High Deductible Plan G

High Deductible Plan G: What are the facts?

High Deductible Plan G works very similarly to other Medigap plans. Like other Medigap options, the plan works with regular Medicare Part A and B and fills in the gaps in Medicare. There are no networks on HDG or any other Medigap plans – you can use the plan at any doctor or hospital that accepts Medicare.

High deductible Plan G has a deductible of $2800 (for 2024 – this deductible changes each year).  What this means is that, when you use medical services, Medicare will pay their 80%, and you will be responsible for the other 20% until you meet the $2800 deductible. In other words, you will pay 20% of Medicare-approved charges up to $2800 per calendar year.

After you have paid out $2800 in a calendar year, your HDG plan will act exactly like a “regular” Plan The plan will pay what Medicare does not pay (the 20%). HDG, like standard Plan G, does not cover the Medicare Part B deductible ($240/year in 2024); however, that deductible goes towards the larger HDG deductible so you would have already met it by the time you reach the $2800 HDG deductible.

The deductible for HDG resets each calendar year, so you would have to start over with meeting the deductible each year. High deductible Plan G, just like any other Medigap plan, can never be cancelled for reasons other than non-payment of premium. The plan is ‘guaranteed renewable’ and does not have to be renewed annually, nor does it have any sort of annual renewal period.


What is High Deductible Plan G?

Medigap High Deductible Plan G is a Medicare Supplement plan that offers the same coverage as the standard Medicare Supplement Plan G once the deductible is met. The premiums for the high deductible version are lower than the premiums for the standard Medicare Supplement Plan G. Yet, enrollees must meet the deductible for coverage to kick in at 100%. Cost-sharing you pay out-of-pocket, as well as the Medicare Part B deductible, applies toward the high deductible amount.

Medigap Plan G High Deductible Coverage

The most crucial aspects of the HD Plan G plan are the benefits you will receive after the deductible amount. Your benefits will cover:

  • Part B excess charges

  • Foreign travel emergency (up to plan limits)

  • Skilled nursing facility care coinsurance

  • Part A hospice care coinsurance or co-payment

  • The first 3 pints of blood

  • Part B coinsurance or co-payment

  • Part A coinsurance and hospital costs (up to an additional 365 days after Medicare benefits are used)

  • Durable Medical Equipment (DME)

I Can Help

Ultimately, we want to make sure that you’re choosing the best plan for your needs. Whether that’s staying on your current High Deductible Plan F or switching to a new HD Plan G, I am here to help you compare the pros and cons of both options. It’s important to get the best deal for your situation and keep this process as worry-free as possible. You deserve to relax during this part in your life, not worry about your Medicare coverage.