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New in 2020: High-Deductible Medicare Supplement Plan G

Medicare Supplement Insurance high-deductible Plan G is a new Medigap plan being offered in most states in 2020.

There is already a standard Medigap Plan G. The new high-deductible Plan G option offers the coverage benefits of Plan G with lower monthly premiums in exchange for the higher deductible.

 

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Who Can Sign Up for High-Deductible Medigap Plan G?

The new high-deductible Plan G will be available to both current and newly-eligible Medicare beneficiaries beginning in 2020. If you become eligible for Medicare before January 1, 2020, or after, you will be eligible to apply for for high-deductible Plan G.

In order to apply for high-deductible Medicare Supplement Plan G, you must be enrolled in both Medicare Part A and Part B and live in an area that is serviced by a high-deductible Plan G option. 

How Does High-Deductible Plan G Work? 

High-deductible Medigap Plan G will offer the same benefits as standard Medigap Plan G, except the plan won’t pay its share of covered costs until you meet annual deductible amount.

Once you spend a certain amount in qualified out-of-pocket Medicare expenses, you will meet your deductible and your Plan G benefits will kick in. 

The deductible amount for Plan G in 2020 has not yet been announced. It will likely be announced sometime during or before December 2019. 

The Plan G deductible amount may be similar to that of high-deductible Plan F, which is $2,300 per year in 2019. The Plan G deductible, like that of Plan F, will be standardized by the federal government and will be consistent no matter where the policy is sold or by whom. 

What Does Medigap High-Deductible Plan G Cover?

High-deductible Medigap Plan G will provide all of the same benefits as standard Plan G, which include:

Plan G Benefits

Standard Medicare Supplement Insurance benefits

Plan G

Medicare Part A coinsurance and hospital costs

Medicare Part B coinsurance or copayment

First 3 pints of blood

Part A hospice care coinsurance or copayment

Coinsurance for skilled nursing facility

Medicare Part A deductible

Medicare Part B deductible

 

Medicare Part B excess charges

Foreign travel emergency

80%

Medicare Part A Coinsurance

Medicare Part A is known as hospital insurance, and it includes cost-sharing measures like coinsurance. Inpatient hospital stays covered by Medicare Part A require coinsurance fees if they exceed 60 days.

Medigap Plan G pays for all of these coinsurance fees after you meet your deductible.

Medicare Part B Coinsurance and Copayment

Medicare Part B usually charges a coinsurance and copayments for doctor visits and other outpatient care. Medicare Part B typically pays for 80% of the Medicare-approved amount for covered services, leaving a 20% coinsurance in most cases.

After you meet your deductible, Plan G pays the 20% coinsurance or copayment costs.

First 3 Pints of Blood

Original Medicare only covers the fourth pint of blood and beyond. If you need blood while in the hospital, Medigap Plan G covers the cost of the first 3 pints after you meet your deductible.

Part A Hospice Care Coinsurance or Copayment

Hospice care provides medical treatment and care during a terminal illness. Medicare covers these services, but it requires copayments. These copayments include $5 for each symptom and pain relief prescription drugs and 5% of the Medicare-approved amount for inpatient respite care.

Plan G covers these costs completely once you meet your deductible.

Coinsurance for Skilled Nursing Facility

You have to pay coinsurance after you are admitted to a skilled nursing facility as an inpatient for more than 20 days.

The coinsurance charge is $170.50 per day for days 21-100 of an inpatient skilled nursing facility stay in 2019. After day 100, you are responsible for all costs.

Once you meet your deductible, Plan G fully covers your skilled nursing facility coinsurance.

Medicare Part A Deductible

Medicare Part A comes with a deductible, which is $1,364 per benefit period in 2019. Medigap Plan G will cover your deductible in full for each benefit period you require.

Medigap Plan G will cover your Part A deductible in full for each benefit period you require, once you meet your Plan G deductible.

Medicare Part B Excess Charges

Doctors can bill a procedure for up to 15% higher than what Medicare pays for it. The extra expenses are called “excess charges.”

If there are any excess charges for an approved visit, a person insured under Plan G would be fully covered after they meet their deductible.

Foreign Travel Emergency

This benefit provides coverage for medical care provided outside of the United States. Medigap Plan G pays for 80% of the billed charges after you meet your deductible for the year.

For more detailed information, read our page about Medicare Supplement Insurance benefits.

How Much Will High-Deductible Plan G Cost?

Like any Medigap plan, high-deductible Plan G premium costs will depend on the insurance carrier selling the plan, the pricing model used and where you live. 

High-deductible Plan G will likely be among the more affordable Medigap plans because it requires you to meet the deductible before any benefits kick in.

In 2018, high-deductible Plan F had the most affordable average premium of any Medigap plan option, at just $57.16 per month.1 The high deductible will likely have a similar effect on the average high-deductible Plan G premium. 

How Does High-Deductible Plan G Compare to High-Deductible Plan F?

Beginning in 2020, Plan G and Plan F will be the only two Medigap plans to offer a high-deductible option. 

The primary difference in the benefits of these two plans is that high-deductible Plan F covers the Medicare Part B deductible, while high-deductible Plan G will not. 

In 2019, the Medicare Part B deductible is $185 for the year. Although the new high-deductible Plan G will not provide coverage of the Part B deductible, the contributions you make toward the Part B deductible will also count toward your Plan G deductible. 

Why Should I Enroll in Medigap High-Deductible Plan G?

High-deductible Plan G may be a good fit for beneficiaries who want more affordable monthly premiums.

You may also consider high-deductible Plan G if plan to travel outside of the U.S. during retirement and you want some coverage for foreign travel emergency care costs when you are abroad.

What Is Happening to Plan F and Plan C in 2020?

The popular Medigap Plan F and Plan C will not be made available to anyone who becomes eligible for Medicare on or after January 1, 2020. 

Some recent legislation has made it illegal for Medigap plans to cover the Medicare Part B deductible for newly eligible Medicare beneficiaries beginning in 2020. Plan F and Plan C are the only Medigap plans that cover the Part B deductible.

Anyone who is eligible for Medicare before January 1, 2020, may sign up for Plan F (including High-Deductible Plan F) or Plan C after that date, as long as one of these plan options is available where they live.

If you are already enrolled in Plan F or Plan C before January 2020, you will be allowed to keep your coverage beyond that date. 

How Do I Enroll in High-Deductible Plan G?

High-deductible Medigap Plan G may be offered where you live in 2020. Call today to speak with a licensed insurance agent who can help you compare the Medigap plan options that are available in your area.

 

Compare Medigap plan benefits in your area.

Find a plan

Or call --ms-tfn-- to speak with a licensed insurance agent.

 

1 TZ Insurance Solutions LLC internal sales data, 2019. This data is based on the Medicare Supplement Insurance policies TZ Insurance Solutions LLC has sold. It is not a comprehensive national average of all available Medicare Supplement Insurance plan premiums.

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