What is Medicare Plan G?

Medicare Plan G is a Medicare Supplement Plan that gives you the greatest value. It provides you the same full coverage benefits of Medicare Plan F with a lower monthly premium. When you get an affordable Plan G verses Plan F, you save $500 to $900 per year in premiums. The only difference between Plan F and G is that Plan G requires you to pay Medicare Part B annual deductible. In 2020, this Part B deductible is only $198. In other words, after you pay $198 Part B deductible in 2020, you save $300 to $700 in annual premiums. Learn more about Medicare Part B premiums in 2020.

Medicare Supplement Plan G

What is Medigap Plan G?

Medigap Plan G is the same as Medicare Supplement Plan G. Medigap is another name for Medicare Supplement. What a Medigap plan does is supplement your Original Medicare benefits. In particular, Medigap Plan G covers all your Medicare coverage gaps except the Part B deductible.

What does Plan G Cover?

Medigap Plan G, like all Medigap Plans, must follow federal and state laws designed to protect the policy holder. Therefore, the basic benefits of Medigap Plan G must be the same no matter where Plan G is purchased. In other words, Medigap Plan G basic coverage is the same no matter which carrier you choose. However, some insurance carriers offer additional benefits so you can choose which carrier meets your needs.

Medigap Plan G benefits

Medicare Part A: Inpatient Hospital Coverage and Cost

Plan G covers inpatient care in hospital, skilled nursing facility, hospice care, and home health care. Before you receive any Medicare Part A benefits, you must first pay Part A deductible $1408 in 2020. Medigap Plan G pays your $1408 Part A deductible. In addition, it also covers and pays the following:

  • After the first 20 days of skilled nursing, Plan G pays $176 coinsurance in 2020 up to 100 days. That’s a $14,080 benefit.
  • Between 61 days and 90 days in a Long-Term Care Hospital (LTCH), Plan G pays $352 coinsurance each day in 2020. That’s a $10,560 benefit.
  • When a hospital has to buy blood for you, the first 3 pints of blood is covered by Plan G.

Medicare Part B: Outpatient Medical Coverage and Cost

Plan G covers Medicare Part B outpatient medical services at any hospital or medical facility for less than 24 hours. In addition, plan G covers outpatient preventive services such as your annual flu shot and annual wellness visit. Furthermore, plan G covers and pays for the following medical screenings:

  • When colorectal cancer screening discovers the presence of abnormal tissue (polyp) and the doctor removes a sample for later examination, plan G pays the 20% coinsurance bill for you.
  • After you pay $198 Part B deductible in 2020, plan G pays 20% coinsurance cost for Diabetes self-management training.
  • For men over the age of 50, plan G pays 20% coinsurance cost for Prostate cancer digital rectal exam after you pay $198 Part B deductible in 2020.

Is Medicare Plan G better than Plan F?

Yes, Medicare Plan G is better for a number of reasons. First and most important, supplement Plan G cost you less. When you shop rates at Senior Healthcare Direct, we can find you a supplement Plan G that saves you $500 or more in premiums over Plan F. In other words, Medicare Plan F would cost you $500 or more than Plan G. The only difference between Medicare Plan F and G is you pay $198 Part B deductible with Plan G. Since you pay $500 or less in annual premiums with Plan G, you save the difference $300 or more. In other words, supplement Plan G allows you to save hundreds of dollars in annual premiums. For example, Linda in the photo below saved over $300 a year by choosing Medicare Plan G vs Plan F.

Linda saved over $300/year by choosing Medicare Plan G vs Plan F.

Linda was admitted to a hospital as inpatient for 36 days. On day one, Linda paid her $198 Part B deductible. Then she started receiving skilled nursing care. Linda received a semi-private room, meals, and skilled nursing to treat, manage, and observe her condition. Then Medicare Plan G paid Part A deductible $1408 in 2020 and the first 20 days. Moreover, Plan G paid days 21 to 36 (16 days) at $176 coinsurance per day for a total benefit of $4,224.

Linda was discharged as hospital inpatient. However, she required outpatient physical therapy. Linda’s physical therapist accepted medicare, but decided not to accept the Medicare approved amount for her physical therapy. Therefore, Linda was charged 15% more than Medicare’s approved amount. Fortunately, Linda had Medicare Plan G which paid this Part B Excess amount.

