Medicare Supplement insurance plans, also known as Medigap plans, come in 10 standard designs in most states (except Massachusetts, Minnesota, and Wisconsin). These plans cover differing levels of out-of-pocket costs associated within the original Medicare Parts A & B. Plan B’s benefits cover half of the ten categories of out-of-pocket costs - coverage items are outlined below.
|Plan B Coverage|
|Medicare Part A Deductible||100% coverage|
|Medicare Part B “Excess Charges”*||No coverage|
|Copayment or Co-Insurance Fee for Medicare Part B services||No coverage|
|Part A Co-Insurance Fees & Hospital Costs for up to 365 days after Original Medicare Benefits are Exhausted||100% coverage|
|Cost of first 3 Pints of Blood||100% coverage|
|Copayment or Co-Insurance Fee for Medicare Part A Hospice Care||100% coverage|
|Co-Insurance Fees for Skilled Nursing Facility Care||No|
|Foreign Travel Medical Emergency Coverage (up to plan limits)||No|
|Annual Limit on Enrollee Out-of-Pocket Expenses?||Not applicable|
As noted above, an enrollee’s deductible for hospital services (Part A) is covered by Plan B but the deductible for medical services (Part B) is not covered.
Sometimes Medicare enrollees confuse Medicare Part B for Medigap Plan B. “Part B” is the program within the government’s Medicare benefit that covers medical services. “Plan B” is a private insurance plan used to supplement Medicare coverage and pay for some of the out-of-pocket costs that Medicare has enrollees pay.
If you are interested in coverage for all the out-of-pocket costs listed in the above table, consider Plan F.
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