Medicare Supplement Plan G (also referred to as the “value plan”) has become the most popular Medigap plan among our clients. It is very similar to plan F, with the exception that the Medicare Part B deductible is not covered. After the deductible, Plan G provides full coverage for copays, coinsurance, the Part A hospital deductible, and the 20% that Part B does not cover.
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Plan G is one of 10 standardized Medicare Supplement plans (Medigap plans) available. Standardized means that the benefit is the same no matter what company is offering the plan. For example, G with one company is exactly the same as a Plan G with a different company, the only difference is the price.
The US government oversees and regulates the benefits. In most states, there are over 25 companies offering this plan, each at a different price (I will get into pricing a little bit later).
Let’s dive in.
What Does Plan G Cover?
It is considered a comprehensive Medigap plan because it covers everything Medicare does not pay in full, except an annual deductible of $226 for the calendar year.
The chart below shows exactly what Plan G covers.
|Medicare Benefits||Medigap Plan G|
|Medicare Part A coinsurance & hospital costs (up to 365 additional days after Medicare benefits are|
|Medicare Part B Coinsurance or copayment||100%|
|Blood (first 3 pints)||100%|
|Part A hospice care coinsurance or copayment||100%|
|Skilled nursing facility coinsurance||100%|
|Medicare Part A deductible||100%|
|Medicare Part B deductible||X|
|Medicare Part B excess charges||100%|
|Foreign Travel Emergency (up to $50k)||100%|
Are There Any Co-pays?
NO! There are ZERO co-pays on Plan G. There is, however a “deductible.” This is $226 for 2023 and is associated with doctor visits and outpatient services.
For example, Judy starts on a Plan G Jan 1st, 2019. She goes to the doctor for blood work on Jan 25th. In February, Judy gets a bill in the mail from her doctor asking her to pay the Part B deductible of $226 For the rest of the year, Judy will incur ZERO out-of-pocket costs. No matter how many times she visits a doctor or specialist (as long as they take Medicare), she has already met her deductible.
What Doctors and Hospitals Can I Use?
With this plan (or any standardized Medigap plan), you are able to see ANY doctor or hospital, anywhere in the country that accepts Medicare. No referrals are needed.
Is Foreign Travel Covered?
Yes! Foreign travel is covered under Plan G. There is a maximum of $50,000 coverage for emergencies that occur overseas. There is also a $250 deductible and the coverage is in the form of reimbursement. See our article about foreign travel here.
Medicare Supplement Plan G vs Plan F
The “value plan” has the exact same benefits as Plan F with one exception: it does not cover the Medicare Part B deductible, which is $226 for the year. Besides that, Plan G covers all other expenses that Medicare does not cover, just like Plan F.
Two main reasons Plan G is a better value than Plan F are:
#1. Often it is $30+ less per month than Plan F. People can often save $400-$700 per year by switching over to Plan G from a Plan F. Remember, the only benefit difference between the two plans is an annual deductible of $226 per year. The amount you save in premiums is more than the deductible.
#2. Historically, the rate increases are much smaller with Plan G than with Plan F.
Plan F vs. G Rate Increase History
As I just mentioned, the rate increases on Plan G (and Plan N) are much smaller on average vs . Plan F. I’ve attached a screenshot below of a top insurance company’s rate increase, showing changes for Plans F, G, and N.
Medicare Supplement Plan G vs. Plan N
Plan G is “one step above” Plan N. With a Plan N you have the following out-of-pocket costs:
- $0-$20 copay at each office visit
- $226 annual deductible in 2023
- $50 copay at the E.R. (unless admitted)
- Part B excess charges (not covered)
Plan G covers all of these costs, except for the annual Part B deductible of $226.
Are “Excess Charges” Covered?
YES! “Part B Excess Charges” are covered at 100% on Plan G. This is often confusing when comparing Plan N to Plan G. Plan N does not cover “excess charges.” To see a full explanation of these charges, see our explanation here.
If you typically only see a doctor a few times a year then Plan N could be a great fit. You still get the same comprehensive coverage in hospital as you do with plans F and G.
Keep Reading: Medicare Plan G vs Plan N
Companies That Offer Plan G
In most states, there are between 25-45 companies offering this plan, each at a different price. Remember, the benefits on this plan “standardized” meaning that there is absolutely no difference in benefits from one carrier to the next for the same plan. See our Company Review page here, for reviews on all the top Medigap carriers.
Getting a Quote and Comparing Rates
With all the different companies offering the same plan at different rates, it is important to compare quotes before you make a decision. At Bluewaveinsurance.com we have made this process very simple. Most websites require you to speak with a sales agent in order to get quotes. We understand many folks want to do their own research before speaking to an agent. For this reason, we have implemented the ability to compare live, accurate quotes from the top Medicare Supplement insurers.
Why do companies charge different prices for the plan?
