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Medicare Supplement Plan G


Medicare Supplement Plan G is the most comprehensive Medicare Supplement (Medigap) plan available for new Medicare beneficiaries. This coverage has increased in popularity in recent years.

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It is one of, if not the, most popular Medicare Supplement plan available today. Medigap Plan G fills the gap between what Original Medicare pays and the costs for which you are responsible. This plan is suitable for many Medicare beneficiaries across the U.S.

What is Medicare Supplement Plan G?

Like other Medicare Supplement plans, Medicare Supplement Plan G pays secondary to Original Medicare (Part A and Part B). Original Medicare does not provide full coverage for medical services. So, a Medicare Supplement plan helps cover the out-of-pocket costs you would otherwise need to cover.

Ten standardized Medicare Supplement plans and two high deductible versions are available to those on Medicare nationwide. Each plan is identified by a letter, A through N. Each lettered Medicare Supplement plan has a different coverage level and monthly premium to meet the healthcare and budget needs of any senior on Medicare.

Medicare Supplement Plan G is one of the ten options available to beneficiaries. Medigap Plan G is the most comprehensive plan for new Medicare beneficiaries and is a top option for all Medicare enrollees. When you sign up for Medigap Plan G, your out-of-pocket costs are a fraction of what they would be with Original Medicare. After meeting the annual deductible, additional medical costs will be covered at 100% that year.

When you enroll in a Medicare Supplement plan, you can keep all the great benefits of Original Medicare but have predictable healthcare costs. Due to plan standardization, you can receive care from any medical professional who accepts Original Medicare regardless of your Medigap carrier. A practitioner can never deny you service due to your Medigap insurance company.

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What Does Medicare Supplement Plan G Cover?

Medigap Plan G helps you keep out-of-pocket costs as low as possible. Benefits of Medicare Supplement Plan G include:

  • 100% coverage for Medicare Part A deductible
  • 100% coverage for hospice copayments and coinsurance
  • Additional foreign travel emergency benefits
  • 100% coverage for Medicare Part B excess charges
  • Guaranteed renewable policy, regardless of health

The only cost Medicare Supplement Plan G does not cover is the annual Medicare Part B deductible.

Once you meet the Medicare Part B deductible, you will not have to worry about additional copayments or unexpected medical bills. Further, because the federal government standardized Medicare Supplement plans, Medigap Plan G provides the same benefits regardless of the carrier. However, monthly premium rates vary by state and carrier.

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Compared to other Medicare Supplement plans, Medicare Supplement Plan G is one of the most comprehensive, second only to Plan F. However, not all Medicare beneficiaries are eligible for Medigap Plan F coverage.

Due to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), if you receive Medicare after January 1, 2020, you are no longer eligible for Medicare Supplement Plan F. Due to this change, new Medicare beneficiaries tend to enroll in Medigap Plan G, as it is the next best option.

See the chart below for a complete summary of Medigap Plan G benefits.

Medicare Supplement Plan G Comparison Chart for 2022

What is Not Covered by Medicare Supplement Plan G?

The only out-of-pocket cost left behind by Original Medicare not covered by Medicare Supplement Plan G is the Medicare Part B deductible. You are responsible for meeting this deductible before your Medigap benefits kick in.

Additionally, Medicare Supplement Plan G does not cover benefits for routine dental, vision, hearing, or prescription drug services.

Medigap Plan G only covers the benefits that Original Medicare will cover. Meaning that it will only pay after Original Medicare pays. So, if Original Medicare does not pay their portion, neither will your Medicare Supplement Plan G.

Suppose you are interested in these additional benefits. In that case, you will want to enroll in a separate dental, vision, and hearing plan and a Medicare Part D plan to help pay for prescription drugs.

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These plans work hand-in-hand with your Original Medicare and Medigap Plan G to increase your benefits without losing health coverage.

Enrolling In Medicare Supplement Plan G

To enroll in Medigap Plan G, you must have Medicare Part A and Part B.

Pre-existing conditions may play a role in your Medicare Supplement Plan G enrollment, depending on when you apply for coverage. Pre-existing conditions do not affect enrollment if you apply for Medigap Plan G during your Medicare Supplement Open Enrollment Period or qualify for Guaranteed Issue Rights. During these times, a carrier may not deny you coverage for any reason.

If you enroll at any other time, you may be subject to underwriting health questions. However, specific state rules may also allow you to enroll without needing to answer these questions, so knowing what your state permits is vital.

If you live in a state that does not have exceptions and decide to apply outside of these enrollment periods, you will need to answer underwriting health questions to determine your insurability. By providing answers to underwriting health questions, carriers may deny you coverage based on any findings.

Lastly, if you currently have a Medicare Advantage plan and are interested in enrolling in Medicare Supplement Plan G, you will need to switch back to Original Medicare first. You can make this change by using the Annual Enrollment Period in the fall or the Medicare Advantage Open Enrollment Period in the first quarter of each year.

