Ashford Insurance

What Is Medigap Plan G?

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Sarah Fuhrmann

Sarah Fuhrmann is an agent of Ashford Insurance an independent health insurance agency specializing in Texas Medicare insurance.

Medigap Plan G is one of 10 Medicare Supplement Insurance plans. Medigap assists with fees such as coinsurance, copayments, and deductibles that aren't covered under Medicare Part A and Part B, also known as Original Medicare.

How Medigap Plan G works

After Medicare pays its approved portion of medical costs, Medigap Plan G helps supplement remaining out-of-pocket expenses. You must pay a separate monthly premium for Medigap coverage, which is privately insured but standardized across all states except Massachusetts, Minnesota, and Wisconsin.

Since Plan F is no longer available to new applicants, Medigap Plan G is one of the more comprehensive Medicare Supplement plans on the market. According to Medicare.gov, here is what Medigap Plan G covers and doesn’t cover.

Medigap Plan G covers:

  • Part A deductible.
  • Part A coinsurance and hospital costs up to 365 days after Medicare benefits are exhausted.
  • Part A hospice care coinsurance or copayment.
  • Part B coinsurance or copayment.
  • Skilled nursing facility care coinsurance.
  • Blood transfusion (first three pints).
  • Emergency health care service for the first 60 days when traveling outside the U.S.

Medigap Plan G doesn’t cover:

  • Part B deductible.
  • Long-term care.
  • Private-duty nursing.
  • Dental care.
  • Vision care.
  • Prescription drugs (available only on plans purchased before Jan. 1, 2006. You can receive prescription coverage through a Medicare Part D plan).

Cost of Medigap Plan G

Since Medigap Plan G coverage is privatized and regulated by the state, the price varies by age, location, and such factors as tobacco use.

The best time to buy your Medigap Plan G policy is during the six-month Medigap Open Enrollment Period, which starts the first month you have Medicare Part B and once you’re 65 years of age or older. Medigap policies can cover only one person, regardless of marital status.

To find out the cost of Medigap Plan G in your area, visit Ashford Insurance Group.

There are plenty of options and types of coverage when it comes to Medicare benefits. Out of the 64 million people in the United States who receive traditional Medicare benefits, 81% use some sort of Medicare supplement insurance, according to Medicare.gov, a non-government resource for health care information.

If you have questions about Medicare, visit Medicare.gov or call 800-633-4227 (TTY: 877-486-2048). 

You can also contact an Ashford Insurance Agent at 817-952-3153 or visit Ashford Insurance Group.

Photo by Alex Baumel on Unsplash

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