The main difference between Medigap Plan F and Plan G is the coverage of the Medicare Part B deductible. In fact, this is the only difference between these two plans in terms of coverage.
Plan F provides full coverage of the Part B deductible, while Plan G does not offer any coverage of this deductible.
Medicare Supplement Insurance Plan F and Plan G offer more benefits than many of the types of Medicare Supplement Insurance plans (Medigap) that are available in most states.
|To get help comparing Medicare Supplement Insurance Plan F vs. Plan G and to find plans in your area, visit MedicareSupplement.com today.|
It’s understandable why you might consider choosing one of these two Medigap plans. This guide compares and contrasts Medicare Supplement Insurance Plan F vs. Plan G, including what they cover and some of the costs associated with each plan.
|Medicare Supplement Benefits||A||B||C||D||F||G||K||L||M||N|
|Part A co-insurance and hospital costs||✓||✓||✓||✓||✓||✓||✓||✓||✓||✓|
|Part B co-insurance or co-payment||✓||✓||✓||✓||✓||✓||50%||75%||✓||✓|
|First 3 pints of blood||✓||✓||✓||✓||✓||✓||50%||75%||✓||✓|
|Part A hospice care co-insurance or co-payment||✓||✓||✓||✓||✓||✓||50%||75%||✓||✓|
|Co-insurance for skilled nursing facility||✓||✓||✓||✓||50%||75%||✓||✓|
|Medicare Part A deductible||✓||✓||✓||✓||✓||50%||75%||50%||✓|
|Medicare Part B deductible||✓||✓|
|Medicare Part B excess charges||✓||✓|
|Foreign travel emergency||80%||80%||80%||80%||80%||80%|
|1. Plans C and F are not available to new beneficiaries who become eligible for Medicare on or after January 1, 2020.
2. Plans F and G also offer a high deductible plan which has an annual deductible of $2,340 in 2020. Once the annual deductible is met, the plan pays 100% of covered services for the rest of the year. The high deductible Plan F is not available to new beneficiaries who become eligible for Medicare on or after January 1, 2020.
3. Plan K has an out-of-pocket yearly limit of $5,880 in 2020. Plan L has an out-of-pocket yearly limit of $2,940 in 2020.
4. Plan N pays 100% of the Part B coinsurance, except for a copayment of up to $20 for some office visits and up to $50 for emergency room visits that don’t result in an inpatient admission.
View an image version of this table.
Plan F and Plan G both offer coverage for most of the nine Medicare costs that can be covered by a Medicare Supplement Insurance plan. The main difference is that Plan F covers the Medicare Part B deductible, and Plan G does not.
Plan F and Plan G both offer 100 percent coverage for the following 2020 Medicare costs:
Medicare Supplement Insurance Plan F and Plan G both cover 80 percent of the costs for qualified emergency care received outside of the U.S. Original Medicare only covers foreign emergency care under limited circumstances.
In 2017, 55 percent of all Medicare Supplement Insurance beneficiaries were enrolled in Medigap Plan F, which was by far the most popular type of Medigap plan.1
Plan G was the second-most popular type of Medigap plan, with 13 percent of all Medigap enrollees.
In addition to the large difference in enrollment rates, there are three differences you might find between Medicare Supplement Plan F and Plan G:
As mentioned above, Medicare Supplement Insurance Plan F offers coverage for the Medicare Part B deductible ($198 per year in 2020), and Medicare Plan G does not. This is the primary difference in coverage between these two types of Medigap plans.
Medicare Supplement Plan F and Plan G are sold by private insurance companies who are free to set their own costs.
Because plans offering more coverage can often cost more than plans with less coverage, Medicare Supplement Plan F may cost more than Plan G in some areas.
Each type of Medicare Supplement Insurance plan may not be available in every location.
Some people may have access to Plan F but not Plan G, while others may be able to purchase Plan G but not Plan F. Just as with plan costs, the availability of these two plans may differ from one area to the next.
As of 2017, 85 percent of insurance companies selling Medicare Supplement Insurance offered Medigap Plan F, while only 62 percent of companies sold Medigap Plan G.1
By law, if an insurance company sells Medicare Supplement Insurance, they must offer at least Plan A. If they choose to offer any additional plans, they must also offer at least either Plan C or Plan F.
Beginning in 2020, newly eligible Medicare beneficiaries will not be allowed to enroll in Medigap Plan F because of a federal law that prohibits plans from covering the Medicare Part B deductible.
Those who are already enrolled in Plan F prior to 2020 will be allowed to keep their coverage. If you became eligible for Medicare before January 1, 2020, it may be possible to buy Plan F if it's available where you live.
How do you decide between Medicare Supplement Plan F vs. Plan G?
First, decide how costly the Medicare Part B deductible is for your health care budget. If you currently have Part B, how often do you use it? Having the Part B deductible covered by a Medicare Supplement Insurance plan may be more important to some people than others.
Next, compare prices. The $198 annual deductible for Part B in 2020 averages out to $16.50 per month.
It’s worth noting that there is also a high-deductible Plan F option and a high-deductible Plan G option.
These Medigap options offers a lower monthly premium, but beneficiaries must first meet a $2,340 annual deductible in 2020 before the plan covers any costs.
Medigap Plan G works similarly to Plan F or any other Medicare Supplement Insurance plan.
All Medigap plans are accepted by any health care provider who participates in Medicare. The plan’s coverage will be applied anytime you use Original Medicare to receive covered health care services or items.
Your amount due at the time of service will be adjusted according to your Medigap plan limits.
Medigap plans do not provide coverage of dental, vision or other health care services. Medigap plans help cover certain out-of-pocket costs, but they don't cover medical services.
Some Medicare Advantage (Medicare Part C) plans, however, may provide coverage for dental, vision, prescription drugs and more.
Medicare Advantage plans and Medicare Supplement plans are not the same thing, and they work very differently. You can't be enrolled in a Medicare Supplement plan and a Medicare Advantage plan at the same time.
You may be able to switch from Medigap Plan F to Plan G at any time during the year, though you may face medical underwriting. This means that the insurance company selling the Medigap plan may be able to charge you more for the plan or deny you coverage altogether due to your health.
There are some limited situations, however, in which you may switch from one Medigap plan to another without any medical underwriting.
Some of these situations may include:
There may be other circumstances under which you can switch from one Medigap plan to another. If you would like to switch Medigap plans, contact a licensed insurance agent to review your options.
One great way to get help on deciding between Medicare Supplement Insurance Plan F vs. Plan G is to visit MedicareSupplement.com.
A licensed agent can help you compare the Plan F and Plan G options that may be available in your area so that you can find the best plan for your needs.
Learn more about Medigap plans in your areaVisit MedicareSupplement.com