Medicare Supplement (Medigap) Plan G
Medicare Supplement Plan G is nearly identical to Plan F. Both offer comprehensive coverage and are among the most robust of all Medigap offerings, although Plan G requires the beneficiary to pay the Medicare Part B deductible out-of-pocket. In 2013, the standard Part B deductible amount is $147, and once your out-of-pocket expenses surpass that total, you assume the responsibility of paying 20% of the cost of Medicare-approved Part B services.
Medicare Supplement Plan G was designed to help beneficiaries cover excess costs from healthcare providers and includes the following benefits:
- Medicare Part A hospital coinsurance and all costs up to 365 days after Original Medicare benefits are exhausted
- Part A hospice care coinsurance or copayment
- Part A deductible
- Medicare Part B preventive care coinsurance coverage
- Part B coinsurance or copayment coverage
- Part B excess charges
- First three pints of blood for a medical procedure
- Skilled Nursing Facility (SNF) care coinsurance coverage
- Foreign travel emergency coverage
The majority of Medicare Supplement plans do not cover Part B excess charges, which is why Plan G may be of interest for those with frequent medical needs. Excess charges are additional expenses incurred outside of the Medicare-approved charge. For example, if Medicare's allowed charge for a doctor's appointment is $100, the physician may choose not to accept that amount, electing instead to charge an additional 15% for the appointment. In this instance, Medicare would pay 80% of the allowed charge, sending the physician $80. The beneficiary would then be responsible for paying not only the remaining $20, but also the excess 15% charge, another $15, making the total out-of-pocket cost $35. Because Plan G covers the Part B excess charges, all of the out-of-pocket costs in this example are covered by this policy.
Plan G details remain are the same no matter where the policy is purchased, although costs and availability will vary by provider. We recommend shopping around to find a price that works best for you.
Refer to our Medigap plan finder so you can learn how Plan G's benefits stack up against the other nine Medicare Supplement plans.