The Medicare giveback benefit, or Part B premium reduction plan, is becoming more available and popular among beneficiaries. Though not an official Medicare program, this benefit is offered by some Medicare Advantage plans (Medicare Part C) and covers some or all of your Part B monthly premium ($164.90 in 2023).
While not all plans offer this benefit, it's possible to find one where you'd pay a reduced premium amount up to $164.90. This can help maximize your savings while on Medicare, though there are a number of considerations when deciding if these plans are right for you. Read on to learn more about the giveback benefit and how you could qualify.
What is the Part B premium reduction benefit?
When you're enrolled in Medicare Part B, you must pay a monthly premium of $164.90. The giveback benefit, or Part B premium reduction, is when the Part C Medicare Advantage (MA) plan reduces the amount you pay toward that premium. Your reduction could range from less than $1 to the full premium amount.
Even though you're paying less for the monthly premium, you don't technically get money back. Instead, you just pay the reduced amount and are saving the amount you'd normally pay.
If your premium comes out of your Social Security check, your payment will reflect the lower amount. If you don't pay that way, the giveback benefit would be credited to your monthly statement. Instead of paying the full $164.90, you'd only pay the amount with the giveback benefit included.
For example, if you typically pay $164.90 per month but your MA plan's giveback benefit is $50, you don't get $50 back each month. Instead, you'd only pay $114.90 per month, keeping that $50 in your wallet.
If your plan offers a full $164.90 refund, you wouldn't have a Part B monthly premium to pay.
How do I qualify for the giveback?
You may qualify for a premium reduction if:
1
You Have Part A and Part B
You must be enrolled in Original Medicare Parts A & B before you can join a Medicare Advantage plan.
2
No Government Program Pays Your Premium
If Medicaid or any other government program pays your Medicare Part B premium, you will not qualify for the Giveback Benefit, because there won't be any premium to "give back."
3
Live in a Zip Code That Offers a Plan
Federal law requires you to live within a Medicare Advantage plan's service area, usually by zip code and county, in order to join that plan.
4
Enroll in a Plan That Provides the Giveback Benefit
Finally, you cannot get the giveback benefit unless you join a Medicare Advantage plan includes that benefit.
Because not all plans offer this benefit, it's important to do your research and compare plans, benefits, and costs to ensure you're making the best decision for you.
How do I receive the giveback benefit?
If you enroll in a plan that offers a giveback benefit, you'll find a section in the plan's summary of benefits or evidence of coverage (EOC) that outlines the Part B premium buy-down. Here, you'll see how much of a reduction you'll get. Or, you can contact the plan directly.
It's important to know that, if you aren't reimbursed, you'll just pay the reduced premium amount. The reduced amount will reflect in your Social Security payments and your SS checks will be higher than they used to be because less is being taken out for the premium. However, note that it could take Social Security up to 3 months to process your premium rebate. After that time, you'll see an increase in your check amount.
How to find plans that offer the giveback benefit
Not all MA plans offer this benefit, so you must find a plan that does to take advantage of the savings opportunity. You have two options to do this: Research plans on your own or work with a licensed insurance agent.
Compare Medicare Plans Online
Use our Find a Plan tool to find Medicare Advantage plans in your area that offer the giveback benefit. Enter your zip code, doctors, and medications to see the available plans in your area. You can filter by "Plan Features" and click on "Part B Premium Reduction." To see the exact amount of the giveback benefit, click on the "View Details" button. Scroll to the bottom to see the "Summary of Benefits" brochure and inside you'll see details about the benefit and how much you'll receive each month.
Talk to a ClearMatch Medicare Agent
You can also call us toll-free at 888-992-0738 and speak to one of our knowledgeable, licensed Medicare agents to save time and get all your Medicare questions answered. Some zip codes only have a few plans with the giveback benefit, while others have literally dozens. They'll help you compare your plan options, including the full out-of-pocket cost, make sure the plan you choose includes your prescriptions, and much more.
Downsides to the Medicare giveback benefit
While the giveback benefit can help save you money, there are a few things to be aware of when considering enrolling in an MA plan that offers it.
Drawbacks to Medicare Advantage Plans with the Giveback Benefit
Availability | There may not be any Medicare plans with the giveback benefit in your area. |
|---|---|
Possible reduction in benefits | MA plans cover everything Original Medicare does and more, typically including coverage for things like routine dental, vision, and hearing. However, some plans that offer a premium reduction benefit eliminate some of those other benefits to make up for the lower premium. You should weigh the loss of these benefits with the premium savings you'd get. |
May not save you money in the long run | Plans that offer a premium reduction may have a higher annual deductible, copays, or coinsurance. They may also have a smaller network of providers, and you'd have to pay more to see someone out-of-network. |
Giveback amounts vary | While you could get a premium reduction of the full $164.90, it could also be as low as $1. That may not be worth it depending on the other costs and benefits offered or not offered by the plan. |
Giveback amounts could change | MA plans are offered by private insurance companies that set their own fees and costs, and they can (and usually do) change them each year. This means the premium reduction could also change from year to year. |
There are so many factors to choosing the right Medicare Advantage plan for your unique needs. That's the true value of using a Medicare agent.
Additional resources
ClearMatch Medicare: Find a Medicare Plan
Medicare.gov: Your Medicare Costs
Social Security Administration: Medicare Benefits
Speak with a Licensed Insurance Agent
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