What is Medicare Supplement Plan G?
Medicare supplement Plan G is a comprehensive health plan that covers:
- Part A coinsurance and hospital costs
- Part B copays and insurance
- First three pints of blood
- Part A hospice
- Skilled nursing facilities
- Part A deductible
- Part B excess charges
- 80% of foreign travel emergencies
Part G does not cover Part B deductibles.
How Much Does Medicare Supplement Plan G Cost?
All Medicare supplement plans require you to pay a monthly premium. Premiums are set by each state and each insurance provider. Because Medicare supplement plans are offered through private insurance companies, the companies will set their own premiums, so they will vary.
According to the Centers for Medicaid and Medicare’s Guide to Health Insurance, in general, you will get the best price for Medicare supplemental insurance if you purchase a plan as soon as you are eligible for Medicare and enrolled in Parts A and B. Supplement Open Enrollment starts on the first day of the month that you turn 65 and are enrolled in both Parts A and B and lasts for six months.
This is an ideal time to apply for a Medicare supplement plan because during that Open Enrollment period, an insurance company is not allowed to use medical underwriting to decide whether to accept your application. This means that the insurance company can’t take certain actions based on any of your existing health conditions, including:
- Not sell you a policy
- Upcharge you for a Medigap policy as compared to someone else without your health conditions
- Make you wait for coverage, aside from a few exceptions
Some states also offer a high-deductible version of Plan G. If you choose a high-deductible Plan G, you will pay the full amount of any Medicare-covered costs, including coinsurance, copayments and deductibles, up to the set deductible amount for that year. In 2021, the deductible amount for Plan G is $2,370.
Who Qualifies for Medicare Supplement Plan G?
Anyone who is eligible for Medicare and enrolled in Part A and Part B is also eligible to purchase Medicare supplement Plan G. If you were eligible for Medicare before January 1, 2020, you may also be eligible to purchase Plan F, which offers the same level of coverage as Plan G plus Part B deductible coverage.
How is Medicare Supplement Part G different from Part F and Other Supplement Plans?
Medicare supplement plans G and F are virtually identical, aside from the fact that Plan F covers a Part B deductible. Part F is also only available to those who were eligible for Medicare before January 1, 2020 or who had already enrolled in the plan before that date. Part G can be purchased by anyone who became eligible for Medicare after January 1, 2020.
To see how Plan G stacks up against the other available Medicare supplement insurance plans, you can utilize the plan chart offered directly through Medicare to see the full list of benefits covered by each plan:
|Medigap Benefits||Medigap Plans|
|Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up||Yes||Yes||Yes||Yes||Yes||Yes||Yes||Yes||Yes||Yes|
|Part B coinsurance or copayment||Yes||Yes||Yes||Yes||Yes||Yes||50%||75%||Yes||Yes|
|Blood (first 3 pints)||Yes||Yes||Yes||Yes||Yes||Yes||50%||75%||Yes||Yes|
|Part A hospice care coinsurance or copayment||Yes||Yes||Yes||Yes||Yes||Yes||50%||75%||Yes||Yes|
|Skilled nursing facility care coinsurance||No||No||Yes||Yes||Yes||Yes||50%||75%||Yes||Yes|
|Part A deductible||No||Yes||Yes||Yes||Yes||Yes||50%||75%||50%||Yes|
|Part B deductible||No||No||Yes||No||Yes||No||No||No||No||No|
|Part B excess charge||No||No||No||No||Yes||Yes||No||No||No||No|
|Foreign travel exchange (up to plan limits)||No||No||80%||80%||80%||80%||No||No||80%||80%|
|Out-of-pocket limit||N/A||N/A||N/A||N/A||N/A||N/A||$5,880 in 2020 ($6,220 in 2021)||$2,940 in 2020 ($3,110 in 2021)||N/A||N/A|
Learn More From Our Sources
- Medicare.gov | Find a Medigap policy that works for you Last accessed May 2021
- Medicare.gov | How to compare Medigap policies Last accessed May 2021
- Centers for Medicaid and Medicare | 2020 Guide to Health Insurance Last accessed May 2021
- Centers for Medicaid and Medicare | What’s MACRA? Last accessed May 2021