Medigap Plan B

Medigap Plan B Policy Coverage
Basic Benefits included
Part A Deductible included
Part B Deductible excluded
Part B Excess excluded
Skilled Nursing Coinsurance excluded
Foreign Travel Emergency excluded

Quick Introduction to Medigap Plans

Medigap is a private health insurance policy that is designed to cover medical costs not covered by Medicare programs. It covers many of the costs that people would otherwise have to pay individually such as copayments, coinsurance, and deductibles. There are ten different Medigap plans offered. Any insurance company offering Medigap plans is required to offer Plan A, other plan availability will vary by insurance company and by state. Medigap policies do not cover long-term care such as nursing homes, vision or dental care, hearing aids, eyeglasses or private-duty nursing. This article will deal exclusively with Medigap Plan B covering some of the benefits and other considerations.

More on Medigap Plan B

The Medigap Plan B offers slightly more coverage than the basic Plan A policy. This guide will discuss what Medigap plan B users can expect to receive when signing up. Details will be provided about what's covered and what isn't covered to demonstrate how Medigap Plan B operates in various personal situations.

Medigap Plan B - The Benefits

First, Plan B policies provide all the Basic Coverage of Plan A

  • Medicare Part A Coinsurance, and all costs after hospital benefits are exhausted
  • Part A Hospice Care Coinsurance or Copayment
  • Medicare Part B Coinsurance or Copayment for other than preventative services
  • Blood (first 3 pints). Medicare typically covers all costs associated with blood after the first 3 pints.
  • Medicare Preventative Care Part B Coinsurance

Plan B policies then also cover Medicare Part A deductible payments. This can be as much as $1,156 for extended hospital stays. Note this amount can change each year.

Medigap Plan B Considerations

There are a few areas that a Plan B policy does not cover, with their significance illustrated below.

Foreign Travel Emergency (Medicare coverage outside the U.S.)

Medicare does not cover healthcare coverage for its beneficiaries outside of the United States. Medigap Plan B does not provide any assistance in this area either. Medical emergencies in foreign countries requiring treatment or travel by patients must be paid in full out of pocket.

Source: Centers for Medicare & Medicaid Services, Choosing a Medigap Policy: A Guide to Health Insurance for People With Medicare (2012).

These may or may not be important expenses and limitations, depending on your situation. If Medigap Plan B doesn't meet your needs, consider Medigap Plan C.