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Medicare Basics

Medigap Plan B – Medicare Supplement

Medigap Plans
Part A Hospital Co-insurance 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 co-insurance/co-payment Yes Yes Yes Yes Yes Yes 50% 75% Yes Yes
Blood Benefit (first 3 pints) Yes Yes Yes Yes Yes Yes 50% 75% Yes Yes
Hospice coinsurance/co-pay Yes Yes Yes Yes Yes Yes 50% 75% Yes Yes
Skilled Nursing Facility coinsurance 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 charge 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 $5,560 $2,780 N/A N/A

2019 data – Table Source

What Is Medigap Plan B?

Standardized Medicare Supplement Plan B covers the same basic benefits as Plan A and also covers the 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, Medicare Part B deductible, Medicare Part B excess charge (the amount a health care provider charges above the Medicare-approved amount), or foreign travel benefits.

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 Medicare Part A coinsurance plus coverage for 365 additional days after Medicare benefits end. Plan B also includes the Medicare Part A hospice care coinsurance or co-payment.

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 facility coinsurance, and foreign travel emergency care. Plan B coverage is limited to Medicare-approved charges. This means that you may be responsible for paying any additional out-of-pocket expenses.

Plan B also does not cover at home recovery or preventive care, however, if you have Medicare 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, and our licensed sales agents can help you shop around for the plan that would best meet your needs and budget.