Plan G High Deductible

By Ed Crowe | General Articles | 0 comment | 7 February, 2023 | 0

Plan G High Deductible

A Medicare plan G high deductible plan (HDG) offers beneficiaries the comprehensive benefits of standard plan G at a much lower premium. The premise is simple. Like all supplemental (Medigap) plans, Medicare pays first. The balance is submitted to the Medigap plan for payment. The 2023 deductible amount is $2,700. Therefore, enrollees in a High deductible plan pay the first $2,700, after Medicare has made payment. Once the $2,700 deductible has been met, the (HDG) covers the balance. The Part B deductible applies toward the $2,700 deductible.

Both plans F and G have a high deductible option. Plan F is only available to individuals eligible for Medicare prior to 1/1/2020.

The average cost of HDG is around $40-$90 per month. Medigap Plan G High Deductible cost varies based on several factors and will vary from company to company. Some of the most common factors private carriers assess include your age, location, tobacco usage, and gender.

Plan is ideal for those who:

Are comfortable paying a higher deductible in exchange for lower monthly premiums
Don’t often see the doctor or need to visit the hospital
Live in a state that allows excess charges
Enjoy traveling outside the U.S.

Click here for a summary of what Medicare HDG covers.

How to compare Medicare advantage plans: Agent contracting

Agents can use our online link to request contracting with all the carriers they need. All contracts pay agents directly at full allowable CMS max commission. Because of this, the agent owns the cases they write (the book of business).

CLICK HERE FOR AGENT CONTRACTING

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Medicare Plan G High Deductible

By Ed Crowe | General Articles | 0 comment | 6 February, 2023 | 0

Medicare Plan G High Deductible

Medicare Plan G High Deductible include cost-sharing features. High deductible plans offer lower premiums while still receiving dependable coverage.

In fact, The high deductible Medicare Supplement insurance plan pays the same benefits as Plan G. AFTER you have paid the annual deductible of $2,700. Benefits from the Medicare Plan G High Deductible will not begin until out-of-pocket expenses are more than $2,700.

What’s is included with Medicare Plan G High Deductible?

The cost of 365 extra days of hospital care during your lifetime after Medicare coverage ends
$226 Part B Medicare deductible (2023)
Your Part B coinsurance and the cost of the first three pints of blood
100 percent of Part B physician charges that are in excess of the Medicare-approved amount . (By law, no physician may charge more than 115 percent of Medicare-approved amounts).
Skilled nursing facility copayment
Hospice care
Foreign travel emergency care

Medicare Part A Coverage:

Services	Medicare Pays	After You Pay $2,700 Deductible**, Plan G Pays	After You Pay $2,700 Deductible**, You Pay
HOSPITALIZATION*: Semi-private room and board, general nursing, and miscellaneous services and supplies
First 60 days	All but $1,600	$1,600 (Part A Deductible)	$0
61st through 90th day	All but $400 a day	$400 a day	$0
91st day and after: — While using 60 Lifetime Reserve days — Once Lifetime Reserve days are used: Additional 365 days	All but $800 a day of Medicare eligible expenses	$800 a day 100% of Medicare eligible expenses	$0$0***
Beyond the additional 365 days	$0	$0	All costs
SKILLED NURSING FACILITY CARE*: You must meet Medicare’s requirements, including having been in a hospital for at least three days and entered a Medicare-approved facility within 30 days after leaving the hospital
First 20 days	All approved amounts	$0	$0
21st through 100th day	All but $200 a day	Up to $200 a day	$0
101st day and after	$0	$0	All costs
BLOOD
First three pints	$0	Three pints	$0
Additional amounts	100%	$0	$0
HOSPICE CARE: You must meet Medicare’s requirements, including a doctor’s certification of terminal illness
	All but very limited copayment/coinsurance for outpatient drugs and inpatient respite care	Medicare copayment/coinsurance	$0

Medicare Part B:

Services	Medicare Pays	After You Pay $2,700 Deductible**, Plan Pays	After You Pay $2,700 Deductible**, You Pay
MEDICAL EXPENSES—IN OR OUT OF THE HOSPITAL AND OUTPATIENT HOSPITAL TREATMENT, such as physicians’ services, inpatient and outpatient medical and surgical services and supplies, physical and speech therapy, diagnostic tests, durable medical equipment
First $226 of Medicare-approved amounts*	$0	$226 (Part B deductible)	$0
Remainder of Medicare-approved amounts	Generally 80%	Generally 20%	$0
PART B EXCESS CHARGES (above Medicare-approved amounts)
	$0	100%	$0
BLOOD
First three pints	$0	All costs	$0
Next $147 of Medicare-approved amounts*	$0	$147 (Part B deductible)	$0
Remainder of Medicare-approved amounts	80%	20%	$0
CLINICAL LABORATORY SERVICES—TESTS FOR DIAGONOSTIC SERVICES
	100%	$0	$0