What is the difference between F and G on Medicare?

Asked by: Wilhelm Harber  |  Last update: October 7, 2023
Score: 4.7/5 (22 votes)

With Plan F, the Medicare Supplement plan pays for the Part B deductible. Under Plan G, you are responsible for the Part B deductible only. Otherwise, all Part A deductibles, copays, and coinsurance are covered.

Is Medicare Part F better than Part G?

Plan F offers the most coverage, but it's not available to everyone. Plan G covers nearly as much as Plan F — and it's available for any Medicare member.

How does Medicare Plan G differ from Plan F?

With Plan F, you have no out of pocket costs, no co-pays or deductibles to pay. Plan G is almost identical to Plan F, with only one exception. That exception is that Plan G does not cover the Medicare Part B deductible. For 2022, the Medicare Part B deductible is $233/year.

Is Plan F better than G?

As mentioned earlier, the only difference between a Medicare supplement Plan F and a Plan G is that with Medicare G, the beneficiary must pay the annual Medicare Part B deductible if billed. The annual Part B deductible for 2023 is just $226.

What does Medicare Plan F mean?

With Medicare Supplement Plan F, you get the most complete coverage available. First, it includes all the benefits of Medicare Supplement Plans A, B and C. In addition, Plan F provides coverage for skilled nursing facility care, Medicare Part A and B deductibles, and international travel medical emergency help.

Medicare Supplement Plan F vs Plan G

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What is Medicare Plan G?

What does Medicare Supplement Plan G cover? 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.

What is the advantage of Medicare Plan F?

Medigap Plan F is a Medicare Supplement Insurance plan that's offered by private companies. It covers "gaps" in Original Medicare coverage, such as copayments, coinsurance and deductibles. Plan F offers the most coverage of any Medigap plan, but unless you were eligible for Medicare by Dec.

Why should I switch from Plan F to Plan G?

Switching from Plan F to Plan G can be a beneficial move. By switching to Plan G, you may save money on premiums since it is usually less expensive than Plan F. Ultimately, it comes down to what you require and your financial situation.

Why switch 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.

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.

Can I move from Plan F to Plan G?

Whether you want to switch from Medigap Plan F to Plan G, you want to work with a different insurance company, or you want to get a better-priced Medicare Supplement plan, you can do so at any time by submitting a new application.

Does Plan G have an out-of-pocket maximum?

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 deductible for Plan F in 2023?

Effective January 1, 2023, the annual deductible amount for these three plans is $2,700. The deductible amount for the high deductible version of plans G, F and J represents the annual out-of-pocket expenses (excluding premiums) that a beneficiary must pay before these policies begin paying benefits.

Is Medicare Part G expensive?

Best Medicare Supplement plan for new enrollees: Plan G

After you pay this, Plan G will begin to pay for services such as doctor visits, blood tests or outpatient medical treatment. Plan G is the most popular Medicare Supplement plan for new enrollees. However, rates can be expensive, averaging $145 per month.

Is Medicare Part F going away?

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. Your new go-to plan is Plan G. So, Plan F is being phased out, but clients often ask us, "why?"

Why was Medigap plan F discontinued?

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.

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 Medicare going up in 2023?

For 2023, the Part A deductible will be $1,600 per stay, an increase of $44 from 2022. For those people who have not worked long enough to qualify for premium-free Part A, the monthly premium will also rise. The full Part A premium will be $506 a month in 2023, a $7 increase.

Why do I need Plan G?

Benefits Of Plan G. 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. Plan G covers Skilled Nursing and rehab facility stays and also Hospice care. You also won't have to worry about any balance billing, known as excess charges.

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.

Can you switch from Plan F to G without underwriting?

As a short answer, yes. You can switch, but you'll need to pass the underwriting process to qualify. Underwriting involves looking at your medical history to review your eligibility for joining Plan G. Plan G might not cover you for certain pre-existing medical conditions.

Do all Plan G cost 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.

Does Medicare F cover prescriptions?

No, Medicare Supplement Plan F does not cover prescriptions. You will need to purchase a separate prescription drug plan to cover your prescription costs. Supplemental insurance for prescription drugs is available through private insurers.

Does Medicare plan F cover cataract surgery?

Generally speaking, if you are enrolled in Original Medicare or a private Medicare insurance plan, you have coverage for cataract surgery. It's always best to research and have an open conversation with your medical provider about any additional charges before the procedure is done.

Which is better Medicare Part C or F?

Of the 10 Medigap plans, C and F currently pay that deductible, which is $233 for 2022. The difference between plans C and F is that C does not cover the 15 percent in excess charges that doctors who don't participate in Medicare are allowed to charge their patients; Plan F does.