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Medigap High Deductible Plan G

The high deductible version of Plan G is an excellent option for those who are looking for lower monthly premiums. The only difference between the high deductible and the standard version is the deductible amount. With the high deductible version, members must first pay the higher deductible before coverage benefits begin.

Medigap High Deductible Plan G Coverage Details

Like other Medigap plans, the goal of High Deductible Plan G is to fill the gaps left by Original Medicare. High Deductible Plan G is similar to Plan F, but it does not pay the Part B deductible. Beneficiaries enrolled in High Deductible Plan G are responsible for the plan’s premium and the deductible, as well as the $203 Part B deductible.

Medigap High Deductible Plan G Covers:

  • Part A coinsurance and up to an additional 365 days of hospital costs after Medicare benefits are exhausted
  • Part B coinsurance/copayment
  • Blood (3 pints)
  • Part A hospice coinsurance/copayment
  • Skilled nursing facility care coinsurance
  • Part A deductible
  • Part B excess charge
  • 80% of foreign travel exchange
  • No out-of-pocket limit

Who is Best Suited for High Deductible Plan G?

High Deductible Plan G can be a great option for Medicare beneficiaries who are willing to pay a higher deductible in exchange for lower monthly premiums. This plan may be particularly suitable for individuals who do not require frequent medical attention, reside in states where healthcare providers are allowed to charge excess fees for Medicare services, and enjoy traveling outside of the United States.

Medigap High Deductible Plan G Premiums

The cost of premiums for High Deductible Plan G can vary depending on several factors such as the state of residence, the insurance carrier, and individual characteristics like gender, age, and tobacco use. On average, the monthly premium for this plan falls between $40 and $90. Generally, states with a higher cost of living tend to have higher premiums for Plan G.

Comparing High Deductible Plan G & High Deductible Plan F

There are only minor differences between Plan F and Plan G. In terms of coverage, the only difference is that Plan F covers the annual Part D deductible, while Plan G does not. However, any deductible paid towards the Plan G deductible also goes towards the Part B deductible, which is less than the plan’s deductible. As a result, these two plans are very similar. The differences lie mainly in the premiums and eligibility. Plan G typically has lower premiums than Plan F. Additionally, Medicare beneficiaries who turn 65 after January 1, 2020 are not eligible for either the standard or high deductible versions of Plan F.

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