Do you need help with managing certain expenses that aren’t covered by the Original Medicare? There are many standardized Medigap plans in most states. Plan G can be an option to consider if you need a broader coverage.
Medicare Supplement Plan G is a Medigap supplement insurance. It helps people to pay the health care expenses that aren’t covered by the basic Medicare such as coinsurance, copayments, and excess charges. The plan also covers any Medicare Part A deductibles as well as emergencies when you travel to any part of the world.
Medigap supplement plans offer optional coverage to be added to the Medicare Part A and B insurance. Medigap Plan G covers more costs compared to other Supplement plans. This means that the premiums may be higher that the rates for other plans offering less coverage. Health insurers providing this Medicare Supplement plans may set their own rates, but the policies are standardized and should provide the same coverage. However, some companies add more benefits.
Medicare Supplement Plan G Covered Benefits
Some of the full cost expenses covered by the Medicare Supplement Plan G include:
Medicare Part A coinsurance including all expenses up to 365 days once the Original Medicare benefits have been exhausted.
Part A deductible.
Part A hospital care copayment or coinsurance.
Medicare Part B coinsurance coverage for preventive care.
Part B copayment or coinsurance.
Part B extra charges.
First three blood pints for a particular medical procedure, in case the hospice has to purchase blood.
SNF(skilled nursing facility) care coinsurance coverage.
Travel emergency coverage of up to the limit of the plan.
Comparing Plan G with the other Medicare Supplement plans
All ten Medicare Supplement plans have to adhere to the state and federal laws put in place to protect the policyholder. The coverage details of the plans must be the same regardless of where the plan is bought. The only difference between these policies is the costs as insurers can charge varied rates.
Medicare Supplement Plan G is very identical to Plan F when it comes to the benefits offered. These two plans, combined, provide the most comprehensive coverage compared to other California Medigap plans available. Their main difference is that the Plan G does not cover the Medicare Part B deductible. When one has this plan, they’ll need to pay the expense out of their pocket.
The deductibles often vary from one year to the next. You will have to compensate for all the medical expenses until the out-of-pocket expenditures reach this amount. Once you reach the annual Medicare Part B deductible, you can pay a certain set percentage of the approved Medicare costs for the Part B covered services like durable medical equipment and doctor visits.
Besides Plan F, Medicare Supplement Plan G is the only plan that covers the entire Part B excess charges. These excess charges occur whenever providers and doctors don’t accept Medicare assignments. If this happens, the doctor can charge more than the official Medicare amount.
Usually, a Medicare program has the set approved payment rates, also known as Medicare fee schedule, for the services that are medically covered. This schedule regulates what the provider and doctors can charge for the covered services they provide.
A beneficiary is responsible for any differences between what the provider charges and the approved amount. Without the Supplement coverage, you will have to pay the extra charges out of your pocket. But, with Plan G, all the expenses are paid for.
Medicare Supplement Plan G is a great choice for anyone who needs broad coverage but does not want the deductible benefit of Medigap Part B.
Getting Medigap Plan G coverage
Just like the other Supplement plans, the benefits of this plan are standardized no matter the insurance company you choose to buy the plan from. But, remember that the availability and costs will differ depending on the location and insurance company. Consider shopping around so that you can get the best policy that will suit your needs.
One of the easiest ways to find an idea insurance company is by using a plan tool finder. A tool finder helps you to compare the policy benefits side by side.
Note that Medicare Supplemental plans aren’t endorsed by or connected with the federal Medicare program, or the U. S government.