Medicare Supplement Plan G: Coverage and Exclusions

Medicare Supplement Plan G: Coverage and Exclusions

Various types of supplemental coverage known as Medigap can be added to Original Medicare. You’d be surprised how many retired Americans remain unaware of how this plan helps cut out-of-pocket costs on medicine. Each part has a name, such as Part D, which covers prescription drugs. Part G or Plan G is a supplement plan that provides certain health coverage but not dental coverage.

The amount of money you save with Plan G may pay for enrolling in a separate dental plan. You may also enroll in Medicare Advantage, which covers dental care, or you can pay out-of-pocket for each visit to the dentist. Since dental costs can sometimes be unpredictably expensive, it’s a good idea to consider getting Medicare Advantage.

The Basics of Medigap Coverage-

Different types of Medigap offer coverage unavailable in Original Medicare. The most popular supplement is Plan F (pays for gaps in copayments, coinsurance), followed by Plan G, which covers various gaps. Keep in mind different companies offer different benefits in their health insurance packages. It’s important to note that no two insurance companies offer the exact same plans with the same rates.

What Is Covered by Plan G-

Some of the various costs that Plan G covers include gaps for Part A and Part B. It also provides full coverage for procedures involving the purchase of blood. For Part A, it pays the deductible and hospice care copayment or coinsurance. For Part B, it pays copayment and coinsurance, preventive care coinsurance, and excess costs. Plan G also covers foreign travel emergencies and skilled nursing facility care coinsurance.

What Is Not Covered by Plan G-

Despite its helpful features in cutting healthcare costs, Plan G still has coverage limitations. It won’t, for example, cover your Part B deductible. Be aware that Original Medicare by itself usually doesn’t cover routine dental care such as cleanings and fillings or more complex procedures. An exception is if you stay in a hospital that includes dental services. In that case, Medicare Part A might pay for some of these dental services.

Medicare Advantage plans offer dental coverage while Part C offers coverage for dental, as well as other things such as vision and hearing. Make sure to discuss your situation with your provider so that you’re clear on your coverage and your options. Many people confuse Medicare with Medigap and get different parts mixed up. The key is to discuss your healthcare needs with an experienced health insurance provider who has deep knowledge of Medicare and Medigap.

Once you take some time with your insurer to get the answers to several relevant questions about your coverage, you will become more aware of what all the different components mean. For example, plans F and G provide coverage that pays for excess costs, such as when a physician doesn’t accept Medicare assignments.

While retirement can be relaxing, it may also cause stress over healthcare expenses. Nonetheless, you can gain peace of mind by working closely with professionals who have created countless cost-saving solutions for seniors. Contact us at Medicare Advisors to learn more about Medicare and Medigap coverage so that your supplement plan generates maximum cost savings.