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Medigap Plan G

Senior Benefit Solutions; Medigap Plan G

Medigap Plan G offers nearly the same benefits as Plan F. No one who turns 65 after January 1, 2020, can enroll in Plan F, so Plan G is quickly becoming even more popular. It has the same coverage as Plan F but does not pay for the Part B deductible.

What does Medigap Plan G cover?

Medigap Plan G offers comprehensive coverage and helps with nearly all of the costs leftover by Original Medicare.

Plan G covers:

  • Part A coinsurance and up to an additional 365 days of hospital costs after Medicare benefits are exhausted
  • Part B coinsurance/copayment
  • Blood (3 pints)
  • Part A hospice coinsurance/copayment
  • Skilled nursing facility care coinsurance
  • Part A deductible
  • Part B excess charge
  • 80% of foreign travel exchange
  • No out-of-pocket limit

Unlike Plan F, Plan G does not pay for the Part B deductible. However, Plan G offers a lower premium.

A nurse at a skilled nursing facility with two seniors going over their Medigap Plan G coverage.
Plan G covers skilled nursing facility care coinsurance.

Medicare Plan G deductible

Medigap Plan G does not have a deductible. This often gets confusing because the Part B deductible still applies. As of 2021, the Part B deductible was $203.

Once you have paid that deductible, Plan G will cover the remaining expenses.

With Plan G, you’ll only be responsible for the annual Part B deductible of $203 outside your monthly premium. Whether you visit your doctor, the hospital, or a specialist, you won’t have to worry about getting hit with an unexpected medical bill.

Does Plan F or Plan G offer more coverage?

Both Plan F and Plan G offer the same amount of coverage. The difference lies in the Part B deductible. Plan F will pay for the Part B deductible, but Plan G will not.

However, Plan F is not available to anyone who turned 65 after January 1, 2020. Those who already had Plan F or were 65 prior to January of 2020 can stay enrolled in Plan F.

That being said, as Medigap plans are phased out, their premiums can quickly increase because there are fewer and fewer people enrolling in the Plan. This happened with Medigap Plan E in 2009. Even if you are on Plan F now, you may consider switching to Plan G as it will offer lower premiums.

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