High-Deductible Plan G: Big Coverage, Small Premiums!
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High-Deductible Plan G: “I’m Healthy and Want to Save on Premiums”
When High-Deductible Plan G is Your Best Choice
High-Deductible Plan G is ideal if you: • Are very healthy with minimal expected healthcare usage • Want catastrophic protection at the lowest possible premium • Can afford to pay up to $2,800 out-of-pocket if needed • Prefer saving $90-110/month compared to regular Plan G • Are financially secure enough to handle the deductible
High-Deductible Plan G Maximum Out-of-Pocket Costs
Your total annual costs with High-Deductible Plan G: • Monthly Premium: $50-70/month • Annual Premium: $600-840 • Annual Deductible: $2,800 • Maximum Total: $3,400-3,640/year
After meeting the $2,800 deductible, High-Deductible Plan G covers 100% of all costs (except Part B deductible).
Real Naples Example
Susan, 66, Naples resident in excellent health:
Healthcare Usage: • Annual physical and preventive care • No chronic conditions • No hospital stays • Occasional urgent care visit
What She Paid with High-Deductible Plan G: • Premium: $720 • Deductible: $0 (didn’t meet $2,800 threshold) • Out-of-pocket costs: $400 • Total: $1,120
What She Would Have Paid with Regular Plan G: • Premium: $2,040 • Part B deductible: $240 • All other costs: $0 • Total: $2,280
High-Deductible Plan G saved Susan $1,160 because she’s healthy and uses minimal healthcare.
Key Benefits
- Near-Complete Gap Coverage: After the $2,800 deductible, Plan G covers 100% of Part A coinsurance, Part B coinsurance, skilled nursing, and foreign travel, so a specialist visit in Orlando costs $0 out-of-pocket.
- Low Premiums, High Savings: Premiums are 50–70% less than standard Plan G ($120–$300), freeing up cash for snowbird adventures.
- Nationwide Provider Access: See any Medicare provider in the U.S., perfect for snowbirds hopping from Palm Beach to Maine—no network restrictions.
- Foreign Travel Safety Net: Covers 80% of emergency care abroad (up to $50,000 lifetime) after a $250 travel deductible, ideal for international cruisers.
- Open to All Enrollees: Unlike Plan F, anyone with Medicare Part B can join, offering flexibility for newer seniors in 2025.
Pros and Cons
Here’s the sunny side and the potential rainclouds of High-Deductible Plan G.
Pros
- Near-Total Coverage: Covers all gaps except the Part B deductible after the $2,800 deductible, minimizing out-of-pocket costs.
- Affordable Premiums: $25–$75/month saves hundreds compared to standard Plan G, great for fixed budgets.
- Travel-Friendly: Nationwide access and foreign emergency coverage make it a snowbird’s dream.
- Broad Eligibility: Open to all Medicare enrollees, no pre-2020 restrictions like Plan F.
- Budget-Friendly Planning: No copays post-deductible and low premiums simplify finances.
Cons
- High Deductible: $2,800 upfront cost can be tough if medical needs hit early in the year.
- Part B Deductible: You pay $240 for Part B before coverage starts, unlike Plan F’s full coverage.
- No Prescription Coverage: Requires a separate Part D plan, adding a step to your plan.
- Not Ideal for Chronic Care: High deductible makes it less cost-effective for frequent doctor visits.
- Underwriting Outside Enrollment: Health issues may increase premiums or lead to denials if not enrolled during Open Enrollment.
Making Your Decision
Each Medicare Supplement plan serves a different need. Consider these questions:
- How much can you comfortably afford in monthly premiums?
- How often do you typically need medical care?
- Do you have savings to cover potential out-of-pocket costs?
- Do you value predictable expenses over lower premiums?
- Do you travel internationally?
Your answers will guide you toward the plan that best fits your situation. Remember, the right plan isn’t necessarily the one with the most coverage—it’s the one that matches your health needs, financial situation, and peace of mind requirements.
Ready to explore your options? Contact us today to discuss which Medicare Supplement plan makes the most sense for your unique situation.
Why This Site Exists
Medicare can be confusing, overwhelming, and unnecessarily noisy. For many people approaching age 65, it feels less like a healthcare decision and more like navigating a maze of conflicting advice, sales pressure, and generic information that rarely reflects where you actually live or how you actually retire.
MedicareSupplementsOnly.com was created to cut through that noise. Read more
2026 Medicare Costs at a Glance
$1,736.00
Part A Deductible (per benefit period)
$283.00
Part B Deductible (per year)
$202.90 (or higher depending on your income).
Part B Premium (The amount can change each year.)
$217
Skilled Nursing (days 21-100)
Varies
Medigap premiums by plan & location
What Is a Medicare Supplement Plan?
Medicare Supplement plans — often called Medigap — are optional policies you can buy from private insurance companies to help pay the costs that Original Medicare (Part A and Part B) doesn’t fully cover. Think of them as “gap fillers.”
With Medicare alone, you’re still on the hook for things like deductibles, coinsurance, and copays. A Medigap plan can step in and cover some or all of those out-of-pocket costs.
How Do They Work?
You stay enrolled in Original Medicare.
Medicare pays its share of approved healthcare costs.
Your Medigap plan pays its share after that.
You still use your red, white, and blue Medicare card at the doctor’s office — nothing changes there. The Supplement is just a backup, so you’re not left with big bills.
*Updated annually by Medicare. Premiums may vary based on income.
