Medigap Plan F vs. Medigap Plan G

Category: Medicare Originally Posted: February 18, 2016 by Quinn Korzeniecki Last modified: February 18, 2016

Medicare Supplement plans, also known as Medigap plans, are offered through private insurance companies and fill in the gaps in coverage left behind by Original Medicare, the Medicare insurance provided by the federal government. There are ten standardized Medigap plans available across the country, lettered A through N*. This standardization means that insurance companies can offer as many Medigap lettered plans as they choose, but same-lettered plans must provide the same basic benefits, no matter which company sells it.

Thus, Medigap Plan F and Medigap Plan G policies will offer the following basic benefits anywhere you can find them.

Medigap Plan Chart 2016

 

What do Medigap Plan F and Medigap Plan G cover?

Medigap Plan F is considered the most comprehensive Medicare Supplement plan, since it covers all of the additional benefits that Medigap plans offer. However, keep in mind that with the maximum coverage generally comes a greater cost. Medigap Plan F specifically covers a variety of Medicare Part A, Medicare Part B, and additional costs not covered through Original Medicare:

  • Medicare Part A costs:
    • Coinsurance and hospital costs up to an additional 365 days after Original Medicare benefits run out
    • Hospice care coinsurance or copayment
    • Plan deductible
  • Medicare Part B costs:
    • Coinsurance or copayment costs
    • Excess charges (if your doctor charges more than the Medicare-approved amount for a service)
    • Plan deductible
  • Additional coverage:
    • First three pints of blood used in a medical procedure
    • Skilled Nursing Facility (SNF) care coinsurance
    • 80% of the cost of foreign travel emergency (up to plan limits)

Some insurance companies in some states also offer a high-deductible Medigap Plan F, which would mean you would have to pay for Medicare-covered costs (deductibles, coinsurance, and copayments) up to the deductible amount before your policy begins paying.

Medigap Plan G covers all the same benefits as Medigap Plan F except for the Medicare Part B deductible.

What do Medigap Plan F and Medigap Plan G not cover?

It is a common misconception that Medigap plans cover additional services and supplies that they do not. It is important to note that Medigap Plan F and/or Medigap Plan G do not cover the costs of any Medicare Advantage plans, stand-along Prescription Drug Plans, Medicaid, Department of Veterans Affairs (VA) benefits, or TRICARE. Medigap Plan F and Medigap Plan G also do not cover the costs of long-term care (such as in a nursing home), hearing aids, eyeglasses, vision or dental care.

While Medigap Plan F and Medigap Plan G both offer similar coverage, the costs and availability of these plans could vary. Be sure to compare plans offered in your area based on their premiums (and the method they use to set these premiums, as prices could go up over time), deductibles, and other out-of-pocket costs. You can use online comparison tools to find which plans are available in your area and to choose the right one for your specific needs.

*It is important to note that Massachusetts, Minnesota, and Wisconsin standardize their Medigap plans in a different way.


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