Medicare can be overwhelming, especially when it comes to understanding supplemental insurance options like Medicare Part G (commonly known as Medigap Plan G). With rising healthcare costs, many seniors look for reliable ways to cover out-of-pocket expenses not included in Original Medicare. Plan G has become one of the most popular choices because of its comprehensive coverage and value.
In this article, we’ll break down what Medicare Part G is, the benefits it offers, how much it costs, and who is eligible—so you can make an informed decision about your healthcare coverage.
What Is Medicare Part G?
Medicare Part G is not an official “part” of Medicare like Part A (hospital insurance) or Part B (medical insurance). Instead, it is a Medigap (supplemental) insurance plan offered by private insurance companies.
Medigap plans are designed to fill the “gaps” in Original Medicare by covering expenses such as copayments, coinsurance, and deductibles. Specifically, Plan G covers almost everything that Original Medicare doesn’t, except for the Part B deductible.
Benefits of Medicare Part G
One of the biggest reasons seniors choose Plan G is its comprehensive coverage. Here’s what you get with Medicare Part G:
1. Hospital Costs and Coinsurance
Covers all Medicare Part A coinsurance and hospital costs for up to an additional 365 days after Medicare benefits are used up.
2. Part B Coinsurance or Copayment
Pays for doctor visits, specialist care, and outpatient services coinsurance not covered by Medicare Part B.
3. Blood (First 3 Pints)
Covers the cost of the first three pints of blood, which Medicare does not cover.
4. Hospice Care Coinsurance
Covers coinsurance or copayments for hospice care.
5. Skilled Nursing Facility Care Coinsurance
Helps with expenses if you require skilled nursing or rehabilitation services.
6. Part A Deductible
Covers the hospital deductible, which can save you thousands of dollars per year.
7. Foreign Travel Emergency Coverage
Covers 80% of eligible emergency medical expenses abroad (up to plan limits).
✅ In short: Medicare Part G pays for nearly all out-of-pocket costs, except the annual Part B deductible.
How Much Does Medicare Plan G Cost?
The cost of Medicare Plan G varies depending on your location, age, gender, tobacco use, and insurance provider. On average:
Monthly Premiums: $120 to $200 per month (nationwide average).
Part B Deductible (Not Covered): $226 in 2023 (adjusted annually).
While premiums may seem higher than other plans, the out-of-pocket savings often outweigh the cost. Many seniors prefer Plan G because it provides peace of mind and predictable healthcare expenses.
Who Is Eligible for Medicare Part G?
To enroll what is part g of medicare in Plan G, you must first be enrolled in Medicare Part A and Part B. Additional eligibility rules include:
Age Requirement
Typically available to individuals 65 years or older.
Some states allow those under 65 with disabilities to apply.
Medigap Open Enrollment Period
The best time to enroll is during your six-month Medigap open enrollment period, which starts the month you turn 65 and enroll in Part B.
During this time, you cannot be denied coverage for pre-existing conditions.
Outside Enrollment Period
You can still apply after your open enrollment period, but insurers may use medical underwriting, meaning approval is not guaranteed.
Medicare Plan G vs. Other Medigap Plans
Plan F: Covers everything Plan G does plus the Part B deductible. However, Plan F is no longer available to new enrollees after January 1, 2020.
Plan N: Has lower premiums but requires copayments for doctor visits and ER trips.
Plan G: Strikes a balance between affordability and comprehensive coverage, making it the most popular choice among new Medicare enrollees.
Why Choose Medicare Plan G?
Comprehensive Coverage: Minimizes out-of-pocket costs.
Predictable Expenses: You only pay the Part B deductible each year.
Peace of Mind: You’re protected from surprise medical bills.
Future-Proof: Since Plan F is no longer available to new members, Plan G is the best alternative.
Final Thoughts
Medicare Part G (Medigap Plan G) is an excellent option for seniors who want comprehensive coverage without worrying about high out-of-pocket expenses. While you still have to pay the Part B deductible, the peace of mind and financial security it provides make it one of the most popular supplemental insurance choices today.
Before enrolling, compare different insurance providers, check premiums in your area, and enroll during your open enrollment period to secure the best rates. With Plan G, you can focus more on your health and less on unexpected medical costs.