Medicare Supplement Plan G Overview

medigap-plan-g

Medicare plans can be confusing –  there are just so many available. Medicare supplement plan G is very similar to the Plan F option. Coverage varies depending on if you have Part A and/or B, so it’s important to know what benefits you’ll receive and if this is a good option for you.

medigap-plan-g

What is Medicare Supplement Plan G Plan?

Plan G is a top choice because it lowers your premiums while also offering top-tier coverage. A major consideration is that you’ll need to pay the annual deductible for Medicare Part B ($203 in 2021) before the Plan G coverage begins.

Once you pay the deductible, you’ll enjoy a lot of coverage that’s lacking in Original Medicare.

What Does Medigap Plan G Cover?

Plan G covers most medical costs that Medicare Part a and Part B do not.

Medigap Benefits

Medigap Plans

    

F*

G*

   

N

Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up

    

Yes

Yes

   

Yes

Part B coinsurance or copayment

    

Yes

Yes

   

Yes***

Blood (first 3 pints)

    

Yes

Yes

   

Yes

Part A hospice care coinsurance or copayment

    

Yes

Yes

   

Yes

Skilled nursing facility care coinsurance

    

Yes

Yes

   

Yes

Part A deductible

    

Yes

Yes

   

Yes

Part B deductible

    

Yes

No

   

No

Part B excess charge

    

Yes

Yes

   

No

Foreign travel exchange (up to plan limits)

    

80%

80%

   

80%

Out-of-pocket limit**

    

N/A

N/A

   

N/A

* Plans F and G also offer a high-deductible plan in some states. With this option, you must pay for Medicare-covered costs (coinsurance, copayments, and deductibles) up to the deductible amount of $2,340 in 2020 ($2,370 in 2021) before your policy pays anything. (Plans C and F aren’t available to people who were newly eligible for Medicare on or after January 1, 2020.)

*** Plan N pays 100% of the Part B coinsurance, except for a copayment of up to $20 for some office visits and up to a $50 copayment for emergency room visits that don’t result in inpatient admission.

If you reside in Massachusetts, Minnesota, or Wisconsin – things are a little different!

 
Medigap Plan G can be a very good choice. It will offer great coverage and usually has a low premium.

Medicare Part A Hospital Services

Hospital care is expensive, and if you don’t have Medigap Plan G, you’ll be paying a lot of the expenses out of pocket. Under Plan G, you’ll receive the following benefits that are not covered under Medicare Part A:

  • $1,408 deductible paid for first 60 days
  • $352/per day for days 61 to 90
  • Full pay for 91 days or after along with 100% eligible expenses paid
  • $0 payment for skilled nursing facility care
  • Full payment for Medicare copayment and coinsurance for hospice
  • All blood service costs

Medicare Part B Medical Services

Medicare Part B also has an annual deductible ($203 in 2021) and only covers 80% of charges. Medigap Plan G picks up all of the costs except the Part B deductible.

Any excess charges under Part B are covered, too.

The first three pints of blood and 20% of approved amount remainders are covered. If you need to go to the clinic and have laboratory work done, you can have peace of mind that you’ll pay $0 if you have Part G.

If you like to travel, you’ll be happy to know that Part G will provide some additional benefits for the first 60 days that you’re out of the country. Part G will not pay the first $250 that you’ll pay for the year, but it will cover 80% of the remainder of charges.

There is a maximum lifetime benefit of $50,000 for foreign travel coverage. If you exceed this amount during your lifetime, Part G will not provide any further coverage.

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