Fast Facts (Save Yourself Headaches)
- Medigap ≠ Advantage. Medigap works with Original Medicare; no networks, no referrals.
- Price is by ZIP/age/tobacco/household. Same benefits → different carrier rates.
- Timing matters. Your Part B date and Guaranteed Issue windows change underwriting.
- Doctor freedom. Any provider accepting Medicare. Traveling? You’re still covered.
Medigap vs. Advantage
- Medigap (We place it): higher premium, lower unpredictable costs, nationwide access, no network drama.
- Advantage (We don’t market it): lower premium, networks, authorizations, plan rules.
You want clarity, predictability, and freedom → Medigap usually wins.
What Drives Your Rate?
- ZIP code • Age (and birthday timing) • Tobacco status • Household discount • Carrier rate history
Pain Points (and How Plan G Helps)
Seniors face these Medicare hurdles. Here’s how High-Deductible Plan G steps in—or stumbles.
- “Big medical bills keep me up at night!”
Relief: Post-$2,800 deductible, Plan G covers nearly all costs, from hospital stays to specialists. Catch: You need $2,800 saved for the deductible. - “High premiums are a budget killer!”
Relief: Premiums ($25–$75/month) are easy on the wallet, saving big for retirement fun. Catch: Budget for the deductible if health needs arise. - “Will it cover me up north?”
Relief: Nationwide access works anywhere Medicare is accepted, from Miami to Michigan. Catch: No issues—Plan G is travel-ready. - “What if I get sick abroad?”
Relief: 80% of foreign emergencies covered (up to $50,000) after deductibles. Catch: Non-emergency care requires separate insurance. - “Is enrollment easy?”
Relief: Open to all Medicare enrollees, no eligibility cutoff like Plan F. Catch: Underwriting may apply outside Open Enrollment. - “I’m healthy but fear unexpected costs!”
Relief: Near-full coverage after the deductible protects against major expenses. Catch: You must have $2,800 ready for surprises. - “Medicare plans are so confusing!”
Relief: Plan G’s clear benefits are easy with agent help (hi, that’s me!). Catch: Deductible and Part B costs need explanation to avoid confusion.
Enrollment Timing: When to Grab High-Deductible Plan G
Timing is your secret weapon to lock in High-Deductible Plan G smoothly. Here’s the lowdown:
- Best Time: Medigap Open Enrollment Period (OEP)
- Starts the month you turn 65 and are enrolled in Medicare Part B.
- Lasts 6 months.
- Why it’s a no-brainer: Insurers can’t deny you or charge more for pre-existing conditions (e.g., arthritis, heart disease). You get Plan G at the best rate.
- Example: Turn 65 in November 2025 and enroll in Part B? Your OEP runs November 2025–April 2026.
- Outside OEP
- You can apply, but insurers may use medical underwriting.
- Pre-existing conditions could lead to higher premiums or denial.
- Some states don’t offer guaranteed-issue rights for Plan G outside OEP, so health issues could complicate things.
- Special Situations
- Losing employer coverage or a Medicare Advantage plan? You may have a guaranteed-issue right to buy Plan G without underwriting.
- Switching from another Medigap plan? Underwriting usually applies.
Pro Tip: Enroll during OEP to secure Plan F without health-based roadblocks. Waiting could mean rejection or steeper premiums.
FAQs: Answering Seniors’ Burning Questions
- What does High-Deductible Plan G cover?
All Medicare gaps except the Part B deductible ($240 in 2025) after a $2,800 deductible, including coinsurance, skilled nursing, and foreign travel. - Who can enroll in High-Deductible Plan G?
Anyone with Medicare, no eligibility cutoff like Plan F. - How much is the deductible in 2025?
$2,800 for covered Medicare costs before full coverage starts. - Is it good for snowbirds?
Yes, nationwide access and 80% foreign emergency coverage make it ideal for travel. - Does it cover prescription drugs?
No, you’ll need a separate Part D plan for drug coverage. - When should I enroll?
During your 6-month Medigap Open Enrollment Period to avoid underwriting, or consult an agent for plan switches. - Is it worth it for healthy seniors?
Yes, low premiums and near-full coverage after the deductible are perfect for those with minimal care needs.
Final Thoughts
Medicare Supplement High-Deductible Plan G is like a trusty flip-flop—simple, affordable, and gets you through the basics of Medicare’s gaps. For seniors on a budget, it’s a lifesaver for hospital and doctor costs, with premiums that won’t cramp your style. Use your Open Enrollment Period like a golden ticket, shop insurers like you’re picking the juiciest mango, and trust your expert agent to make it seamless. Ready to save on healthcare and keep those retirement vibes strong? Plan G might be your perfect first step!
Get Your Free Medicare Supplement Quote Today
Don’t miss your chance for the right Medicare Supplement plan. Call us at 1-239-633-4392, email info@medicaresupplementsonly.com, or fill out our form for a free consultation. Let’s make Medicare work for you. Learn more at the Centers for Medicare & Medicaid Services
Disclaimer:
MedicareSupplementsOnly.com is owned and operated by Charles “Chuck” Lunsford, a Life & Health insurance agent licensed in Florida (License A169316, active since 1994). Insurance product descriptions are for informational/marketing purposes only. The policy and any riders issued by the insurer contain the full terms, conditions, exclusions, and limitations. Eligibility, rates, and benefits are determined by the issuing carrier and are subject to underwriting and change.
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