What does Plan G offer?

Asked by: Della Zulauf  |  Last update: May 7, 2025
Score: 4.8/5 (55 votes)

Plan G covers 100% of the Medicare Part A and Part B co-pays and coinsurance, those gaps and holes that Medicare doesn't cover.

What exactly does Plan G cover?

– Plan G covers everything that Medicare Part A and B cover at 100% except for the Part B deductible. – Premium costs vary widely, depending on where you live. In many states, costs also vary based on your gender and whether you smoke or vape. – If you qualify for Original Medicare, you may be able to enroll in Plan G.

What is covered under Plan G?

Although insurance companies may offer additional benefits in different states, Medigap Plan G must cover standard medical expenses, including: Part A hospital and coinsurance costs up to an additional 365 days after the end of Medicare benefits. Part A hospice coinsurance or copayments. Part A deductible.

What is the disadvantage of Plan G?

Medicare Plan G does not cover dental, vision, or prescriptions. Medicare Plan G does not cover the Part B deductible or any service that Medicare does not cover. Medicare Plan G does not cover dental, vision, or prescriptions.

Does Medicare Plan G pay for eye exams?

Plan G Extra includes all the benefits of Plan G, plus these additional benefits: Vision benefits, including coverage for the cost of eye exams, frames, and eyeglass or contact lenses provided by Vision Service Plan (VSP) that are not traditionally covered by Original Medicare.

Is Plan G The Best Medicare Supplement Plan? The Pros and Cons of Plan G

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Does Medicare Plan G cover dental and vision?

As we said before, Medigap does not cover dental, vision, and hearing benefits but some insurance providers can offer them separately. Insurance companies may offer “stand-alone” dental and vision insurance plans that can be purchased in addition to your Medigap policy.

Why is a plan G better than an advantage plan?

FREEDOM 3: With a Medicare Supplement Plan G, no specialist referral is needed. One can go directly to see a specialist without a referral. With a Medicare Advantage HMO plan, a referral is usually required before seeing a medical specialist. (With a Medicare Advantage PPO plan, a referral is not usually required.)

How much is Plan G per month?

On average, most Medicare Plan G premiums will be between $100-$200 per month. Medigap policies may set prices in three ways: Community-rated. Everyone who purchases this plan will pay the same monthly premium.

Why are people leaving Medicare Advantage plans?

Key takeaways: People leave Medicare Advantage plans because out-of-pocket costs vary between plans, network restrictions can cause frustration, prior authorization requests can delay care, and it can be difficult to use the additional benefits they provide.

What is the best medicare plan that covers everything for seniors?

Original Medicare with Medigap likely offers the most comprehensive coverage, but it may also be the most costly. A person can consider their income and how much they are able to spend before choosing a Medicare plan. Original Medicare with Medigap also offers a lot of flexibility when choosing a doctor or specialist.

Does Plan G cover surgery?

Medical Expenses

Includes expenses in or out of the hospital and outpatient hospital treatment, such as physician's services, inpatient and outpatient medical and surgical services and supplies, physical and speech therapy, diagnostic tests, and durable medical equipment.

What is the best insurance company for Medigap Plan G?

"NerdWallet's top picks for Medigap Plan G in 2025 include AARP/UnitedHealthcare, Mutual of Omaha, Anthem and Blue Cross Blue Shield. Those companies stood out from a field of 15 after we analyzed factors including premiums, discounts, complaint rates, extra perks, online quote availability and more."

Does Plan G cover colonoscopy?

However, if you have a comprehensive Medigap plan, such as Plan G, you wouldn't have to worry about your Part B coinsurance or Part B excess charges as Medigap Plan G covers both costs. Instead, your colonoscopy would be 100% covered regardless of the type of doctor you see.

Is Medicare Plan G accepted everywhere?

No, not all doctors will accept your Medicare supplement Plan G. However, if your doctor accepts Medicare assignment, meaning they work with Original Medicare (Parts A and B), they will also accept your Medigap insurance.

Why is Plan G cheaper than Plan F?

Plan G covers nearly as much as Plan F — and it's available for any Medicare member. Both Plans F and G also offer a high-deductible Medigap plan in some states. Because Plan F covers more than Plan G, it also costs more.

Why are seniors losing their Medicare Advantage plans?

Health systems and hospitals are also making the decision to cancel contracts due to excessive prior authorization denial rates and slow payments from insurers. Already 27 health systems have canceled their Medicare Advantage contracts this year.

What are the top 5 medicare supplement plans?

💬 From our Nerds: What are the top five Medicare supplement plans? "Based on NerdWallet's Medigap rubric, I picked five best Medicare Supplement Insurance companies for 2025: AARP/UnitedHealthcare, Mutual of Omaha, State Farm, Anthem and Blue Cross Blue Shield.

Can I drop my medicare advantage plan and go back to original Medicare?

Medicare Advantage Open Enrollment Period: Between January 1 and March 31 of each year, if you already have a Medicare Advantage Plan (with or without drug coverage) you can: Switch to another Medicare Advantage Plan (with or without drug coverage). Drop your Medicare Advantage Plan and return to Original Medicare.

What does Plan G not cover?

High deductible plan G does not cover the Medicare Part B deductible. However, high deductible F and G count your payment of the Medicare Part B deductible toward meeting the plan deductible. 2Plans K and L pay 100% of covered services for the rest of the calendar year once you meet the out-of-pocket yearly limit.

Does everyone have to pay $170 a month for Medicare?

Most people pay no premiums for Part A. For Medicare Part B in 2025, most beneficiaries will pay $185 per month. Certain factors may require you to pay more or less than the standard Medicare Part B premium in 2025.

What are the disadvantages of Medicare Part G for seniors?

Key Takeaways:

Medicare Supplement Plan G does have higher premiums than some Medicare Advantage plans and some of the other Medicare Supplement plans. Medicare Supplement Plan G doesn't provide prescription drug coverage or extra benefits that often come with Medicare Advantage plans.

Why do doctors not like Medicare Advantage plans?

Across the country, provider grumbling about claim denials and onerous preapproval requirements by Advantage plans is crescendoing. Some hospitals and physician practices are so fed up they're refusing to accept the plans — even big ones like those offered by UnitedHealthcare and Humana.

Does Plan G cover dental?

Plan G doesn't cover routine dental care. This means you'll either have to enroll in a stand-alone dental plan, pay for your dental visits out of pocket, or choose to enroll in a Medicare Advantage plan that may include your Part A, Part B, and additional benefits, such as dental care.