Medicare Plan G is a supplement plan that pays for some of the costs basic Medicare doesn’t cover. For example, it will pay your deductible or coinsurance fee in some situations. This private insurance also covers a few services that basic Medicare excludes.
In 47 states, every policy is identified by one of 10 letters. These programs are standardized to make them easier to compare. Wisconsin, Massachusetts and Minnesota have different standard plans. Aside from those states, every policy with the same letter provides an equivalent level of coverage and the same benefits.
What is Medicare Plan G
Medicare Plan G covers a wide range of medical and short-term nursing expenses. For instance, it funds the co-pay on any outpatient service provided by a hospital. It also pays coinsurance on all Part B health costs, this usually amounts to one-fifth of the non-hospital medical bills that Medicare has approved.
Hospital Expense Coverage
This feature covers the coinsurance on hospital stays under Part A. The patient generally doesn’t face any co-pays if he or she remains in a hospital for less than 61 days. However, a substantial fee applies each day during the third month. It can easily add up to thousands of dollars, Plan G normally covers this expense.
This kind of insurance also funds longer hospital stays. Although the allowable length varies depending on the frequency of a person’s hospital visits, basic Medicare generally limits stays to less than 150 days. Plan G extends hospital coverage for an entire year. This can make a huge difference for patients who suffer major injuries that demand over four months of hospitalization.
Additional Hospice Coverage
This portion of the plan helps terminally ill patients who need special treatment. Basic Medicare Part A covers most hospice care services, but seniors usually need to pay a small amount of coinsurance. Plan G covers these expenses and may help pay for health services that don’t specifically treat a terminal condition.
Coverage of Blood Transfusions
Original Medicare pays for blood supplied by hospitals for transfusions. However, they don’t cover the initial three pints unless it was donated. This insurance pays for the above-mentioned three pints. It covers blood for both inpatient and outpatient transfusions.
Medical Coverage While Traveling
If you take a vacation or business trip to another country, Original Medicare won’t cover any health expenses that you incur. Fortunately, Plan G will fund foreign medical treatments, it covers four-fifths of these costs. However, this insurance generally only pays for overseas healthcare if it’s necessitated only for an emergency. For instance, you may become involved in an auto accident or fall and break a bone in a hotel.
Excess Health Expense Payments
Medicare isn’t always willing to pay a physician’s entire bill. Plan G makes up the difference with regard to Part B expenses. For example, perhaps a doctor requests $223 and original Medicare pays $170. Your insurer would pay the remaining $53.
Payment of Medicare Deductibles
Medigap Plan G doesn’t pay the deductible on Medicare Part B, but it does cover Part A’s deductible. This cost can add up to a considerable amount of money if you don’t have supplemental coverage. Unlike most insurance deductibles, it can apply multiple times in one year. It resets more or less often depending on when and how many times you need to visit a hospital.
Nursing Home Treatment Coverage
Plan G nursing care coverage expands upon conventional Medicare’s funding of temporary nursing home stays. It pays the large coinsurance fees that apply after the first 20 days in a nursing facility. Neither Medigap nor Part A will cover stays that exceed 100 days; you need separate long-term care insurance for this.
Depending on the insurer that a person selects, every supplemental insurance policy is available in different states. Plan G isn’t provided in as many states as some of the alternatives. For example, one major insurance company just offers it in Connecticut. Federal law requires any insurer that carries Plan G to sell Plan A and Plans F or C as well. Please contact our advisers for details on the coverage options available in your locale.
Comparison to Other Medigap Plans
This supplemental policy resembles Plan F more than any of the alternatives. It tends to cost somewhat less than F. On the other hand, Plan F offers greater coverage. It covers the deductibles on both Part A and Part B expenses. Medicare Part F is also available with a higher deductible that makes it more equivalent to Plan G. Each insurer normally offers at least three supplemental policies to compare.
How Coinsurance Works
This supplemental policy doesn’t cover the deductible on Part B, so it’s important to understand how it pays the coinsurance. The insurer won’t actually cover any co-pays until you have met the deductible for Part B. Consequently, you’ll still need to pay 100 percent of the costs below this threshold. The policy covers the Part A deductible, so this rule doesn’t apply to hospital treatments.
The bottom line is that this policy isn’t the most comprehensive option, but it does cover an assortment of health expenses. Seniors may find it desirable if they want somewhat lower premiums and don’t mind saving up some cash for the deductible on Part B.