Finally, hash indexes always require that the found row be confirmed in the data table, even for simple existence queries, since the keys themselves aren't stored in the hash table. (This is why hash indexes can't be UNIQUE.) B+trees can often answer such queries without the extra lookup (an "index-only scan"). If your B+tree is so large that its inner nodes spill onto disk (necessitating a 2nd disk seek), chances are the equivalent hash index will as well, which, combined with the consult of the data table, kind of negates the benefit.