Medigap High-Deductible Plan G is a Medicare supplement insurance plan that offers coverage for various medical expenses, similar to other Medigap plans. However, it has a higher deductible compared to other plans.
With Medigap High-Deductible Plan G, you are responsible for paying a higher deductible amount out of pocket ($2,800 for 2024) before the plan begins covering your healthcare costs. Once you meet the deductible, the plan provides coverage for Medicare Part A coinsurance and hospital costs, Medicare Part B coinsurance or copayment, blood expenses, Part A hospice care coinsurance or copayment, skilled nursing facility care coinsurance, and more. This plan is designed for individuals who are willing to take on a higher initial cost in exchange for lower monthly premiums. It can be a suitable option if you are generally healthy and don't anticipate needing extensive medical care throughout the year.
It's important to carefully consider your healthcare needs and budget before choosing Medigap High-Deductible Plan G. Understanding the higher deductible requirement and evaluating your expected medical expenses will help you determine if this plan aligns with your healthcare coverage goals.
Below is a comprehensive list of the covered services provided by Medicare Supplement High-Deductible Plan G, which include benefits under Medicare Part A, Medicare Part B, and other areas:
Service | Who pays what? |
---|---|
First 60 days | Medicare pays: All cost but $1,632 Plan pays[1]: $1,632 Member pays[2]: Nothing |
61st thru 90th day | Medicare pays: All cost but $408/day Plan pays[1]: $408/day Member pays[2]: Nothing |
91st day and after (While using 60 lifetime reserve days) | Medicare pays: All cost but $816/day
Plan pays[1]: $816/day Member pays[2]: Nothing |
Once lifetime reserve days are used; additional 365 days | Medicare pays: Nothing Plan pays[1]: 100% of Medicare-eligible expenses Member pays[2]: Nothing |
Beyond the additional 365 days | Medicare pays: Nothing
Plan pays[1]: Nothing Member pays[2]: All cost |
Service | Who pays what? |
---|---|
Part B Deductible | Medicare pays: Nothing Plan pays[1]: Member pays[2]: $240 (Part B Deductible) |
Part B Coinsurance | Medicare pays: 80% Plan pays[1]: 20% Member pays[2]: Nothing |
Part B Excess Charges
(above Medicare approved amounts) | Medicare pays: Nothing Plan pays[1]: All cost Member pays[2]: Nothing |
Service | Who pays what? |
---|---|
First three pints | Medicare pays: All cost Plan pays[1]: Nothing Member pays[2]: Nothing |
Additional amount (First $226 of
Medicare approved amounts) | Medicare pays: Nothing Plan pays[1]: Nothing Member pays[2]: $240 (Part B deductible) |
Remainder of Medicare approved amounts | Medicare pays: 80% Plan pays[1]: 20% Member pays[2]: Nothing |
Service | Who pays what? |
---|---|
Medically necessary skilled care
services and medical supplies/ Durable medical equipment (First $226 of Medicare approved amounts) | Medicare pays: Nothing Plan pays[1]: Nothing Member pays[2]: $240 (Part B deductible) |
61st thru 90th day | Medicare pays: 80% Plan pays[1]: 20% Member pays[2]: Nothing |
Request your a call or consultation with a benefits consultant
Submit your question to our Medicare benefits consultants
Call, text, fax,
or email us
Find answers to
your questions
Find answers to
your questions
Navigate through
our website