Understanding your Medicare Plan G coverage is crucial for managing your healthcare costs. Plan G is a popular Medigap plan because it offers comprehensive coverage. This chart summarizes what Plan G generally covers. Keep in mind that specific benefits and costs can vary slightly depending on the insurance company offering the plan.
- Medicare Part A Deductible: Plan G covers 100% of the Medicare Part A deductible.
- Medicare Part A Coinsurance and Hospital Costs: Plan G covers 100% of Medicare Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are exhausted.
- Medicare Part B Coinsurance or Copayment: Plan G covers 100% of the Medicare Part B coinsurance or copayment.
- First 3 Pints of Blood: Plan G covers 100% of the cost for the first 3 pints of blood needed in a medical procedure.
- Part A Hospice Care Coinsurance or Copayment: Plan G covers 100% of the Part A hospice care coinsurance or copayment.
- Skilled Nursing Facility (SNF) Care Coinsurance: Plan G covers 100% of the skilled nursing facility care coinsurance.
- Medicare Part B Excess Charges: Plan G covers 100% of Medicare Part B excess charges (if your doctor charges more than Medicare approves, up to 15% above the Medicare-approved amount). Note that in some states, excess charges are not allowed.
- Foreign Travel Emergency Care: Plan G covers 80% of foreign travel emergency care costs (after you meet a small deductible). There are lifetime plan maximums.
What Plan G Doesn’t Cover:
Plan G typically does not cover things like:
- Medicare Part B Deductible: Although some older Plan G policies might have covered this, for those eligible for Medicare after January 1, 2020, the standard Plan G does not cover the Part B deductible. (Note: a high-deductible version of Plan G *does* exist, where you must meet a significant deductible before the plan begins paying).
- Vision, Dental, and Hearing: Medigap plans, including Plan G, generally do not cover routine vision, dental, or hearing care.
- Long-Term Care: Plan G does not cover long-term care costs.
It’s always a good idea to compare different Plan G policies available in your area to find the one that best fits your needs and budget. Contact a licensed insurance agent for personalized advice.
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