What is a Plan G?

Asked by: Mr. Lambert Rowe  |  Last update: December 5, 2023
Score: 4.8/5 (54 votes)

Plan G is a supplemental policy, meaning it's not your primary coverage, but it fills many of the gaps in a Medicare policy. Part A or Part B benefits pay for health services you may need. Once Medicare pays its share, Plan G pays for most remaining costs.

What does Plan G not cover?

What does Medicare Part G not cover? Medicare Part G does not cover the deductible for Part B. It also does not cover dental, vision, hearing, skilled nursing facility care, private-duty nursing, or prescriptions.

What is the difference between Plan B and Plan G?

Medicare Supplement Plan B vs Plan G

Unlike Plan B, Medicare Plan G covers Medicare Part B excess charges, skilled nursing facility coinsurance, and foreign travel emergencies. These benefits are not available under Medigap Plan B.

What is Medicare Plan G about?

Plan G includes all the benefits of Medicare Supplement Plans A, B and C with the exception of the Medicare Part B deductible. It's a good fit for people who want some coverage for hospitalization, but are willing to pay the Medicare Part B deductible on their own. A high-deductible Plan G is also available.

What is the advantage of Plan G?

Plan G covers everything that Medicare Part A and B cover at 100% except for the Part B deductible. This means that you won't pay anything out-of-pocket for covered services and treatments after you pay the deductible.

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

36 related questions found

Does Medicare Plan G have a maximum out of pocket?

No out-of-pocket limit

Original Medicare doesn't have an out-of-pocket limit. Similarly, Plan G has no out-of-pocket limit to protect you from spending too much on covered health care in a year. If you are interested in an out-of-pocket limit, consider Plan K or Plan L. Plan G is most similar in coverage to Plan F.

What is the difference between Medicare plan and G?

Once Medicare pays its share, Plan G pays for most remaining costs. Plan G also covers some of the expenses related to your Medicare policy. For example, Medicare Part A has a deductible of $1,600 for 2023. If you don't have Plan G, you pay that deductible out of pocket.

Should I change from Plan F to Plan G?

Two Reasons to switch from Plan F to G

You can often save $50 a month moving from F to G. Even though you will have to pay the one time $226 for the Part B deductible on Medigap G, the monthly savings will be worth it in the long run. 2) Plan G will be a better deal in the future.

What is Plan G deductible for 2023?

What is the Plan G deductible in 2023? $226 – the annual Part B deductible in 2023 is what you will pay for your Plan G deductible. However, Plan G does not have its own deductible separate from the Part B deductible. There is also a High Deductible Plan G which has a deductible of $2,700 in 2023.

Is Plan G better than Plan C?

For example, if you want coverage for the Part B deductible, the best Medicare supplement policy would be Plan C. However, if you want to cover Part B excess charges, then Plan G would be the best purchase.

When should I take Plan G?

Buy Medigap Plan G during Medigap open enrollment

The best time to buy your Medigap Plan G policy is during the six-month Medigap open enrollment period. This period happens only once. It starts once you're 65 and enrolled in Medicare Part B, and lasts for six months.

Why is Plan F more expensive than Plan G?

The difference between F and G is the cost of Part B deductible. Plan G doesn't cover the Part B deductible (In 2023, it is $226.) After the deductible is met, Plan G benefits are exactly the same as Plan F. Plan F benefits include coverage for all copays, deductibles and coinsurance.

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 Plan G guaranteed issue?

For most of the events, you are only guaranteed the right to buy plans A, B, D, G (including G with a high deductible), K, L, M or N.

Does Plan G cover diabetic supplies?

Plan G helps cover all of your major inpatient hospital costs, such as blood transfusions, skilled nursing, and hospice care. Plus, it covers your outpatient medical services, including doctor visits, lab work, x-rays, ambulance, surgeries, diabetic supplies, durable medical equipment.

Why are they getting rid of Plan F?

Plan F is no longer available to those who are new to Medicare as of January 1, 2020. If you were eligible for Medicare before January 1, 2020, you can still enroll in Plan F. Plan F is being phased out because they didn't want physicians to leave the Medicare program.

Is Medicare getting rid of Plan F?

In case you missed the news, Medicare Supplement Plan F is being phased out starting January 1, 2020. If you currently have a Plan F, don't panic. You can keep your plan as long as you want. However, if you become eligible for Medicare after January 1, 2020, you can't purchase a Plan F.

Why is Plan F being eliminated?

So, why is Plan F going away? Medicare Supplement Plan F is being phased out as a result of “The Medicare Access and CHIP Reauthorization Act of 2015”, also known as MACRA. As a result of MACRA, anybody who becomes eligible for Medicare in 2020 will not be able to purchase Plan F.

Does Medicare Part G include vision?

The 10 standardized Medigap plans that are sold in most states provide up to nine different benefits, but do not include dental and vision coverage. Medigap policies help cover some of the out-of-pocket costs tied to Original Medicare, such as deductibles, copayments and coinsurance.

Does AARP Plan G cover drugs?

Unfortunately, Medigap plans, including Plan G, do not cover the cost of prescription medications.

Are all Plan G plans the same?

Further, because the federal government standardizes Medicare Supplement plans, Medigap Plan G provides the same benefits regardless of the carrier. However, monthly premium rates vary by state and carrier.

What is the Medicare deductible for 2023?

In 2023, the Medicare Part A deductible is $1,600 per benefit period and the Part B annual deductible is $226. The Centers for Medicare & Medicaid Services (CMS) releases new premiums, deductibles and coinsurance amounts for Part A, Part B and the Medicare Part D income-related monthly adjustment amounts every fall.

What is the difference between Medicare Part D and Medicare Part G?

Medicare Supplement Plan D

This plan covers everything that Plan C does, except for that Part B deductible. The only difference between Plan D and Plan G is that Part B excess charge coverage. So if you're deciding between the two, your decision will likely depend on how important that excess charge coverage is to you.

How much is Medicare Part B?

Most people pay the standard Part B monthly premium amount ($164.90 in 2023). Social Security will tell you the exact amount you'll pay for Part B in 2023. You pay the standard premium amount if you: Enroll in Part B for the first time in 2023.