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Plan G

Medigap Plan G is quickly becoming the most popular Medicare supplement plan on the market. While Plan F offers slightly more coverage, Plan G is a great option for Medicare beneficiaries who are searching for comprehensive benefits. Since Plan F is not available to anyone who turns 65 after January 1, 2020, Plan G is the next best option for nearly full coverage.

Coverage Details​

MEDIGAP PLAN G

Like the other supplement plans, the goal of Plan G is to fill in the gaps left by Original Medicare. Medigap Plan G is nearly identical to Medigap Plan F, except it does not pay the Part B deductible. Medicare beneficiaries enrolled in Plan G will only pay the plan’s premium and the $226 Part B deductible.

MEDIGAP PLAN G COVERS:

  • Part A coinsurance and up to an additional 365 days of hospital costs after Medicare benefits are exhausted
  • Part B coinsurance/copayment
  • Blood (3 pints)
  • Part A hospice coinsurance/copayment
  • Skilled nursing facility care coinsurance
  • Part A deductible
  • Part B excess charge
  • 80% of foreign travel exchange
  • No out-of-pocket limit

Medigap Plan G Premiums

Individual premiums will vary based on which state the individual is seeking coverage in, which carrier they’re purchasing from, and also individual factors like gender, age, tobacco use, and a few other details. The average cost for Plan G ranges from $100-$200 each month. In general, Plan G premiums are higher in states who have a higher cost of living.

So far, Plan G has had a slower rate increase history than Plan G. Since the premiums are lower, beneficiaries may actually pay less overall, even though they are responsible for the Part B deductible.

Medigap Plan G Deductibles

The only deductible Plan G members will be responsible for is the annual Part B deductible. In 2023, that deductible is $226.

How can my Plan G premium be reduced?

If you would like to enroll in Plan G, but the premiums are more than you’d like to spend, the high-deductible Plan G may be a great option. This plan offers the same coverage, but does have a higher deductible that plan members must meet before the coverage begins. The premium is less than those seen in the original Plan G.

Medigap Plan G Rate Increases

Medigap plans often increase each year, but the increase will depend on which pricing method your insurance carrier uses. Generally speaking, the premium usually increases with age. In the last five years, Plan G rate increases have averaged between 2% and 6%.

When first enrolling in a Medigap plan, it’s important to look at the history of rate increases with each carrier. One insurance company might be offering a lower rate now, but if they have a history of increasing their rates at rapid speed, they may quickly become more expensive than other carriers. Our agents will look at the history of rate increase with any of the insurance companies we recommend. It’s just another part of our service that we offer completely free of charge.

Plan G is Standardized Coverage

All Medigap plans are standardized by the federal government. Standardization means that no matter where you purchase a particular Medigap plan – no matter in which state or with which insurance carrier – it will be the exact same. The only thing that may be different is the premium.

Is Medigap Plan G being discontinued?

No, Plan G is not being discontinued. Plan F was recently made not available to Medicare beneficiaries who turn 65 after January 1, 2020, but this does not impact Plan G.

Differences Between Plan F and Plan G

Plans F and G are very similar in coverage. The only difference between the two is that Plan F pays the Medicare Part B deductible. However, since Plan G has lower premiums, it may actually cost less to have Plan G, even if the member does have to pay the Part B deductible. Of course, we’ve also mentioned that Plan F is only available to those who turned 65 before January 1, 2020.

How to Compare

MEDIGAP PLAN G RATES

There is a lot of information about each plan online, but to get an accurate quote, you’ll need to enlist the help of a licensed Medicare agent. Instead of calling each insurance carrier to get a quote, we can compare premiums across many different carriers, ensuring that you enroll with one that gives you the best rate.

We’ll need to collect some information from you in order to provide quotes since your premium is based on your information and health history, but our services come at no additional cost to you! If you choose to enroll in a Medigap plan through our agency, we also offer unlimited support. If you have problems with your coverage or have questions about how your plan works, we will be here to help.

TALK WITH AN ADVISOR

QUESTIONS TO BE ADVISED ON:

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“Part G” is incorrect terminology. If you hear “Part G,” they are likely referring to Plan G instead. The only parts in Medicare are Parts A, B, C, and D.
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Plan G does not include routine eye exams or coverage for eyeglasses or contact lenses. Medigap plan holders should consider enrolling in a separate Dental, Vision, Hearing (DVH) plan.
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Plan G will cover some medications that are administered while under inpatient and that are also covered under Medicare Part B. For any other prescription medications, individuals will need to enroll in a stand-alone Part D prescription drug plan.
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Yes, you may enroll in a Medigap plan at any point in the year. If you missed your open enrollment window, you will have to answer questions about your health history and be approved for coverage.

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If you are still in your open enrollment period or have been granted guaranteed issue rights for some other circumstance, Plan G is available to you.
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Plan F does offer more comprehensive coverage than Plan G since it pays for the Part B deductible. However, Plan F is not available to anyone who turns 65 after January 1, 2020 and has a higher premium than Plan G. Individuals who are eligible for both will have to compare the coverage that is offered to the current premiums.
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Plan N requires its members to pay the copays for Medicare Part B. It also does not cover the Part B excess charges. Plan G covers both of these things. One thing to consider is if you live in a state that does not allow Part B excess charges. If that’s the case, having that as a benefit is not necessary.

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As with most things in Medicare, there is not often one right answer that applies to everyone. The answer will depend on many factors, as well as individual preferences in coverage. If you want more freedom to choose doctors, Plan G is the better choice. If having a low premium is most important to you, then a Medicare Advantage plan may be the better option.

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Generally speaking, yes, the premiums for Plan G will be cheaper than the premiums for Plan F. Individuals considering one of these two plans should take into consideration the difference between the premiums and the cost of the Part B deductible.

At California Medicare Agency, we specialize exclusively in Medicare. With an average of 10 years of experience, our brokers focus on educating you first so your decision can be an informed one. 

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We are not connected with or endorsed by the United States government or the federal Medicare program. We do not offer every plan available in your area, and any information we provide is limited to those plans we do offer in your area. Please get in touch with Medicare.gov or 1-800-MEDICARE to get information on all your options. Health Insurance sold on www.californiamedicareagency.com is processed through the licensed entity: Connor Cunningham Agency, Inc. 2023 All rights Reserved.

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