In addition to the four Basic Benefits (which are hospitalization, medical expenses, blood and hospice care), Plan B also provides coverage for the Part A deductible. This is the amount you pay before Medicare begins to pay for hospitalizations.
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Medicare Supplement Plan B (PLH-5373MSB-19)
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- Hospitalization: EmblemHealth pays Part A coinsurance* plus coverage for 365 additional days in your lifetime after Medicare stops paying.
- Medical Expenses: EmblemHealth pays Part B coinsurance* (20 percent of Medicare-approved expenses), Medicare pays 80 percent.
- Blood: First three pints of blood each year.
- Hospice care: EmblemHealth pays Part A coinsurance.*
- Part A inpatient deductible** per benefit period: $1,484 in 2021.
* Coinsurance is the portion or percentage of the cost of a Medicare covered service that you are responsible to pay.
** Part A inpatient deductible is the dollar amount of costs for covered services you would be expected to pay for Medicare Part A hospitalization services, including semi-private room and board, general nursing and miscellaneous services and supplies during the first 60 days of a covered admission.
Last Updated 12/2020
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