Know Your Medicare Plan G

If you just have Original Medicare, you may discover that Parts A and B don’t cover all you need. Original Medicare has gaps in coverage for prescription medicines, outpatient care, and emergency room visits. Many individuals acquire Medicare Supplement Insurance, often known as Medigap, to cover these service gaps.

It helps fill up most of these gaps. While Medicare Plan G does have some out-of-pocket charges, its comprehensive nature gives policyholders peace of mind.

What Is Medigap G?

The Medigap Plan G enrollment rate increased 39% from 2017 to 2018. Plan G is popular because it offers wide coverage at a low cost. Plan G is presently the most comprehensive Medicare supplement coverage for new Medicare beneficiaries after Medigap Plan F was phased out for new participants in January 2020.

Plan G is comparable to Plan F. But Plan G doesn’t cover the $203 Medicare Part B deductible in 2021. Plan G covers all Medicare Part A and B authorized charges, including outpatient treatment, emergency department visits, and specialist visits. Plan G additionally includes up to $50,000 in overseas travel emergency coverage.

Also, Medigap insurance does not cover prescription medicines. Enroll in a Medicare Part D plan for prescription medication coverage.

Is This Coverage Expensive?

This depends on the Medigap Plan G coverage you choose. Plan G comes in two flavors, with varying out-of-pocket payments.

1. “Standard” Plan G: Your sole out-of-pocket expense is your Part B deductible. The Plan G supplement will pay the remaining 20% once you’ve paid your Part B deductible.

Deductible Plan G: Some consumers like the extensive coverage of Plan G but dislike the higher premiums associated with low-cost Medigap plans like F, G, or N. If so, you may enroll in Plan G with a high deductible. This plan offers cheaper monthly rates in return for a $2,370 deductible. After you pay your deductible, you won’t have to pay anything for Medicare-approved services.

Medigap Plan G Premiums:

Although not an out-of-pocket expense, a plan’s premium is a vital consideration. Costs for Plan G — or any Medigap plan, for that matter — vary substantially based on a variety of criteria. Aside from age, gender, and cigarette usage, the most important cost factor is geography. Use the Medigap insurance tool to learn more about local Medigap rates.

While monthly rates vary widely, there are three primary ways insurers determine them:

Insurers can’t modify rates within a geographic region based on age, gender, health condition, or other criteria.

Your premium will not increase as you age. Issue-age policies do grow with time, but not based on “age”. can cost higher than attained-age-rated plans.

• Attained-Age Rated: Premiums are determined by your age when you buy the insurance, and they increase with age.

In summary, most states do not need a specific demographic rating, but a handful does. In my experience, the best plan for these characteristics is the most prevalent in the state where you’re enrolling. In most states, that’s a law.

These plans are standard. The cost maybe the only difference, Medicare Plan G is the same in San Francisco and Tupelo, Mississippi.

This also applies to high-deductible plans. The coverage of high-deductible and regular plans is the same.