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Medicare Plan G

What is Medicare Plan G? Medicare Plan G, also known as Medigap Plan G, is a supplemental insurance plan designed to cover most of the medical expenses that are not included in Original Medicare. This plan is an ideal option if you require extra coverage but prefer not to pay the higher premiums associated with Plan F, or you’re not eligible for it.

Medicare Plan G provides comprehensive coverage for most of the costs associated with Medicare Part A and Part B, including deductibles, co-pays, and coinsurance. It also covers some of the costs for Medicare Part B medical expenses, excluding the Medicare Part B deductible. If you’re looking for additional insurance to cover the expenses not covered by Original Medicare, Medicare Plan G is an excellent choice.

What Does Medicare Plan G Cover?

Medicare Plan G stands out as one of the most all-inclusive insurance options available, gaining popularity as a top choice among Medicare Supplement Plans in recent years.

Providing coverage for both hospital and medical expenses (Medicare Part A and Part B costs), Medicare serves as the primary payer while Plan G functions as secondary coverage. It’s also important to note that Medicare Plan G allows you to see over a million participating doctor and providers nationwide.

As long as a doctor or hospital accepts Medicare, they are legally required to accept your Plan G coverage, ensuring no network limitations.

Medicare Plan G covers the following:

  • Part A deductible coverage for hospital stays and inpatient admissions
  • Medicare Part A coinsurance and copays for services such as emergency room visits
  • Part B coinsurance (20%) for doctor visits, durable medical equipment, and more
  • Medicare Part B excess charge coverage
  • Skilled Nursing Facility Care coinsurance
  • Limited coverage for foreign travel emergencies

Overall, if you’re looking for comprehensive coverage that goes beyond what original Medicare provides, Medicare Plan G is a great choice to consider for your healthcare needs.

How Much Does Medicare Plan G Cost?

The cost of Medicare Plan G does vary depending on several factors. However, the average cost of Medicare Plan G for our clients is $139 per month, translating to annual savings of $444 compared to Medicare Plan F.

To receive a customized Plan G quote from our licensed insurance agents or via our online tool (no contact information needed), simply provide your zip code, age, gender, and tobacco usage. This information helps us tailor the rates to suit your specific needs and preferences.

It’s also important to note that Medicare Plan G costs may be reduced if you qualify for a household discount. Additionally, since all Medicare Supplement Plans are standardized by the federal government, each Plan G works the same, regardless of the insurance provider.

Our licensed agents can quickly compare more than 25 top-rated carriers and present you with a customized Medicare Plan G cost comparison. Don’t hesitate to call us at 866-MEDIGAP (633-4427) for immediate assistance.

Medicare Plan G Eligibility

To be eligible for Medicare Plan G, you must first be enrolled in Medicare Part A and Medicare Part B. If you meet this requirement, you are eligible to enroll in Medicare Plan G.

Unlike some other types of insurance plans, you can typically enroll in Medicare Plan G at any time throughout the year. This means that you do not have to wait for an open enrollment period to sign up for this type of coverage.

However, depending on your situation, you may need to answer medical questions to qualify for Medicare Plan G coverage. These questions are designed to help insurance companies determine your overall health status and determine the cost of your coverage. In some cases, you may be required to undergo a medical exam to qualify for coverage. There are also some situations in which your coverage may be guaranteed.

If you are unsure about your eligibility for Medicare Plan G coverage or have any questions, please speak with one of our licensed insurance agents. We can help you determine whether this type of coverage is right for you and can assist you in finding the best policy to meet your healthcare needs.

Medicare Plan G Enrollment Deadline

The best time to enroll in a Medicare Plan G policy is during your Medigap Open Enrollment Period. This period is only for six months and starts the first day of the month in which you’re 65 or older and enrolled in Medicare Part B. During this time, you have a guaranteed right to buy any Medigap policy sold in your state, regardless of your health status. This means that insurance companies cannot deny you coverage or charge you more based on your health status or pre-existing conditions.

If you miss your Open Enrollment Period, you may still be able to buy a Medicare Plan G policy, but insurance companies may be able to charge you more or deny you coverage based on your health status. However, there are a few exceptions. If you have a guaranteed issue right, you can buy a policy outside of your Open Enrollment Period without being subject to medical underwriting.

You have a guaranteed issue right if:

  • You have Original Medicare, and your employer group health plan coverage is ending.
  • You’re in a Medicare Advantage Plan, and your plan is leaving Medicare or you’re moving out of the plan’s service area.
  • You have Original Medicare and you’re losing coverage because your plan provider went bankrupt or misled you.
  • You have Original Medicare and you move out of your Medicare SELECT policy’s service area within 12 months of enrolling.

If you don’t have a guaranteed issue right, you may still be able to buy a Medicare Plan G policy, but insurance companies may be able to charge you more or deny you coverage based on your health status. In some states, insurance companies are required to sell you a policy during certain times of the year, known as “annual enrollment periods.”

How To Sign Up For Medicare Plan G

We understand that shopping for Medicare Plan G rates can be overwhelming. That’s why we have streamlined the process and made it easy for you to compare rates without providing any personal contact information.

To get started, simply enter your zip code, age, gender, and tobacco use on our website and click “Run Comparison.” Within seconds, you’ll see multiple Medicare carriers and their Plan G premiums side-by-side, making it easy to compare and choose the best option for your budget and healthcare needs.

We believe in transparency and want to ensure that you have all the information you need before deciding. That’s why we offer a no-obligation, no-pressure service. You can take your time to review the rates and decide what’s best for you without feeling rushed or pressured to enroll.

