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Medicare Supplement Plan B 2027: Coverage, Break-Even Math and How It Differs From Part B

Reviewed by Russell Noga, Licensed Medicare Insurance Broker (all 50 states) — Last updated October 31, 2026

Medicare Supplement Plan B pays everything Plan A pays plus the Part A hospital deductible ($1,736 per benefit period in 2026), so a hospital stay costs you nothing out of pocket for the hospital itself. You still pay the Part B deductible, skilled nursing coinsurance from day 21, Part B excess charges and foreign travel care, and Plan B does not pay your Medicare Part B premium.

2027 by the Numbers

$1,736

2026 Part A deductible per benefit period that Plan B pays and Plan A does not (CMS)

$434/day

2026 hospital coinsurance for days 61-90, paid 100% by Plan B (CMS)

$217/day

2026 skilled nursing coinsurance for days 21-100 that Plan B leaves to you (CMS)

Plan B sits one step above the most basic Medicare Supplement plan. It adds one benefit to Plan A, the hospital deductible, worth up to $1,736 each time a new benefit period starts. Its name also causes confusion, because Medicare itself has a Part B.

Below we clear up that mix-up, run our own break-even math against Medicare Supplement Plan A, and price a rough year under Plans A, B, G and N. For every letter side by side, see our Medicare Supplement plans comparison chart.

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What Plan B Pays in 2027, and the Four Costs It Leaves You

Medicare Supplement Plan B 2027 coverage: pays the $1,736 Part A deductible and hospital coinsurance, does not pay skilled nursing, Part B deductible or excess charges

Plan B is standardized, so its benefits are identical from every company. Dollar amounts are CMS 2026 figures; 2027 Part A amounts come out in the fall.

Benefit Plan B pays Your share (2026 amounts)
Part A hospital deductible 100% $0 (normally $1,736 per benefit period)
Hospital coinsurance, days 61-90 100% $0 (normally $434 a day)
Lifetime reserve days, then 365 extra hospital days 100% $0 (reserve days normally $868 a day)
Part B 20% coinsurance or copays 100% $0 after the Part B deductible
First 3 pints of blood and hospice coinsurance 100% $0
Part B deductible Not covered $283 a year ($292 projected for 2027)
Skilled nursing coinsurance, days 21-100 Not covered $217 a day
Part B excess charges Not covered Up to 15% over Medicare’s approved amount
Emergency care outside the U.S. Not covered Full cost

Benefits: Medicare.gov, Choosing a Medigap Policy chart. Dollar amounts: CMS 2026 fact sheet. Massachusetts, Minnesota and Wisconsin use their own plan designs and do not sell a lettered Plan B.

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Medicare Part B vs Medicare Supplement Plan B: Same Letter, Different Things

Many people searching for “Plan B” really mean Medicare Part B. The two work together, but one cannot replace the other.

Medicare Part B is government coverage. It covers doctors, outpatient care and tests. The premium is $202.90 a month in 2026, projected at $209.50 for 2027.

Plan B is a private policy. You buy it from an insurance company, with its own premium, to pay part of what Parts A and B leave behind.

You need Part B to buy Plan B. Companies sell Medicare Supplement plans only to people enrolled in both Part A and Part B.

Plan B does not pay the Part B premium. No Medicare Supplement plan does. That premium stays on top of your Plan B premium.

Is Plan B Worth More Than Plan A? Our Break-Even Math

Plan B adds just one benefit to Plan A: the $1,736 hospital deductible. The question is how much extra premium you pay for it, and how often you would need a hospital stay to get it back.

Plan B costs this much more than Plan A Extra premium per year Years of premium equal to one $1,736 deductible
$15 a month $180 About 9.6 years
$30 a month $360 About 4.8 years
$60 a month $720 About 2.4 years
$100 a month $1,200 About 1.4 years

Our own calculation: $1,736 (2026 Part A deductible) divided by the yearly premium gap. Excludes rate increases and assumes no more than one benefit period per year.

If your Plan B quote is only $15 a month above Plan A, one admission in about ten years covers the upgrade. At a $100 gap, you would need an admission roughly every 17 months.

Check Plan G first: MoneyGeek’s 2026 analysis put the average Plan B premium at $219 a month at age 65 (attained-age pricing). Plan G often costs about the same and also covers skilled nursing, excess charges and foreign travel.

Before choosing, read our Medicare Supplement Plan G 2027 guide.

Our Calculation: One Hard Year Under Plans A, B, G and N

Medicare Supplement Plan B out-of-pocket cost for a year with a hospital stay and 30-day rehab compared with Plan A, Plan G and Medicare alone

Premiums are only half the cost. We priced a bad year with 2026 Medicare amounts: one hospital admission, 30 days of skilled nursing rehab, and $4,000 of Medicare-approved outpatient bills.

