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Medicare Supplement Insurance Plan G

Medicare Supplement Insurance Plan G is among the most comprehensive Medigap plans available in most states. Medicare Supplement Insurance works alongside Original Medicare (Part A and Part B) to cover some of the program’s out-of-pocket costs such as deductibles, coinsurance and copayments.

Medicare Supplement Insurance Plan G coverage includes eight of the nine available Medigap benefits.

Medicare Supplement Plan G Benefits

Medigap Plan G insurance basic benefits include:

  • Medicare Part A hospital coinsurance and hospital costs (up to 365 days after Original Medicare benefits are used up). Part A coinsurance amounts can range from $0 to up to $682 per day in 2019, depending on the length of your hospital stay. 
  • Medicare Part B coinsurance or copayment (20% of Medicare approved charges)
  • First three pints of blood
  • Medicare Part A hospice care coinsurance or copayment. Copayment amounts for prescription drugs and other products related to pain relief or symptom control are generally no more than $5. Respite care typically requires a coinsurance payment of 5 percent. 
  • Medicare Part A deductible. In 2019, the Part A deductible was $1,364 for each benefit period. 
  • Medicare Part B excess charges. Health care providers that do not accept Medicare assignment may charge up to 15 percent more for products and services. 
  • Skilled nursing facility (SNF) care coinsurance coverage. Part A coinsurance may cost up to $170.50 per day during each benefit period in 2019. 
  • Foreign travel emergency coverage (80%, up to plan limits)

Comparing Plans

To see how Medigap Plan G benefits compare to those of other Medigap plans, refer to the chart below.

Medicare Supplement Benefits A B C D F1 G K2 L3 M N4
Part A co-insurance and hospital costs
Part B co-insurance or co-payment 50% 75%
First 3 pints of blood 50% 75%
Part A hospice care co-insurance or co-payment 50% 75%
Co-insurance for skilled nursing facility     50% 75%
Medicare Part A deductible   50% 75% 50%
Medicare Part B deductible              
Medicare Part B excess charges              
Foreign travel emergency     80% 80% 80% 80%     80% 80%
1. Plan F offers a high-deductible plan. This plan requires you to pay a $2,300 deductible in 2019 before it covers anything. 2. Plan K has an out-of-pocket yearly limit of $5,560 in 2019. After you pay the out-of-pocket yearly limit and yearly Part B deductible, it pays 100% of covered services for the rest of the calendar year. 3. Plan L has an out-of-pocket yearly limit of $2,780 in 2019. After you pay the out-of-pocket yearly limit and yearly Part B deductible, it pays 100% of covered services for the rest of the calendar year. 4. Plan N pays 100% of the Part B coinsurance, except for a copayment of up to $20 for some office visits and up to a $50 copayment for emergency room visits that don’t result in an inpatient admission.

Medicare Part B Deductible

Medicare Part B covers a range of medical services (both preventative and diagnostic). However, before your coverage kicks in, you must satisfy your Medicare Part B deductible. In 2019, the Medicare Part B deductible is $185 per year.

Beneficiaries with Medigap Plan G have to pay this cost out of pocket, but in exchange, Medigap Plan G premium rates are usually lower than the more comprehensive Medigap Plan F, which does cover the Part B deductible.

Changes are Coming in 2020

As a result of Section 401 of the Medicare Access and CHIP Reauthorization Act (MACRA), supplement plans that cover the Medicare Part B deductible will be phased out Jan. 1, 2020. The two Medigap plans affected by this are Plan F and Plan C.

People who already have these types of policies will be exempt, but if you become eligible for Medicare on or after Jan. 1, 2020, Medigap Plan C and Medigap Plan F will no longer be options.

If you become eligible for Medicare prior to Jan. 1, 2020 and don’t already have Plan C or Plan F, you may be able to buy either of them if they are available where you live.

Enrolling In Medigap Plan G

To find out more about Medicare Supplement Insurance plan benefits, speak with a licensed agent. We’ll help you assess your personal health needs and budget, and determine whether Medicare Supplement Insurance Plan G is the right Medigap plan for you.

Speak with a licensed agent to compare Medigap plan options by calling 888-264-0148.

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