Medigap Plan G coverage is similar to that of Supplement Medicare Plan F, with the sole exception of Medicare Part B deductible having to be paid out-of-pocket. As soon as the out-of-pocket costs reach the stated Medicare Part B deductible, Plan G provides full coverage for every gap in Medicare, making it the most comprehensive Medigap policy available for new enrollees after the discontinuation of similar comprehensive Medigap plans. The policy premium of Medicare Supplement Plan G is a reflection of the comprehensive coverage it provides. Most policyholders are willing to put up the additional cost of premium associated with the plan to have most gaps covered.
Medicare Supplemental insurance plans can be purchased from private insurance carriers. These plans are standardized, meaning a letter-labeled plan sold by an insurance carrier in a certain state offers the same base benefits as the same letter-labeled plan sold by another insurance company in another state. The key disparity between these policies is the premium cost, since some companies prefer to charge more for extra service they offer; however, base benefits must be uniform across all companies.
Medigap Plan G Eligibility
Before covering Medicare Supplement Plan G benefits, here are the general eligibility requirements for Medicare Supplement Plan G:
– You are at least 65 years of age, a U.S. citizen, or permanent legal resident for at least five consecutive years
– You are currently receiving retirement benefits.
– You are disabled and receiving disability benefits
– You have End-Stage Renal Disease (ESRD)
– You have Lou Gehrig’s Disease (ALS).
What does Medigap Plan G Cover?
– Coinsurance and hospital costs for Medicare Part A up to 365 days after Original Medicare benefits are depleted
– Deductible for Medicare Part A
– Coinsurance and copays for Medicare Part B
– Excess charges for Medicare Part B
– The first three pints of blood
– Part A hospice care coinsurance & copay with room & board
– Coinsurance for skilled nursing facilities
– Limited foreign travel emergency care
The policy does not cover:
– Routine vision care
– Routine dental care
– Hearing aids and routine hearing tests
– Cosmetic surgery
– Prescription drugs
– Medicare Part B deductible
Medigap Plan G Cost
Every year, the government establishes the costs associated with Plan G Medicare Supplement. This includes deductibles, premiums, and out-of-pocket expenses. Because Medicare Supplement insurance Plan G is one of the more comprehensive Medigap policies, the premium is a reflection of the coverage it provides. The exact cost, however, varies from one insurance company to another based on the extra services offered on top of the Medigap policy, but all the base benefits remain uniform regardless of which insurance company sells it or where it is sold.
Medigap Plan G High Deductible
There is a less expensive alternative to this comprehensive coverage, where the beneficiary must meet a higher deductible. Medigap Plan G Deductible 2021 A high deductible version of this policy dictates that beneficiaries must pay out-of-pocket costs for the first $2,370 in 2021. As soon as you meet the required deductible, you receive the same benefits under as-is under normal coverage.
Is Plan G coverage good for you?
With the government announcing the discontinuation of certain supplemental policies, it’s a good idea to take a look at our chart above and compare Plan G with policies that provide similar coverage.
When comparing Medicare Supplement Plan G vs F, Medicare Supplement Plan G also provides relatively comprehensive benefits. Whether you were thinking to enroll in a regular Medicare Supplemental Plan F or the high deductible version, Plan G can offer you very similar coverage options with the exception of the Medicare Part B deductible. Plus, Medicare Plan G is available for new enrollees after January 1st, 2020.
Medigap Plan G vs Plan N
Another relatively comprehensive policy, after that of Medigap policies F & G, would be N. In comparing Medicare Supplement Plan G vs N, N has the same benefits as G except for coverage on Part B excess charges. Additionally, N covers the Medicare Part A deductible at 50% as opposed to G’s 100%.
Our website MyMedicareGap.com can provide you with information about Medigap Plan G premiums, chart of Medigap plans comparisons, Medigap vs. Medicare Advantage comparisons, and more.