Cost in this year Medicare only Plan A Plan B Plan G Plan N
Part A deductible $1,736 $1,736 $0 $0 $0
Rehab days 21-30 (10 x $217) $2,170 $2,170 $2,170 $0 $0
Part B deductible $283 $283 $283 $283 $283
20% of the remaining $3,717 $743 $0 $0 $0 $0*
Total out of pocket $4,932 $4,189 $2,453 $283 $283*

Our own calculation from CMS 2026 figures. Premiums not included; assumes doctors accept Medicare assignment. *Plan N can add copays of up to $20 per office visit and up to $50 for an ER visit that does not lead to admission.

Plan B’s weak spot is rehab, not the hospital. It pays nothing toward the $217 daily skilled nursing coinsurance from day 21 through day 100, so a long rehab after joint surgery could cost far more. Plans D, G and N pay it in full; see our Medicare Supplement Plan N guide for the lower-premium choice.

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Why So Few Companies Sell Plan B, and How to Find It

Every Medicare Supplement company must offer Plan A, but no rule requires Plan B. Most companies build their lineup around Plans G and N.

Low demand keeps it rare. Plan B has the same rehab and excess-charge gaps as Plan A, so most buyers skip to Plan G or N.

Some large companies list it. Humana markets Plans A and B together, and UnitedHealthcare includes Plan B in its lineup. Availability varies by state and ZIP code.

Same policy everywhere. Benefits match between companies; only price, pricing method, discounts and service differ.

1

Quote Plan B by ZIP code. Get Plan A, B, G and N prices together to see real premium gaps.

2

Ask how the rate is set. Community-rated, issue-age and attained-age policies age very differently.

3

Use the break-even table. Plug in your real Plan A to Plan B gap.

When Plan B Makes Sense in 2027

A good fit if… you want a hospital stay to cost you nothing, you rarely use outpatient care, and a local Plan B quote is well below Plan G.

A guaranteed-issue fallback. CMS lists Plans A, B, D, G, K and L among the letters you can buy without health questions in certain situations, such as your Medicare Supplement company going out of business. Compare Plan G first if it is offered.

Probably not for you if… you expect joint surgery or rehab, use doctors who do not accept assignment, or travel abroad. Plan D adds rehab and foreign travel coverage; see our Medicare Supplement Plan D guide.

Open to new enrollees: Plans C and F closed to new enrollees in 2020 because they pay the Part B deductible. Plan B does not, so anyone new to Medicare in 2027 can buy it, with no health questions during the six-month Medigap Open Enrollment Period that starts at 65 with Part B.

Bottom Line

Medicare Supplement Plan B is Plan A plus the Part A hospital deductible, worth $1,736 per benefit period at 2026 rates. Its weak spot is skilled nursing rehab, which can still cost thousands. Buy it only when your local quote is close to Plan A and clearly below Plan G, and run the break-even math with real ZIP-code prices first.

See which companies offer Plan B in your ZIP code

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Medicare Supplement Plan B — Frequently Asked Questions

➤ Does Medicare Supplement Plan B pay my Medicare Part B premium?

No. The Part B premium, $202.90 a month in 2026 and projected at $209.50 for 2027, is owed to Medicare no matter which supplement you buy. Plan B has its own separate premium.

➤ What is the only benefit difference between Plan A and Plan B?

Plan B pays the Part A hospital deductible, which was $1,736 per benefit period in 2026. Every other benefit is the same in both plans.

➤ Can I buy Plan B if I am new to Medicare in 2027?

Yes. The 2020 rule only closed plans that pay the Part B deductible, which are Plans C and F. Plan B does not pay it, so new enrollees can buy it.

➤ Will Plan B help pay for rehab in a nursing facility?

No. Medicare pays the first 20 days, then you owe a daily coinsurance through day 100, $217 a day in 2026. Plan B does not cover that cost.

➤ Could Plan B pay the hospital deductible more than once in a year?

Yes. The Part A deductible is charged per benefit period, which ends after 60 days in a row out of a hospital or skilled nursing facility. Plan B pays it for each new benefit period.

➤ Why does my ZIP code show few or no Plan B quotes?

Companies are only required to sell Plan A, and many choose not to offer Plan B. Ask for quotes from several companies, since the benefits are identical wherever it is sold.

➤ Is Plan B available through guaranteed issue rights?

In several federal guaranteed-issue situations, CMS lists Plan B among the plans you can buy without health questions, along with Plans A, D, G, K and L. Which letters apply depends on your situation.

➤ Does Plan B cover medical emergencies outside the United States?

No. Plan B has no foreign travel emergency benefit. Plans C, D, F, G, M and N pay 80% of emergency care abroad after a deductible, up to plan limits.

New to Medicare?

If you are new to Medicare, then you can enroll in a 2027 Medicare Supplement plan up to six months prior to your Medicare Part B effective date.

Call one of our licensed insurance agents to see what the best time frame is for you to enroll, based on your current situation. You can contact them at 1-855-409-6195.

Medicare Supplement Quotes

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Compare plans & benefits in your area

Or speak with a licensed insurance agent

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