Part B, further emphasizing that the premium and deductible payment structure is a foundational aspect of accessing and maintaining coverage under this part of Medicare.