When the premium of Medicare Plan G is less than Plan F, then Plan G is the better choice. Therefore, you should shop your Medicare Supplement Plan for the best prices with a broker such as Senior Healthcare Direct who has access to top A-rated insurance carriers. When you speak with a licensed agent, you can find a Medicare plan that is right for your needs. Call Senior Healthcare Direct at 1-855-368-4717. You might want to consider purchasing Medicare Plan G. You will pay Part B deductible once per calendar year, but the annual savings in premiums can offset that by several hundred dollars.

Medicare Plan G Case Study: A Great Value

Linda is a diabetic who has Medicare Supplement Plan G. She visits her primary doctor once a year, but visits her endocrinologist several time a year to renew her prescriptions. 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 $198 outpatient deductible, which is billed to Linda.

Linda pays the $198 once a year deductible and Medicare Supplement Plan G pays the rest. Linda’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 diabetes supplies.

For the rest of the year, Linda will owe absolutely nothing out of pocket for covered Medicare Part A and B services. Linda keeps more money in her pockets with Medicare Plan G. Her only copays will be for her medications under her separate Part D prescription drug plan.

With Plan G coverage Linda does not have to worry about any more doctor copays. She will not pay for ambulance transportation, lab-work or imaging. If she has surgery, Medicare will cover 80% and her Plan G will cover 20%. Plan G is a great value for Linda. Depending on your needs Plan G might be right for you as well. To help you decide view this Medigap Benefits Chart with side-by-side comparison of all Medigap Plans.

Frequently Asked Questions about Medicare Plan G

What is Plan G deductible in 2020?

$198 is the annual Part B deductible in 2020 which you pay for your Plan G deductible.

What does Medicare Plan G pay for?

Plan G pays for your hospital deductible and after you pay the $198 deductible in 2020 it pays for your medical outpatient medical coverage for stays at any hospital or medical facility for less than 24 hours. In addition, Plan G pays for all your copays and coinsurance under Medicare.

Does Medicare Plan G cover dental?

No, neither Medicare nor Medigap plans cover dental care.

Does Plan G cover prescription drugs?

Plan G covers the coinsurance for any Part B prescription drugs. These medications are typically limited to people with specific medical conditions. Plan G covers chemotherapy drugs, anti-nausea medications, immunosuppressive medications, and drugs for end-stage renal disease (ESRD). Plan G does not cover outpatient retail prescriptions. In this case, you will need a Part D drug plan.

Is Medicare Plan G better than Plan F?

Yes, Plan G is a better value than Plan F. You pay $198 Part B annual deductible in 2020 and get the monthly benefit of paying a much lower Plan G premium vs Plan F. Since you can save several hundred dollars in premiums on Plan G it is a better value than Plan F.

Why Medicare Plan G is Better Than Plan F

First, Plan G has lower premiums than Plan F. Second, Medigap Plan G premium rates increase less than Plan F. In other words, the lower rate increases of Plan G make it a better value year after year than Plan F.

In the video below MedicareBob, owner of Senior Healthcare Direct, correctly predicted over the last 5 to 6 years that Plan G would be better value than Plan F. MedicareBob continues to recommend Plan G as a better value than Plan F for the next 5 to 6 years. Watch the video below to learn why Medicare Plan G is better than Plan F or read more about Plan G vs Plan F.

In recent years, Medicare Plan G has sometimes increased as little as 3% with some carriers. This is considerably less than the rate increases from year to year on Plan F. Furthermore, you can switch from Plan F to Plan G anytime. You do not have to wait until the next annual enrollment. You can switch to a Plan G today. Moreover, if you already paid your annual Part B deductible for the current calendar year, you will not have to pay that deductible until next year.

Find out if Medicare Plan G is right for you. Call Senior Healthcare Direct at 1-855-368-4717 to speak with a licensed agent. We have access to top A+ rated Medicare insurance companies. We can check Plan G rates with over 30 carriers so you can get the lowest price on Medicare Plan G in your area. Furthermore, when you enroll with us, it costs you nothing and you will have access to our friendly Customer Support Team located in Florida. So if you ever have questions or problems, we can get you answers and solutions.