What does Medicare Plan G cover?

What does Medicare Plan G cover?

Medicare Plan G refers to one Medicare Supplement insurance (Medigap) plan. This plan covers many out-of-pockets expenses not covered by Original Medicare.

Covered Services and Supplies

Plan G covers any service or supply that Original Medicare covers. Original Medicare pays first. Plan G pays the remainder of expenses after the Part B deductible has been paid. This includes:

  • inpatient hospital
  • blood transfusions
  • skilled nursing
  • hospice care
  • doctor visits
  • lab work
  • diabetes supplies
  • durable medical equipment
  • x-rays
  • ambulance
  • surgeries

Out-of-Pocket Expenses Paid by Plan G

A Medicare recipient is responsible for paying the Medicare Part B deductible before Plan G pays for any expenses. (In 2018 the Part B deductible was $183.) At this point, Plan G covers virtually everything that Original Medicare does not. This includes the Part A deductible, copays, and coinsurance. Without some Medigap plans including Plan G, individuals are responsible for paying 20% of outpatient costs after the deductible has been paid. With Plan G, Original Medicare pays 80% of these costs and Medigap covers the other 20%. 

Added Bonuses

  • Medigap Plan G covers up to $50,000 in foreign travel medical emergencies.
  • Plan G premiums are relatively low.
  • Plan G has relatively low rate increases.  

    Out-Pocket Expenses not Paid by Plan G

    • Medicare Part B deductible
    • Co-pay for Medicare Prescription Drugs Part D

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What does Medicare Plan G cover?