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Medigap Plan B: Medicare Supplement Insurance
By Donna Frederick
After retiring from a career as an executive travel counselor in 2006, Donna Frederick embarked on a second career as a licensed insurance agent. During that first year, many clients told Donna how ov ...erwhelmed they felt by Medicare, but that her assistance helped them finally understand the Medicare program. That experience inspired Donna to focus her efforts on educating her clients to ensure they fully understand their Medicare options. Today, Donna takes pride in providing outstanding customer service and going the extra mile to make sure each client knows all of their options and has a sound understanding of their Medicare plan, from costs to coverage and all points in between.Read more
May 23, 2020
|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|
|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%|
2021 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.
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