Medigap Plan B – Medicare Supplement

Medigap Plans
Part A Hospital Coinsurance Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
365 Hospital Reserve Days Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Part B coinsurance Yes Yes Yes Yes Yes Yes 50% 75% Yes Yes
Benefit for Blood Yes Yes Yes Yes Yes Yes 50% 75% Yes Yes
Hospice coinsurance Yes Yes Yes Yes Yes Yes 50% 75% Yes Yes
Skilled Nursing Facility No No Yes Yes Yes Yes 50% 75% Yes Yes
Part A deductible No Yes Yes Yes Yes Yes 50% 75% 50% Yes
Part B deductible No No Yes No Yes No No No No No
Part B excess No No No No Yes Yes No No No No
Foreign Travel Benefit No No 80% 80% 80% 80% No No 80% 80%
Out-of-pocket limit N/A N/A N/A N/A N/A N/A $5,120 in 2017 $2,560 in 2017 N/A N/A

Table Source

What is Medigap Plan B?

Medigap Plan B insuranceStandardized Medicare Supplement Plan B covers the same Basic Benefits as Plan A and also covers Medicare Part A Deductible. It is available in most states. This plan may leave many of the risks for medical costs to you because Plan B does not cover skilled nursing facility benefits, Part B deductible, Part B excess or foreign travel benefits.

Both Plan A and Plan B give you many of the same medical and hospitalization benefits but if you choose Plan A, you will be responsible for paying both your Medicare Supplement Part A and Medicare Supplement Part B deductibles. If you choose Plan B, you will be responsible for paying your Medicare Supplement Part B deductible only.

Besides the basic benefits, this plan adds a little bit more coverage for hospitalization. This plan might be a good fit if you want more coverage than Original Medicare, especially for hospital expenses, at an affordable price.

Plan B includes coverage for the basic benefits, which include hospitalization, medical expenses, and blood coverage for the first three pints of blood each year. Hospitalization includes Part A coinsurance plus coverage for 365 additional days after Medicare benefits end. Medical expenses includes pays Part B coinsurance, generally 20 percent of Medicare-approved expenses, or co-payments for hospital outpatient services.

Plan B also includes the Medicare Part A deductible and Hospice Care is also included in Plan B. Hospice costs for drugs and respite care are included under Supplemental Medicare Plans and may even help cover health care costs for problems that aren’t part of your terminal illness and related conditions.

Plan B does not cover several of the benefits that more comprehensive plans cover. Some of the benefits that aren’t covered are the Medicare Part B deductible, Skilled Nursing Coinsurance, and Foreign Travel Emergency Care. Plan B does not cover any Part B excess charges.  If you have Original Medicare, and the amount a doctor or other health care provider is legally permitted to charge is higher than the Medicare-approved amount, the difference is called the excess charge. Plan B coverage is limited to Medicare-approved charges. This means that you may be responsible for any paying additional out-of-pocket expenses, the excess charges, if your doctor charges more than the Medicare approved amount.

Plan B also does not cover At Home Recovery or Preventative Care, however if you have Part B, this already covers preventive services, as well as mental health outpatient care and limited outpatient prescription drugs, among other medically necessary services.

It can be difficult to determine which plan is right for you, and not all insurance carriers offer all of the Medicare Supplement Plans. Most insurance carriers offer a variety of plans, so our licensed sales agents can help you shop around for the plan that would best meet your needs and budget.