What is a Medicare Supplement Plan G
Find An Affordable Medicare Supplement Plan
Find An Affordable Medicare Supplement Plan
The Medicare Supplement Plan G is also referred to as Medigap Plan G. It is Medicare a supplemental policy that has over the years become increasingly common since it was introduced. Many experts believe that its popularity can be owed to the phasing out of the popular Medigap Plan F. Many people who would have opted for Plan F have now decided to go with Plan G.
You can compare rates for all the top Plan G providers in your area or call us anytime 844-528-8688 and we would be happy to explain the benefits of a Medigap plan G. Continue reading to find out how a Medicare Plan G will work for you.
Covered in this Article
Overview of Medigap Plans
Initially, there were 10 standardized Medicare supplement policies, i.e., A, B, C, D, F, G, K, L, M, N, designed to reduce the cost under Original Medicare, both part A and B.
The problem with Medicare is that it does not cover all treatments and services, which leaves gaps or holes that these policies are meant to fill.
Anyone who has a Medigap policy can visit any facility, doctor, or hospital that will accept Medicare in the US and its territories like the Virgin Islands and Puerto Rico.
The health care providers also need to be enrolled in the Medicare program so that they can accept new Medicare patients.
Fortunately, the vast majority of doctors and medical facilities in the US accept Original Medicare. Six of the plans also cover emergencies during foreign travel, up to $50,000-lifetime limited coverage, after the initial $250 deductible for the initial two months of travel.
What Should I Know about Plan G?
The most important thing to know is that Plan G covers everything covered in Part A and B at 100% except for the deductible associated with Part B. The costs of premiums may vary depending on where you’re located in the US. In many states, the costs will also vary based on the person’s gender and whether they vape or smoke.
Anyone who qualifies for Original Medicare can enroll in Medicare Supplement Plan G.
What Does Plan G Cover?
Plan F is generally considered to be a top-of-the-line Medigap policy. The plan covers 100% of all the gaps in Medicare. Compared to F, Plan G covers slightly less, which makes it just as good, with the exception being that it does not cover Part B deductible, which in 2022 was $233.00.
Despite having to pay the Part B deductible, many enrollees find that part G is much more cost effective than F, especially considering their premiums.
Similar to Plan F, Plan G also covers so-called Part B excess charges. Excess charges are when doctors and medical facilities that don’t accept the full Medicare-approved amount as payment can charge you 15% over the Medicare-approved amount for the services. With Medicare part G, this is covered.
While most doctors will accept the Medicare-approved payment (assignment) and will not bill you anything extra. In some states, starting the excess charges are illegal. The states include Massachusetts, Rhode Island, Vermont, Pennsylvania, Minnesota, New York, Ohio, and Rhode Island
The Cost of Plan G
The premium you end up having to pay for the Medigap supplement Plan G will vary mainly depending on where you live, if you smoke or vape, gender, etc. Ideally, you want to be healthy with no history of smoking or vaping to enjoy the lowest possible premium.
Plan G in 2020 costs $99 a month at the low end, with the highest premium amounts at slightly over $500. The figures have been sourced from the American Association for Medicare Supplement Insurance.
Comparing the Highest and Lowest monthly premiums for Plan G in leading US Metros:
• The lowest-paid $99 a month was in Dallas Texas
• The highest premium was $476 per month in New York, NY
• Highest paid was $509 a month in Philadelphia, PA
• Lowest paid $109 per month
View Plan G Quotes-
View Plan G Quotes-
How To Enroll in Medicare Supplement Plan G?
There are two ways to enroll for Medicare Supplement Plan G. The first way we go into is easy but requires that you be mindful of when enrollment opens for you.
When Enrolment Opens
The easiest and best time to enroll in Medicare supplement plan G is during the Medigap Open Enrolment Period. The period usually starts when you are 65 years old, and Part B Medicare is effective.
At this point, Medicare enrollees who are 65 and older can buy the Medigap plan at any time, but after the enrolment period, they are subject to screening and medical underwriting. However, there are a couple of advantages associated with buying a Medigap during the open enrolment period. One of the other benefits is that healthy adults will pay the same for their Plan G from the same insurance company.
Anyone under the age of 65 and currently has Medicare can apply for Medicare Supplement Plan, mainly based on where they are permanently located. There are some states that require Medigap insurance companies to sell their Medigap plans to enrollees who are under 65 years of age and on Social Security disability. Every state has its own set of rules and regulations regarding health screening, Open Enrollment for those enrollees under 65, and premium rates.
In some states, there are other enrollment periods, such as the birthday rule or anniversary rule. In most of these periods, you can switch to the same or lesser plan.
