Medigap Plan G
Medigap Plan G offers some of the best coverage of the 10 supplement plans. But does it fit your budget and needs? Let’s find out.
Plan G Coverage
With Plan G, you can expect comprehensive coverage for these benefits:
- 100% of Part A Coinsurance & Hospital Costs
- 100% of Part B Coinsurance/Copayment
- 100% of the First 3 Pints of Blood for Transfusions
- 100% of Part A Hospice Care Coinsurance/Copayment
- 100% of Skilled Nursing Care Facility Coinsurance
- 100% of your Part A Deductible
- 100% of Part B Excess Charges
- 80% of Foreign Travel Emergency Care
Without this plan, you would be expected to cover all of these costs out-of-pocket. But what are these fees, and how often will you actually encounter them?
Your Costs Without Plan G
For all the care you receive through Original Medicare, you are expected to meet three basic payments:
- Premium: A monthly payment you must make in order to receive coverage
- Deductible: A yearly cost you must pay to your plan before you can access its benefits
- Copayment/Coinsurance: A flat price or percentage rate you pay for each service used through the plan
Even with supplement plan coverage, you will not receive coverage for your premium payments. However, a supplement plan, especially Plan G, can help with the other costs.
The 2021 deductible for Part A is $1,484, and $203 for Part B.
On top of all of this, you will also have to pay a contribution for each service you use under Original Medicare. This will typically either be a $20 copay or a 20% coinsurance rate.
There are also a lot of other fees that may sneak up on you—Parts A and B place strict limits on the extent of their benefits. If you stay in a hospital or nursing care longer than 100 days in an entire year, you will have to start paying out-of-pocket, not to mention the unexpected uncovered charges with Part B.
Why Plan G Works—A Cost Breakdown
Now, let’s account for all of the costs if you had a Medigap Plan G. The only thing not covered in this list of fees is your Part B deductible at $203 per year—everything else can be subtracted from your out-of-pocket costs.
The average premium ranges from $50-200 a month. However, they can be as little as $0 if you choose a high-deductible option.
Regardless of how you charge your Plan G, it will ultimately pay for itself, costing on average $2,403 per year versus $6,577 without it, not including potential excess charges and copayments/coinsurance.
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