
Medicare Supplement Plan G is a popular choice among seniors, offering comprehensive coverage at a relatively affordable price. One of the biggest advantages of Plan G is that it covers the Medicare Part B deductible, which can be a significant expense for many people.
The plan also covers 80% of foreign travel medical expenses, which is a great benefit for those who travel abroad. This can be a lifesaver in an emergency situation.
Plan G does not cover Medicare Part B excess charges, which can be a drawback for some people. However, this is a relatively rare occurrence, and most healthcare providers participate in Medicare's network.
Overall, Plan G is a solid choice for those who want comprehensive coverage without breaking the bank.
For another approach, see: What Is the Most Comprehensive Medicare Supplement Plan
What Is Medicare Supplement Plan G?
Medicare Supplement Plan G is a popular choice for those looking to help pay their medical bills. It's a safety net that helps pay for some of the costs that Original Medicare doesn't cover.
Plan G is designed to cover things like copays, coinsurance, and deductibles, which can add up quickly if you have a lot of medical expenses.
You'll pay your Part B deductible first when you have medical costs, but then Plan G steps in to cover most of the remaining costs for covered services.
Plan G covers hospital stays, doctor visits, and even some preventive care, which means you have predictable out-of-pocket costs.
Here's an interesting read: Does Medicare Supplement Cover Deductible
Pros and Cons
Medicare Supplement Plan G has its advantages and disadvantages. Here are some key points to consider.
Plan G covers all of the same services as Medicare Part A and Part B, excluding the Part B deductible. This means you'll have coverage for hospital stays and preventive services like physician visits without out-of-pocket expenses once the Part B deductible is met.
Most people who purchase Plan G coverage save money on out-of-pocket costs compared to other Medicare plans. However, you'll pay a monthly premium in exchange.
Related reading: Medicare Supplement Plan G Deductible 2024
You can get care from any physician or other caregiver or hospital specialist who accepts Medicare.
Here are some key pros and cons of Medicare Supplement Plan G:
The Pros and Cons
Medicare Plan G offers a range of benefits that make it an attractive option for many people. It covers all of the same services covered by Medicare Part A and Part B, with the exception of the Part B deductible.
You can get care from any physician or other caregiver or hospital specialist who accepts Medicare, giving you the freedom and flexibility to choose your healthcare providers. This is a significant advantage over Medicare Advantage (Part C) plans, which often have network restrictions.
Medicare Plan G also offers excess charge coverage, which can be a lifesaver if you need to see a specialist who charges more than Medicare's approved amount. However, it's worth noting that excess charges are rare, affecting only about 2% of providers.
Curious to learn more? Check out: Can I Switch from Medicare Advantage to Medicare Supplement
One of the downsides of Medicare Plan G is that it can be more expensive than Medicare Advantage Plans, especially when it comes to upfront premium payments. You'll also need to sign up for a stand-alone Medicare Part D drug plan and dental coverage separately.
Here's a quick comparison of Medicare Plan G and Plan F:
Overall, Medicare Plan G offers a range of benefits and flexibility, but it's essential to weigh these against the potential costs and administrative requirements.
Few Health Care Visits
If you have relatively few health care visits, Plan N might be a good option.
Plan N can save you money if you don't have many medical office or emergency visits, with premiums that are often $25 less per month than Plan G.
For example, if Plan N costs $25 less per month than Plan G, that's a difference of $300 for the whole year.
Having a few medical office visits with $20 copays and an emergency visit with a $50 copay can add up to $130 in out-of-pocket costs.
This means you'd save $170 ($300 - $130 = $170) for the year as compared to Plan G.
Worth a look: Cigna Medicare Supplement Plan N
Cost and Premiums
Medicare Supplement Plan G typically costs around $145 per month in 2024, with the annual Medicare Part B deductible being $240.
The cost of Plan G varies based on your location, age, gender, tobacco use, and health condition. Some insurers have higher or lower premiums based on their underwriting practices.
You can expect to pay anywhere from around $100 to upwards of $300 per month for Plan G, depending on your specific situation. The best way to see rates from all carriers in your area is to use a free quote service.
Here are some examples of lowest prices for a 65-year-old nonsmoker in Atlanta:
- Medigap Plan G: $119.
- Medigap Plan N: $90.
Keep in mind that premiums can increase over time, so it's essential to prepare for this and factor it into your long-term healthcare budget.
What Offers
Plan G offers a lot of value, especially when it comes to covering excess charges. It covers everything that Medicare Part A covers at 100%, except for the Part B deductible, which is $240 in 2024.
A fresh viewpoint: Fehb and Medicare Part D
You won't pay anything out-of-pocket for covered services and treatments after you pay the deductible. This means you can get the care you need without breaking the bank.
Plan G also covers "excess" charges, which can add up quickly if you're not careful. Doctors who don't accept the full Medicare-approved amount as full payment can charge you up to 15% more than the Medicare-approved amount for services or procedures.
Most doctors accept Medicare-approved payments and can't bill you the extra amount. But if they do add on 15%, Plan G will pay for it, so you won't have to worry about getting stuck with the bill.
A fresh viewpoint: Do All Doctors Accept Medicare Supplement Plans
Cost
The cost of Medicare Plan G can vary depending on several factors, including your age, gender, location, and tobacco use.
