Plan G vs. High Deductible Plan G: Which Is Better in 2026?

Last Modified: 10/05/2026 | Reviewed by Keith Armbrecht (NPN 634015)

Quick Summary

Regular Plan G offers highly predictable Medicare-covered healthcare expenses, while High Deductible Plan G can significantly reduce monthly premiums in exchange for greater upfront financial responsibility.

With regular Plan G, you’re responsible for the $283 Part B deductible in 2026.

With High Deductible Plan G, you pay Medicare-covered costs toward a $2,950 high deductible in 2026 before the Medigap policy begins paying its Plan G benefits.

Key Facts

Side-by-Side Comparison

2026 Part B deductible: Both subject to Medicare rules
High-deductible requirement: Regular G — No | HDG — $2,950
Monthly premium: Regular G — Higher | HDG — Usually lower
Predictability: Regular G — Higher | HDG — Lower
Potential upfront exposure: Regular G — Lower | HDG — Higher
Provider access: Both work with Original Medicare
Part B excess charges: Both provide Plan G benefits, subject to HDG deductible

The Math Matters

Suppose regular Plan G costs $200 per month.

That’s $2,400 per year in premiums.

Suppose High Deductible G costs $75 per month.

That’s $900 per year.

You would save $1,500 annually in premiums before considering medical expenses.

That’s the comparison I want someone making—not simply looking at the word “deductible.”

Video Explanation from Keith

Regular Plan G or High Deductible G?

Keith's Take

High Deductible G gets particularly interesting in expensive Medigap markets.

I don’t recommend choosing it merely because the premium looks cheap.

I calculate the annual premium difference first.

Then I ask whether you’re comfortable taking on the additional potential healthcare costs.

Some people would rather pay more every month for predictability.

Others would rather keep the premium savings and accept more risk.

Neither approach is automatically wrong.

Keith Armbrecht
Keith Armbrecht
Medicare on Video

Frequently Asked Questions

Q. What is the High Deductible G deductible in 2026?
A. $2,950.
Q. What is the regular Plan G deductible?
A. Regular Plan G doesn't have that $2,950 high deductible. You remain responsible for the Medicare Part B deductible, $283 in 2026.
Q. Is the coverage ultimately the same?
A. High Deductible G is based on Plan G benefits, but you must satisfy its high deductible before the policy begins paying.
Q. Which costs more per month?
A. Regular Plan G typically costs more.
Q. Which gives more predictable expenses?
A. Regular Plan G.
Q. Who should consider High Deductible G?
A. Someone who values lower premiums, has sufficient reserves for potential healthcare expenses and is comfortable assuming more financial risk.

Official Government Sources

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Medicare sets the 2026 High Deductible G amount at $2,950; CMS sets the 2026 Part B deductible at $283.

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