However, if you have any questions or you’re ready to sign up for Medicare Plan G, our team of licensed insurance agents is available to assist you. You can call us at 866-MEDIGAP (633-4427) and one of our agents will guide you through the enrollment process.

How To Get Help With Medicare Plan G

At Senior Healthcare Solutions, we understand that the process of enrolling in a Medicare Supplement Plan can be daunting. That’s why we’re committed to providing exceptional help every step of the way. We take pride in offering personalized guidance and support throughout the entire enrollment process.

But our commitment to you doesn’t end there. We also offer ongoing support throughout the life of your Medicare Supplement plan, addressing any questions or concerns you may have. Whether you need assistance with a claim, info on plan changes, or just simple updates to your personal information, we’re just a phone call or email away.

To experience the difference Senior Healthcare Solutions can make in your healthcare journey, call us today at 866-MEDIGAP (866-633-4427). You can count on us to provide expert advice, exceptional service, and reliable support for years to come.

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Frequently Asked Questions

Is Medicare Plan G better than Plan F?

Medicare Plan G and Plan F offer similar benefits, with the main difference being that Plan G requires you to pay the Medicare Part B deductible out of pocket, while Plan F covers it. However, Medicare Plan F is no longer available to new Medicare beneficiaries as of 2020, so Medicare Plan G is a better option for those who want comprehensive coverage. Ultimately, the best Medigap plan for you will depend on your individual needs and budget.

Does Medicare Plan G cover dental?

No, Medicare Plan G does not cover routine dental services, such as cleanings, fillings, or dentures. Medigap plans are designed to work alongside Original Medicare to help cover some of the out-of-pocket costs, such as deductibles, coinsurance, and copayments. Dental care is not covered by Original Medicare, and therefore not covered by Medicare Plan G. If you want dental coverage, you may need to purchase a separate dental insurance policy or enroll in a Medicare Advantage plan that includes dental benefits.

Does Medicare Plan G cover prescriptions?

No, Medicare Plan G doesn’t cover prescriptions. It only covers certain out-of-pocket costs for Medicare Part A and Part B services. If you’re enrolled in Medicare Plan G and need coverage for prescription drugs, you would need to enroll in a separate Medicare Part D plan. Medicare Part D is a prescription drug plan that is designed to help Medicare beneficiaries pay for the cost of prescription drugs. It’s important to note that not all Medicare Part D plans are created equal, so it’s important to research and compare different plans to find the one that best meets your needs and budget.

Do all Medicare Part G plans cost the same?

No, not all Medicare Plan G policies cost the same. While Medicare Plan G offers the same benefits across all insurers, the premiums for Plan G policies can vary widely depending on several factors, such as your age, gender, location, and tobacco use. Additionally, insurers may use different pricing methods to determine their premiums, such as community-rated, issue-age-rated, and attained-age-rated.

What is the coverage gap with Medicare Plan G?

Medicare Plan G does not have a coverage gap like Medicare Part D plans do. Instead, Medicare Plan G covers certain out-of-pocket costs that Original Medicare doesn’t cover, such as deductibles, copayments, and coinsurance. Plan G also covers excess charges that some doctors and specialists may charge above the Medicare-approved amount. By covering these costs, Medicare Plan G can help you avoid unexpected medical expenses and provide peace of mind.

What is the difference between Medicare Plan G and Plan N?

Medicare Plan G and Plan N are two types of Medicare Supplement plans that provide additional coverage for Original Medicare. Plan G offers more comprehensive coverage but tends to have higher premiums, and you are responsible for paying the Medicare Part B deductible yourself. Plan N has lower premiums, but you may have to pay a copayment for certain services, such as doctor visits and emergency room visits. Plan G also covers excess charges and offers foreign travel emergency coverage, while Plan N does not cover these benefits.

Can I switch from Medicare Plan N to Plan G?

Yes, you can switch from Medicare Plan N to Plan G. Be sure not to cancel your current insurance before having new insurance approved. The switch may take up to 6 weeks to take effect, so you should plan ahead and make sure your current coverage will still be effective during the transition. Our team will be sure to help handle everything for you when changing your Medigap Plan.

Can I see any doctor or specialist with Medicare Plan G?

Whether you should switch from Medigap Plan F to Plan G depends on your individual circumstances, such as your health status, budget, and the availability of the plan in your area. However, if you are satisfied with your current coverage under Plan F and are comfortable with its premiums, there may be no need to switch. Additionally, if you have a pre-existing condition, it may be more difficult to switch plans or obtain coverage under Plan G.

Can I purchase Medicare Plan G if I have pre-existing medical conditions?

Yes, in most cases, you can purchase Medicare Plan G even if you have pre-existing medical conditions. Insurers cannot deny coverage or charge you higher premiums based on your health status, as long as you enroll during your Medigap Open Enrollment Period (OEP) or a Guaranteed Issue (GI) period. During your Medigap OEP, you have a guaranteed right to purchase any Medigap policy offered in your state, regardless of your health status. In some cases, you may also be eligible for a GI period, which allows you to enroll in a Medigap policy without medical underwriting.

What is the high-deductible Medicare Plan G?

High-deductible Medicare Plan G is a type of Medigap plan that has a higher deductible than traditional Plan G. The deductible refers to the amount of money you must pay out-of-pocket before your Medigap plan begins to pay for your medical expenses. With High-deductible Plan G, you must pay a deductible of $2,700 in 2023 before the plan begins to cover your medical costs. After the deductible is met, the plan will cover the same expenses as traditional Plan G.