Your monthly premium will depend on these factors, and it's best to talk to a CoverRight Medicare Concierge to get the exact costs for your situation.
The average Medigap Plan G premium in 2024 is $145 per month, but prices can vary based on where you live.
In addition to the premium, you'll also need to pay the Medicare Part B deductible, which is $240 in 2024.
To get an idea of the costs, here's a rough breakdown:
Keep in mind that these prices are just examples, and your costs may be different.
If you tend to have more frequent visits to your healthcare providers, Plan G might be the better deal, as it offers more predictable costs and covers more expenses.
On average, monthly premiums for Plan G range from around $100 to upwards of $300, depending on your insurance provider and other factors.
Comprehensiv Coverag
Medicare Supplement Plan G offers one of the highest coverage levels among Medigap plans if you became eligible for Medicare on or after January 1st, 2020. It covers most costs that Original Medicare doesn’t, offering valuable financial protection if you have unexpected medical expenses.
Plan G covers 100% of all Medicare-approved costs, leaving you with no out-of-pocket expenses after you've met your Part B deductible.
Here are some of the key benefits of Medicare Supplement Plan G:
- Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up.
- Part A deductible.
- Part A hospice care coinsurance or copayment.
- Part B coinsurance or copayment.
- Part B excess charges (if a provider is permitted to charge more than Medicare’s approved amount and does so).
- Blood transfusion (first three pints).
- Skilled nursing facility care coinsurance.
- Medically necessary emergency health care service for the first 60 days when traveling outside the U.S. Deductible and limitations apply.
You'll still be responsible for paying the Medicare Part B deductible, which is $1,632 in 2024.
Enrollment and Options
You can enroll in Medicare Supplement Plan G at any time, but insurance companies can only offer the plan at a reasonable rate during certain guaranteed-issue periods. This typically occurs when you're turning 65 or older, enrolled in both Medicare Part A and Part B, and within your initial Medicare enrollment period at age 65.
During the six-month Medigap open enrollment period, you can buy your Medicare Supplement Plan G policy without being denied coverage due to your health or medical history. This period starts once you're 65 and enrolled in Medicare Part B, and lasts for six months.
If you enroll later, you may be denied coverage because of a pre-existing condition. However, if you enroll during the Medigap Open Enrollment Period, you cannot be denied coverage even if you have pre-existing health problems.
Consider reading: Can You Change Medicare Supplement Plans with Pre Existing Conditions
When to Enroll?
You can enroll in a Medicare Supplement plan at any time, but it's best to do so during the Medigap Open Enrollment Period, which starts the first month you have Medicare Part B and you're 65 or older.
This period is your best chance to get a policy without being denied coverage due to your health status or medical history.
You can also enroll during your Initial Enrollment Period, which starts three months before you turn 65 and ends three months after the month you turn 65.
If you enroll within these periods, you can't be denied coverage even if you have pre-existing health problems.
However, if you enroll later, you may be denied coverage because of a pre-existing condition.
Here are the key enrollment periods to keep in mind:
Keep in mind that insurance companies can only offer Medigap Plan G at a reasonable rate during certain guaranteed-issue periods, such as during your Initial Enrollment Period.
Shopping for You
Medicare supplement plans, also known as Medigap, are private health insurance that covers gaps in traditional Medicare coverage. You can find more information about Medigap plans through your State Health Insurance Assistance Program, or SHIP, if you're under 65 with a disability.
If you're shopping for Medigap plans, consider the following options: Best for Medigap plan options, Best for member satisfaction, Best for premium discounts, and Best for extra benefits. You can compare these options from our Medigap roundup to find the best fit for you.
Medigap plans can vary in terms of benefits and costs, so it's essential to research and compare different plans before making a decision.
Here's an interesting read: How to Compare Medigap Policies
Comparison and Decision
To make an informed decision about Medicare Supplement Plan G, you need to consider two key factors: premium differences and copay requirements. The difference in premiums between Plan G and Plan N, for example, is $29 per month.
The frequency of office or emergency visits also plays a crucial role in determining which plan is more cost-effective. If you have about one $20 office visit copay per month or one $50 emergency visit every other month, Plan N's lower premiums might outweigh the copay requirements.
Consider reading: Medicare Supplement Plans Nj
It's essential to weigh the pros and cons of Plan G against other available Medicare supplement plans. Here's a brief breakdown to consider:
Medigap Plan G is often more expensive than other plan types due to its wide range of benefits. Whether it's worth it to you depends on the specifics of prices available to you and the value you place on Plan G's added coverage.
Frequently Asked Questions
Why is a plan G better than an advantage plan?
Medigap Plan G offers more comprehensive benefits and greater freedom than Medicare Advantage plans, allowing enrollees to visit specialists without a referral. This makes Plan G a more flexible and comprehensive option for those seeking additional coverage.
What plan G does not cover?
Plan G does not cover the Part B deductible. It also does not cover foreign travel emergencies, but only up to 20% of costs.
Sources
- https://coverright.com/medicare-enrollment/what-are-the-pros-and-cons-of-medicare-plan-g/
- https://medicarewire.com/article/medicare-plan-g-pros-and-cons/
- https://www.nerdwallet.com/article/insurance/medicare/medigap-plan-g-vs-n
- https://www.anthem.com/nv/medicare/medicare-supplement-plans-medigap
- https://www.nerdwallet.com/article/insurance/medicare/medigap-plan-g
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