High Deductible Plan G

High Deductible Plan G

High Deductible Plan G is identical to regular plan G but has a different payment structure. Learn more about the high deductible option for Plan G below. 

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Details of High Deductible Plan G

Like High Deductible Plan F, your coverage for High Deductible Plan G begins after you meet the deductible. In 2021 the deductible is $2,370. This means you are responsible for all Medicare-covered costs, such as coinsurance, copayments, and deductibles up to $2,370. After that, the insurance company will pay. 

Original Medicare vs. High Deductible Plan G

Hospital Inpatient Costs

Original Medicare

  • Day 1-60 of an inpatient stay: Your annual deductible is $1484 with coinsurance 
  • Days 61-90: your cost of coinsurance per day is $371
  • After Day 90: you pay a lifetime reserve day of $742

Medigap Plan G

  • 100% of Medicare Part A coinsurance and hospital costs, up to an additional 365 days after Medicare benefits are used. 

Part B Coinsurance 

Original Medicare

  • You are usually expected to pay 20%

Medigap Plan G

  • 100% of Medicare Part B coinsurance or copayment 

Blood

Original Medicare

  • If the hospital has to buy blood for you, you must pay for the first 3 units of blood you get in a calendar year

Medigap Plan G

  • 100% of first 3 pints of blood 

Hospice Care Coinsurance/Copayment 

Original Medicare

  • You pay a copayment of up to $5 per prescription for outpatient prescription drugs for pain and symptom management. 
  • You pay 5% of the Medicare-approved amount for inpatient respite care. 

Medigap Plan G

  • 100% Part A Hospice Coinsurance or copayment 

Skilled Nursing Facility (SNF) Care Coinsurance 

Original Medicare

  • Days 1-20 at SNF facility: no cost 
  • Days 21-100: you pay $185.50 per day 
  • Day 101 and after: You assume all costs

Medigap Plan G

  • 100% SNF Coinsurance 

Part A Deductible 

Original Medicare

  • Annual deductible: $1484 with coinsurance for days 1-60 of each benefit period.
  • After Day 60: See Hospital Inpatient costs, above

Medigap Plan G

  • Covers 100% of Part A Deductible 

Part B Deductible 

Original Medicare

  • In 2021, the deductible for part B is $203. After you meet your deductible, Medicare generally covers 80% of the cost and you cover 20%. 

Medigap Plan G

  • No additional coverage 

Part B Excess Charges

Original Medicare

  • No out of pocket expense yearly limit
  • After you meet your deductible, Medicare generally covers 80% of the cost and you cover 20%.

Medigap Plan G

  • Covers 100% of Part B excess charges 

Bonus: Up to 80% of coverage for foreign travel emergency 

At Medicare With Jake, we can help you choose the best Medicare plan for you.