After Open Enrollment Closes
You can realistically change Medicare supplement plans anytime you wish but in many states, if you sign up and are outside the OEP, the insurer will subject you to medical underwriting. In most cases, that will mean that you pay a much higher premium if you have a pre-existing health condition. In some instances, the person’s application may also be declined if the insurer feels that they are a high-risk client.
It is only in Maine, New York, Massachusetts, and Connecticut, where health insurance companies will offer Medigap policies to folks who are eligible regardless of their pre-existing health condition.
Switching To Medicare Supplement Plan G from Medicare Advantage
If you have a Medicare Advantage plan and want to switch over to a Medigap Plan G policy, the question many people ask is, when is it possible? You can switch to Original Medicare during the Annual Election Period starting from October 15 and which lasts through to December 7.
There is also an Open Enrollment Period which starts on January 1st and runs till March 31st, only for people that currently have a Medicare advantage plan.
The majority of states don’t have a guaranteed issue right, when switching which means that applicants may face underwriting and the prospect of paying expensive premiums. However, some states will allow it. The best way to know what you’re getting into is to talk with an independent Medicare supplement agent like Medicare solutions team 844-528-8688.
Why Choose Medicare Plan G?
Now for many, Plan G is the best Medigap option for those who are newly eligible to receive Medicare aka new to medicare.
Mainly depending on where you live in the country, you can end up paying anywhere from $99 a month to $509 a month in the way of premiums, which amounts to between $1108 to $6108 a year.
Many people should consider Plan G because it covers all the out-of-pocket costs for treatment and other medical services at a skilled nursing facility once the $198 Medicare Part B deductible is paid. That means you don’t have to bother with co-pays or coinsurance.
If you see that this level of coverage isn’t needed, you can opt for a plan with less coverage. That said, for older people, it is always good to be over-covered than under-covered if you can afford it. Plan G ensures that you don’t end up with an unexpected medical bill.
Plan G covers
• Hospice Copayments /Coinsurance
• Part A Deductible
• Part B excess charge
• Foreign travel in an emergency
Supplement Plan G – Rate Increases
It is important to highlight that many factors will impact the increase in rates. Some of the factors include the age at which you enroll and the current method being used. On average, you can expect that Medicare Supplement Plan G rates will increase from anywhere between 2% to 6%.
VIEW QUOTES INSTANTLY ONLINE!
VIEW QUOTES INSTANTLY ONLINE!
We advise that you give us a call at 844-528-8688 to discuss exactly what rate increase can be expected based on the carrier’s history. Also, make sure to check out carrier reviews before determining if they are a good fit for you. After all, you never want to choose a Medigap insurance policy from a company that continues to raise the rates.
Frequently Asked Questions About Plan G
What’s offered as part of Medigap Plan G is standard because the federal government has standardized it. You’ll find that Plan G offers the same benefits regardless of the carrier you choose. Though what will change is the premium rates which are state and carrier-dependent.
Not that we are aware of! We are not aware of any policy that will discontinue the plan. That said, eligible enrollees can’t get Plan C and F any longer because first-dollar coverage plans have been eliminated. But Plan G isn’t a first-dollar coverage plan.
Plan G does not have vision coverage, outside of what is covered under original Medicare, such as cataracts or glaucoma. There are no vision benefits for just glasses or contacts with Medigap plans. However, you are free to enroll in a separate vision plan if you want vision coverage.
For prescriptions obtained from a pharmacy or mail order, the answer is NO, no Medicare supplement plan covers prescription drugs. It will however cover medication that is given at the doctors or in an outpatient setting which falls under Part B. You will need a Part D prescription drug plan to ensure that there is coverage for drugs from the pharmacy.
At present, there isn’t a federal mandate for people under 65 to get a Medigap plan. There are states which require insurers to have Medicare Supplement plans that offer one option at least to people under 65. Generally, it is a Plan A option that offers basic benefits. That said, the plans are more expensive.
Yes, it is within the Medicare Supplement Open Enrollment Period, or if you have rights of “guaranteed issue” under any other circumstance, you can’t be denied Plan G Medicare issuance.
The only difference between the Medicare supplement plan F and the Plan G is that Plan F covered the annual Part B deductible. Though at present, Plan F isn’t available for new beneficiaries, and Plan G is cheaper. Making it the better value (see chart below).
Do you think a Medicare supplement plan G might be the one for you? Are you comparing plans to find the best to fit your needs? Do you need more information on those Foreign Emergency and Part B Deductible benefits? Let us help answer these questions and more. Call us today at 844-528-8688 or get in touch through our contact form.
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To get the details on all the other Medicare supplement plans, see our Medicare Supplement Comparison article. For lower prices and benefits that are close to the Medicare supplement plan g, you might want to consider the Medicare supplement plan N.