Returning to Original Medicare is just the first step in making the switch from Medicare Advantage to a Medicare Supplement plan. Remember, when you enroll in a Medicare Supplement plan outside a guaranteed issue right window, you must answer underwriting health questions. This may result in denial from your plan of choice due to pre-existing health conditions.

How Much Does Medicare Supplement Plan G Cost in 2022?

The cost of Medicare Supplement Plan G varies depending on multiple factors, including where you live, your age, tobacco-use status, and gender. Still, Medigap Plan G’s cost ranges from around $100-$300 per month.

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As a rule of thumb, monthly Medicare Supplement premiums tend to be more expensive in areas with higher costs of living.

If you find the benefits of Medicare Supplement Plan G attractive but cannot pay the monthly premium, you have another option. Medicare Supplement High Deductible Plan G offers the same benefits for a lower monthly premium. However, in exchange for the low monthly cost, you must reach a higher deductible before receiving 100% coverage.

Medicare Supplement Plan G vs Medicare Advantage HMO

Medicare Supplement Plan G Rate Increase History</h2?

Like the monthly premium, many factors impact your Medicare Supplement plan’s rate increases. These factors include your age at the time of enrollment and the pricing method used by your Medicare Supplement plan when you enrolled. The average Medicare Supplement Plan G rate increase is between 2% to 6% annually. Remember, this percentage can be higher or lower based on your carrier.

Understanding the rate increase history for the carrier you choose to enroll is essential. Researching carrier reviews before enrolling is a key determinant when selecting your Medicare Supplement insurance company.

Is Medicare Supplement Plan G Available to Those Under 65?

There are no federal mandates requiring Medicare Supplement plans to be available to those on Medicare under 65 due to disability. Yet, some states require insurance companies offering Medigap plans to provide at least one option to those under 65. Sometimes, these carriers allow you to enroll in Medicare Supplement Plan G.

The most common plan option available to those under 65 is Medicare Supplement Plan A. Medigap Plan A offers only the most basic benefits. However, some carriers understand the importance of widespread plan availability and will allow those on disability to enroll in Medicare Supplement Plan G.

However, when enrolling in a Medicare Supplement plan under age 65, it is important to know that your premium may be double or even triple that of someone over 65. Carriers increase the price to account for high medical costs due to your disability status.

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Why Should You Choose Medicare Supplement Plan G?

Medicare Supplement Plan G is among the highest-rated and most popular Medicare Supplement plans. Whether you are new to Medicare or looking for a policy to better fit your budget or healthcare needs, Medigap Plan G may be the right fit.

Medigap Plan G covers 100% of your costs after the Medicare Part B deductible. So, you will see that by enrolling in this plan, you could save thousands of dollars per year on healthcare.

Where to Purchase Medicare Supplement Plan G

Once you decide that Medicare Supplement Plan G is suitable for you, purchasing your plan through a top carrier is crucial. Working with a brokerage with access to all the top carriers in your area is the best way to ensure that you are enrolling in the best plan possible.

If you contact a carrier directly, you only receive that carrier’s Medigap Plan G option. So, by working with a broker you will receive Plan G options from various carriers.Thus, you can decide which carrier and plan are right for you.

How to Enroll in Medicare Supplement Plan G

We know Medicare can be difficult to understand. Our job at MedicareFAQ is to have our finger on the pulse of Medicare to help you make the right choice for your coverage.

We understand how important it is to find affordable coverage without sacrificing healthcare benefits. Therefore, our licensed Medicare agents take the time to provide clients with a side-by-side plan comparison from all the top carriers in your area.

With the help of our team, you can find benefits to fit your health needs and budget all in one place. Complete our online rate form to access all available options near you. By answering a few simple questions, you can review all carriers in your area, the best plan options available to you, and all price points.

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Sources:

MedicareFAQ is dedicated to providing you with authentic and trustworthy Medicare information. We have strict sourcing guidelines and work diligently to serve our readers with accurate and up-to-date content.

  1. Medigap, CMS . Accessed May 2022.
    https://www.cms.gov/Medicare/Health-Plans/Medigap
  2. Cost of Medigap Policies, Medicare . Accessed May 2022.
    https://www.medicare.gov/supplements-other-insurance/whats-medicare-supplement-insurance-medigap/medigap-costs/costs-of-medigap-policies

Jagger Esch

Jagger Esch is the Medicare expert for MedicareFAQ and the founder, president, and CEO of Elite Insurance Partners and MedicareFAQ.com. Since the inception of his first company in 2012, he has been dedicated to helping those eligible for Medicare by providing them with resources to educate themselves on all their Medicare options. He is featured in many publications as well as writes regularly for other expert columns regarding Medicare.

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