My answer to this question is quite simple: the insurance carriers cannot compete over benefits; the only thing they can compete with each other for is the price. This results in the carriers charging different amounts for the same plan. In most states, the range in premiums between the companies can be quite substantial, usually a few hundred dollars per month from the lowest price Plan G to the highest. In some cases, some the insurance companies no longer wish to bring on new clients and therefore are charging much more per month than other carriers.
Prices do go up over time, so it’s important to have a broker who will get in touch with you and shop your rate for you. Blue Wave Insurance conducts free, annual rate reviews for all our clients, ensuring they remain on the best rate possible.
How Do I Switch My Plan To A Plan G?
If you currently have a Medigap F, N, Medicare Advantage plan, employer/retirement plan, etc., then the process to change to a Plan G is easy: Call us at (800) 208-4974 to get a free quote comparison We will ask you several questions to ensure you are eligible to change. If eligible, together we will submit an electronic application with a top A-rated carrier for Plan G. Once approved, you will enjoy the lower premium and great benefits that Plan G offers.
Why Get A Plan G From Us?
We understand there are many agents out there ready and eager to sell you a Medicare Supplement plan. What makes us different from the competition is this: We are independent and represent ALL the top insurance companies. Our goal is to find you the best rate available.
Our services are 100% free. We get compensated directly by the insurance company; there is no added cost to you.
Rate Lookout Program
As mentioned above, we conduct annual rate reviews with all our clients, to ensure they remain on the best rate possible, year after year. Whenever you have a question or concern with your plan, or with Medicare in general, we are here to assist you. Blue Wave Insurance is licensed in over 40 states. We know the Medicare market, we are experts.
You can learn more about our “Rate Lookout Program Here.”
Overall, G is a better value vs. Plan F. Not only do you save money on your premium now, but you will save a substantial amount of money on future rate increases moving forward.
Call us today at (800) 208-4974 for a free quote comparison or with any questions you may have!
Alex Wender is the founder and CEO of Bluewave Insurance. He has been blogging about Medicare-related topics since 2010. Since then, he and his agency have helped thousands of people across the country choose the right Medicare to fit their needs.
Stephen Bufford says
Hi what I is your premium pay issue plan is it age issue or community issue or other before I apply for supplemental G plan need to know thank you. Stephen Bufford
Alex Wender says
It depends where you live. Give us a call at 800-208-4974 and we can go over the details with you.
MARC V CALDERWOOD says
Quick question, does my G plan cover office visits? I usually only have one per year for a physical. I just had one and received a bill saying that I received a Medicare Adjustment but had about half the bill remaining.
Alex Wender says
Yes, it does cover office visits. There is an annual Part B deductible that is not covered. In 2019 that deductible was $185.
under skilled nursing care for plan G how is that different than long term nursing care at a facility or at home?
Alex Wender says
Medicare only covers 100 days per benefit period in a skilled nursing facility. Plan G will pay 100% of the coinsurance for those 100 days ($170.50 per day). After the 100 days, Medicare will not pay, that’s when a long term care policy would pay if you have one.
Does plan g cover pre-existing conditions
Alex Wender says
If you are new to Medicare than almost all insurance companies will cover pre-existing conditions on Plan G. If you would like to discuss further, give us a call at 800-208-4974.
Dave Morrison says
This is my very first research into Medicare supplement as I will be turning 65 in September of 2019. It seems like G is the way to go. I want the best coverage possible.
But I noticed in another email to you that this doesn’t cover prescription medicine. Is that something else I might need to buy. I’m also interested in gym membership coverage since I currently go to a gym. I live in NC.
Alex Wender says
Prescription coverage is not included on Plan G or the other Medigap plans (F and N). Yes, I recommend purchasing a Part D drug plan. There is a penalty for not getting a drug plan so it’s best to get one even if you don’t take any medications!
There are a few companies that offer gym benefits on their Plan G in NC.
Give us a call at
(800) 208-4974and we can go over prescription plan options and also Plan G options with the gym benefits.
Mark Fetter says
Does Plan F include Prescription Coverage?
Alex Wender says
Plan F does not include prescription coverage. That is covered under “Part D” which is completely separate from the Medicare Supplement plan.
Will Plan F High Deductible plans also be discontinued in 2020? Should they be vulnerable to accelerating premium increases like traditional Plan F? I am in NC.
Alex Wender says
Yes, High Deductible Plan F will be discontinued. Instead, a High Deductible Plan G will be offered in its place. The increasing premium theory may apply because there will be no new clients coming in after 2020 for HDF. I recommend going with a Plan G now as it offers more rate stability, see my article here: https://www.bluewaveinsurance.com/future-plan-f/
I am currently enrolled in Plan G – and I am 65 and husband is 66
does this plan cover for free the use of exercise facilities
Alex Wender says
Hi Toni, it depends on the company you have the Plan G with. There are a couple of companies that offer a gym discount program. It also depends on the state that you live in. Contact me at 800-208-4974 for further clarification.