Did you know about the big out-of-pocket costs of Original Medicare? Medigap Plan B could be what you need. It fills in the gaps of your Medicare coverage. This means more protection for your health and money.

Understanding Medigap Plan B

Medigap Plan B is an insurance that adds to what Original Medicare doesn’t cover. It’s available all over the U.S., meaning you’re covered wherever you go. It’s smart to get a Medigap policy within six months of turning 65 and joining Medicare Part B.

What is Medigap Plan B?

This plan helps with costs like the hospital coinsurance for an extra 365 days of care after Medicare’s coverage ends.

It also pays for the hospital deductible, the first 3 blood pints, and hospice care coins or co-pays. Medigap B is designed the same wherever you buy it, but it might not be offered everywhere.

Benefits Covered by Medigap Plan B

Medigap Plan B gives a lot of extra help beyond what Original Medicare does. Some former workers get Blue Cross Blue Shield from their old jobs, and this can count as Medigap too.

With Medigap, you pay the Part B Medicare fee plus an extra Medigap payment. This helps you pay less out of pocket for your healthcare. When you first enroll, you have more choices for coverage, including Medigap.

Filling the Gaps in Original Medicare

Original Medicare (Part A and Part B) can cost a lot. There are many out-of-pocket expenses. These include deductibles and coinsurance. Medigap Plan B helps with these costs. It covers the Part A deductible, hospital coinsurance, and blood costs for up to 3 pints.

Out-of-Pocket Costs Covered by Medigap Plan B

This plan also helps with Part A hospice care costs. It pays for skilled nursing facility stays too. This extra coverage lessens the financial strain on Medicare beneficiaries. In short, Medigap Plan B makes health care costs more manageable.

Additional Coverage for Hospital and Medical Expenses

Many preventive services under Medicare are free. But, they must come from a provider who follows Medicare’s rules. To check if Medicare pays for something, you either ask your health provider or look it up. What Medicare covers is based on many factors, like federal and state laws.

Eligibility and Enrollment for Medigap Plan B

Enrolling in Medigap Plan B needs careful thought. You’re eligible when first signing up for Medicare Part B. This includes a special 6-month period and some exceptional cases.

When Can You Enroll in Medigap Plan B?

The ideal time to enroll is during a 6-month period. It starts when you’re 65 and have Medicare Part B. During this time, you can buy any plan without worrying about your health conditions.

Underwriting Requirements for Medigap Plan B

If you miss this window, things can get harder. You might face health reviews by the insurance company. They look at your health conditions to decide if they will cover you and how much it may cost.

It’s essential to know how and when you can sign up for Medigap Plan B. This ensures you get the best chance for coverage.

Duplicate CTA

Find Medicare Plans in 3 Easy Steps

We can help find the right Medicare plans for you today

Comparing Medigap Plan B to Other Plans

Medigap Plan B vs. Plan A

Medigap Plan B gives more coverage than Plan A. It includes the Part A deductible and the first 3 pints of blood.

Medigap Plan B vs. Other Supplemental Plans

Plan B offers an excellent mix of coverage and cost. It’s not as basic as Plan A but is cheaper than more extensive ones like Plan F or G.

While Medigap plans boost Original Medicare, Medicare Advantage plans work differently. They combine Part A, Part B, and sometimes Part D into one. The differences in coverage and costs between Plan B and Medicare Advantage plans are big.

Cost and Availability of Medigap Plan B

The cost of Medigap Plan B changes based on your age, where you live, and more. For a 65-year-old, prices can start at $30-$40 a month for basic plans. If you want more coverage, you could pay a lot more each month. If you’re not in good health, you might pay more too. This is because insurance companies can check your health when you don’t sign up right away.

Factors Affecting Medigap Plan B Premiums

The cost of Medigap can depend on the plan, your gender, your health, and where you live. Prices might be set by your age, when you first buy the plan, or your current age when you buy it. Within the same type of plan, costs can vary a lot between companies. In North Carolina, for example, Medigap Plan B can cost from $113-$303 per month.

Duplicate CTA

Find Medicare Plans in 3 Easy Steps

We can help find the right Medicare plans for you today

Medigap Plan B is offered in most states but costs and options can differ a lot. It’s wise to get quotes from several insurance companies to find the best deal. To save money, consider buying when you first become eligible without having to answer health questions. Look for companies that keep their prices steady, ask about discounts, think about plans with higher deductibles, and check if there’s a Medicare Select option in your state.

Medigap Plan B and Medicare Advantage

Medigap Plan B helps with out-of-pocket costs when you’re using Original Medicare (Part A and Part B). It adds extra coverage to what you already have.

On the other hand, Medicare Advantage combines everything from Original Medicare. This includes Part A, Part B, and often Part D for drugs. It’s all in one plan.

When choosing, think about the provider networks and what you could pay out-of-pocket. Also, look at how each handles prescription drugs.

Deciding between Medigap Plan B and Medicare Advantage means weighing your needs against the costs. It’s important to choose the one that fits your healthcare and financial situation best.

Medigap Plan B is a key Medicare supplement insurance for those with Original Medicare. It helps cover gaps in Medicare, giving more safety to its users.

This plan shields against many costs, like the Part A deductible, hospital stay coinsurance, and the first 3 blood pints. It also offers other perks. People should see if Medigap Plan B fits their needs. They must check if it’s the best choice to add to their Original Medicare.

Medigap Plan B is great for adding extra protection and reducing personal costs. Those looking for more than just Original Medicare should think about this. They should consider their health needs and this plan’s benefits to decide if it’s right.

Medigap Plan B FAQs

What is Medigap Plan B?

Medigap Plan B is a Medicare Supplement Plan that helps cover Part A and Part B coinsurance, hospital costs, and more. It provides additional coverage to fill the gaps left by Original Medicare.

What does Medigap Plan B cover?

Medigap Plan B covers Part A coinsurance and hospital costs for up to an additional 365 days after Medicare benefits are used up, as well as Part B coinsurance or copayment.

How does Medigap Plan B work with Medicare?

Medigap Plan B works alongside Original Medicare (Part A and Part B) to help cover out-of-pocket costs not covered by Medicare alone. It cannot be used with Medicare Advantage plans.

Can I enroll in a Medigap Plan B?

You can enroll in a Medigap Plan B if you are enrolled in Medicare Part A and Part B. It is important to enroll during the Medigap Open Enrollment period to ensure guaranteed issue rights.

Does Medigap Plan B cover the Part B deductible?

Medigap Plan B does not cover the Medicare Part B deductible, but it does cover the Part B coinsurance or copayment once the deductible is met.

Are Medigap Plan B benefits standardized?

Yes, Medigap Plan B benefits are standardized across different insurance companies. This means that the coverage for Plan B will be the same regardless of the insurer.

Have Questions?

We can Help!

Talk to one of our licensed Medicare supplement agents about the options available to you in your area.  


Mon – Fri 8:00 am – 6:00 pm
Sat available upon request