Navigating Medicare can be confusing, especially when it comes to supplemental insurance. If you’re exploring your options, you’ve probably heard about Plan G. But what exactly does Plan G cover, particularly when it comes to Blue Cross Blue Shield (BC)? Let’s break it down:
- Medicare Part A Deductible: Plan G covers your Part A deductible. This is the amount you pay before Medicare starts covering inpatient hospital, skilled nursing facility, hospice, and some home health care services.
- Medicare Part A Coinsurance and Hospital Costs: It covers 100% of your Medicare Part A coinsurance and hospital costs up to an additional 365 days after your Medicare benefits are exhausted.
- Medicare Part B Coinsurance and Copayments: Plan G also covers 100% of your Medicare Part B coinsurance and copayments. This includes doctor visits, outpatient care, and preventive services.
- Blood (First 3 Pints): It pays for the first three pints of blood each year.
- Part B Excess Charges: This is important! Plan G covers Part B excess charges, meaning if a doctor doesn’t accept Medicare assignment (the agreed-upon Medicare rate), and charges up to 15% more, Plan G covers that extra cost.
- Skilled Nursing Facility Coinsurance: Covers your daily coinsurance costs for skilled nursing facility care that Medicare approves.
- Hospice Care Coinsurance or Copayment: You are covered for hospice care coinsurance or copayment.
- Foreign Travel Emergency: Plan G offers foreign travel emergency coverage, covering 80% of the billed charges up to plan limits. This is a significant benefit if you plan to travel internationally.
Important Note: Plan G does *not* cover the Medicare Part B deductible. You are responsible for paying this deductible before Medicare and Plan G benefits begin to pay.
Blue Cross Blue Shield often offers Plan G policies, but the specifics and premiums can vary depending on your location and the specific BCBS plan. It’s best to compare different Plan G options from BCBS and other providers to find the best fit for your needs and budget.
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