Medigap Plan B is a standardized Medicare Supplement insurance plan that works alongside Original Medicare (Part A and Part B) to help cover certain out-of-pocket costs.
Medigap Plan B provides a comprehensive set of benefits that include coverage for Medicare Part A coinsurance and hospital costs, as well as Part B coinsurance or copayments for medical services. It also covers the first three pints of blood needed for a medical procedure. While Medigap Plan B offers coverage for these expenses, it does not cover the Part A and Part B deductibles, excess charges, or any additional charges beyond the Medicare-approved amounts. It also does not provide coverage for prescription drugs, vision, dental, or other non-Medicare services.
Individuals who choose Medigap Plan B can benefit from greater financial protection and peace of mind, knowing that a portion of their Medicare out-of-pocket costs will be covered. It's important to evaluate your healthcare needs and compare different Medigap plans to find the one that best fits your specific requirements and budget.
Below is a comprehensive list of the covered services provided by Medicare Supplement Plan B, which include benefits under Medicare Part B, Medicare Part B, and other areas:
Service | Who pays what? |
---|---|
First 60 days | Medicare pays: All but $1,632 Plan pays: $1,632 (Part A Deductible) Member pays: Nothing |
61st thru 90th day | Medicare pays: All cost but $408/day Plan pays: $408/day Member pays: Nothing |
91st day and after (While using 60 lifetime reserve days) | Medicare pays: All cost but $816/day
Plan pays: $816/day Member pays: Nothing |
Once lifetime reserve days are used; additional 365 days | Medicare pays: Nothing Plan pays: 100% of Medicare-eligible expenses Member pays: Nothing |
Beyond the additional 365 days | Medicare pays: Nothing
Plan pays: Nothing Member pays: All cost |
Service | Who pays what? |
---|---|
First 20 days | Medicare pays: All cost Plan pays: Nothing Member pays: Nothing |
21st thru 100th day | Medicare pays: All but $204/day Plan pays: Nothing Member pays: Up to $204/day |
101st day and after | Medicare pays: Nothing Plan pays: Nothing Member pays: All cost |
Service | Who pays what? |
---|---|
First three pints | Medicare pays: Nothing Plan pays: All cost Member pays: Nothing |
Additional amount | Medicare pays: All cost Plan pays: Nothing Member pays: Nothing |
Service | Who pays what? |
---|---|
Hospice Care | Medicare pays: All but very limited
copayment/ coinsurance for outpatient drugs and inpatient respite care Plan pays: Medicare copayment and coinsurance Member pays: Nothing |
Service | Who pays what? |
---|---|
Part B Deductible | Medicare pays: Nothing Plan pays: Nothing Member pays: $240 (Part B Deductible) |
Part B Coinsurance | Medicare pays: 80% Plan pays: %20 (Part B Coinsurance) Member pays: Nothing |
Part B Excess Charges
(above Medicare approved amounts) | Medicare pays: Nothing Plan pays: Nothing Member pays: All cost |
Service | Who pays what? |
---|---|
Test for diagnostic lab services | Medicare pays: All cost Plan pays: Nothing Member pays: Nothing |
Service | Who pays what? |
---|---|
First three pints | Medicare pays: All cost Plan pays: Nothing Member pays: Nothing |
Additional amount (First $240 of
Medicare approved amounts) | Medicare pays: Nothing Plan pays: Nothing Member pays: $240 (Part B deductible) |
Remainder of Medicare approved amounts | Medicare pays: 80% Plan pays: 20% (Part B Coinsurance) Member pays: Nothing |
Service | Who pays what? |
---|---|
Medically necessary skilled care
services and medical supplies/ Durable medical equipment (First $240 of Medicare approved amounts) | Medicare pays: Nothing Plan pays: Nothing Member pays: $240 (Part B deductible) |
61st thru 90th day | Medicare pays: 80% Plan pays: 20% (Part B Coinsurance) Member pays: Nothing |
Service | Who pays what? |
---|---|
First $250 each calendar
year/Remainder of charges | Medicare pays: Nothing Plan pays: Nothing Member pays: All cost |
No, Medicare Part B and Medicare Supplement (Medigap) Plan B are distinct from each other. Medicare Part B is a component of Original Medicare that covers medical and outpatient services. On the other hand, Medicare Supplement (Medigap) Plan B is an insurance policy that provides additional coverage to supplement both Original Medicare Part A and Medicare Part B.
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