What's the difference between Plan F and Plan G?

Asked by: Saige Becker  |  Last update: September 13, 2023
Score: 4.3/5 (14 votes)

The major difference between these two plans is that Plan F covers the annual Medicare Part B deductible while Plan G does not. Even with the increasing cost of Original Medicare Part B deductible over time, it may make sense financially to opt for Plan G since it usually has a lower monthly premium than Plan F.

Is Plan F better than G?

When Plan F makes sense. The $226 Medicare Part B deductible divided over 12 months is about $18.83 per month. In 2023, if Plan F costs less than $18.83 per month more than Plan G, it could save you money.

What is the difference between Part F and Part G Medicare Supplement?

The main difference between the two plans is how Plan G interacts with the Part B deductible. 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.

Does Plan G replace Plan F?

Available plan options may differ depending by carrier. You will still be able to choose from other Medicare supplement plan options, except for those that cover the Medicare Part B deductible ($233 in 2022). Plan D and Plan G have replaced Plan C and Plan F as guaranteed-issue plans.

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.

Medicare Supplement Plan F vs Plan G

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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.

Does Plan G cover 100%?

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.

Why is Plan F no longer available?

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.

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.

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.

Can I switch from Medicare Plan F to Plan G?

Switching from Plan F to Plan G

If you enrolled in Plan F before 2020, you can continue your plan or switch to another Medigap plan, such as Plan G, if you prefer. You may want to make the change to reduce the price of your health insurance.

What does Plan F cover?

According to Medicare.gov, Plan F covers: Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up. Part A deductible. Part A hospice care coinsurance or copayment.

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.

Which is better Plan C or Plan F?

Medigap Plan C

It is very similar to Plan F, having only one benefit difference from Plan F benefits. Keep in mind that Plan F is the most common and comprehensive plan – it pays everything that Medicare doesn't cover at the doctor/hospital. Plan C does the same with the exception of the Medicare Part B Excess charges.

What are the 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.

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.

Does Plan F cover medication?

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.

What is 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.

Do they still sell Plan F?

Is Medicare Supplement Plan F being discontinued? Yes. Medicare Supplement insurance plans that pay the Medicare Part B deductible are not available to you if you became eligible for Medicare on January 1, 2020 or later. This change is part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

When did Plan F end?

In 2014, Congress passed legislation that included a prohibition against “first-dollar” Medigap coverage (i.e. Plan F). This took effect in 2020. As of 1/1/2020, plans that covered “everything” Medicare does not cover, including Plans F and C, were eliminated to NEW enrollees.

When did Plan F go away?

What Happens When Medigap Plan F Goes Away in 2020? The Medicare Access and CHIP Reauthorization Act of 2015 states that, after January 1, 2020, insurance companies can no longer offer any new Medigap plan that covers the Original Medicare Part B deductible.

What is the deductible for a Plan G?

Medicare Supplement Plan G doesn't have a deductible and covers the beneficiary's Medicare cost-sharing. You must pay the Medicare Part B deductible of $226 before Plan G covers the remaining costs. Remember the Part B deductible can vary from year to year.

What is the high deductible for Plan G?

High deductible Plan G has a deductible of $2700 (for 2023 – this deductible changes each year). What this means is that, when you use medical services, Medicare will pay their 80%, and you will be responsible for the other 20% until you meet the $2700 deductible.

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.