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Medicare Supplement (Medigap) Plan G is the second most popular Medicare supplement (next to Plan F). A lot of you may already know of Plan F, but what is Plan G and what does it cover?
Note: Information has been updated for 2020.
Medigap Plan G coverage is very similar to Plan F. It offers great value for beneficiaries who are willing to pay a small annual deductible. After that, Plan G provides full coverage for all of the gaps in Medicare.
Medigap Plan G pays for:
As you can see below, supplement Plan G covers almost everything that F does, except for the Part B deductible:
What does Medigap Plan G pay for? Well, Plan G Medicare Supplement covers all the gaps in Medicare except for the Part B deductible. It also includes foreign travel emergency coverage.
Medicare Supplement Plan G covers your share of any medical benefit that Medicare (Government) covers, except for the outpatient deductible.
It helps to pay for inpatient hospital costs, such as blood transfusions, skilled nursing, and hospice care. It covers outpatient medical services as well like, doctor visits, lab work, diabetes supplies, durable medical equipment, x-rays, ambulance, surgeries and much more.
Medicare pays first, then Plan G pays all the rest after you pay the annual Part B deductible.
Moreover, Supplement Plan G offers up to $50,000 in foreign travel emergency benefits.
Joe saved nearly $504/year by choosing Medicare Plan G vs Plan F.
Medicare Plan G has increased its popularity for several reasons.
First, Plan G covers each of the gaps in Medicare except for the annual Part B deductible. This deductible is $198 in 2020. We can often find a supplement Plan G that saves quite a bit in premiums over Plan F, substantially more than $198. You keep the difference.
Second, it has great coverage when it comes to hospital stays, it covers all your hospital expenses. Most importantly, it pays the hospital deductible, which is $1408.
For outpatient care, Plan G covers all but the first $198 in expenses, which is the Part B deductible. You will pay that the first time you have outpatient care for that year. After that, Plan G covers all the remaining expenses. Medicare will pay 80% of your outpatient costs and your supplement will pay the other 20%.
With Medicare Supplement Plan G, you keep more of your money with you!
Jane is a diabetic who has Medicare Supplement Plan G. She sees her primary care doctor once a year, but visits her cardiologist several times a year. In January, she goes to her first doctor visit for the year. The specialist bills Medicare, which pays 80% share of the bill except for the $185 outpatient deductible, which is billed to Jane.
Her Medicare Supplement Plan G pays the rest. Jane’s coverage even provides her lancets, test strips and a new glucose meter at no charge to her. Medicare and her supplement work together to pay 100% of the costs for these diabetic supplies.
For the rest of the year, Jane will owe absolutely nothing out of pocket for covered Part A & B services. Her Medicare Plan G coverage takes care of the rest. This means she doesn’t have to worry about any more doctor co-pays. She won’t pay for lab-work or imaging. If she has a surgery, Medicare will cover 80% and his Plan G will cover 20%. This Supplement plan G in this case becomes very attractive for a lot of medicare recipients.
$185 – annual Part B deductible.
Plan G pays for your hospital deductible and all copays and coinsurance under Medicare.
NO, Medicare Supplement plans do not cover routine dental care.
NO. Plan G does not cover retail prescriptions. You would need a Part D drug plan to cover your prescriptions. Plan G however, will cover the coinsurance on any Part B medications typically drugs that are administered in a clinical setting, such as chemotherapy or injections for autoimmune diseases.
Plan F technically covers more than Plan G but the monthly cost is more. For someone who hardly uses their medical throughout the year, Plan F can cost them several thousands in a year.
Did you know that Medicare supplemental Plan G has a lower rate increase trend from year to year than Plan F? We have seen Medicare Plan G have an increase of 4.5%, sometimes less with other carriers. This is considerably lower than the rate increases from year to year than Plan F.
Note: If you are switching from a Plan F that has already paid your Part B deductible for the current year, you won’t be subject to that deductible until next year.
At Nevada Medicare we can go through our plan analysis for Medicare Supplement G policies in Nevada. We specialize in showing the potentials savings that this supplement can put back into your wallet! Contact Us today!
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