Medigap Plan G Details

Medigap Plan G Details

Medigap Plan G is one of the federally regulated Medicare Supplement Insurance plans (aka Medigap). While it covers almost everything, it leaves one gap in coverage.

By Senior65 Originally posted Oct 28, 2015
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Every day our team here at Senior65.com receives many questions about Medigap Plan G. Get all the details here.

Medigap Plan G Overview

Medigap Plan G is one of the federally regulated Medicare Supplement Insurance plans (aka Medigap). This plan has a wide coverage and is currently the most popular Medigap plan.

Remember Medigap plans are designed to complement Original Medicare Part A and Part B. Below is a list of what you would pay under Original Medicare alone, and then what you would pay if you purchased Medigap Plan G.

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Medigap Plan G Benefit Details

Benefits Original Medicare Alone Original Medicare With Medigap Plan G
Doctor Network All Doctors that accept Medicare All Doctors that accept Medicare
Part A Hospital Benefit Period Deductible You pay $1,736* You pay $0
Hospital days 61-90 You pay $434 per day You pay $0
Hospital Days 91-150 You pay $868 per day (lifetime reserve days) You pay $0
Beyond Lifetime Reserve Days You pay 100% You pay $0 up to an additional 365 hospitalization days.
Skilled Nursing Facility Care Days 1-20 You pay $0 (Part A deductible applies)** You pay $0
Skilled Nursing Facility Care Days 21-100 You pay $217 per day You pay $0
Hospice Respite Care You pay 5% You pay $0
First 3 Pints of Blood You pay 100% You pay $0
Additional Blood You pay $0 You pay $0
Part B Annual Deductible You pay $283 You pay $283
Ambulance You pay 20% (Part B deductible applies) You pay $0, after Part B deductible
Doctor’s Office Copays/Coinsurance You pay 20% (Part B deductible applies) You pay $0, after Part B deductible
Durable Medical Equipment You pay 20% (Part B deductible applies) You pay $0, after Part B deductible
Part B Excess Charges You pay 100% (Part B deductible applies) You pay $0
Foreign Travel Emergency You pay 100% You pay 20%***
Out-Patient Surgery You pay 20% (Part B deductible applies) You pay $0, after Part B deductible
Urgent Care You pay 20% (Part B deductible applies) You pay $0, after Part B deductible

Next Steps for Medigap Plan G

Get quote: Click here to see prices for Plan G
Check out Medigap Plan Detail Overview where you can find every Medigap plan available or review Medigap most popular plans.

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The fine print of the Medigap Plan G Chart Above

*Medicare Part A deductible is broken down into 60 day benefit periods. You have to pay the deductible if you reenter the hospital after 60 days from discharge. Example: If you enter the hospital March 1st you’ll pay the Part A deductible. If you leave the hospital 5 days later and return to the hospital on July 6th, you will be charged the Part A hospitalization benefit again.
**For Skilled Nursing you must have a 3-day qualifying stay in the hospital to qualify for Skilled Nursing Facility care AND you’ll still pay the benefit period Part A deductible ($1,736).
***Foreign Travel Emergency requires a deductible of $250. You will have to have your emergency within the first 60 days of travel, and the plan has a lifetime coverage amount of $50,000.

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