Beneficiaries concerned about gaps in the federal Medicare program have the option to enroll in Medicare Supplement Plan G in Maine. Also known as Medigap Plan G, the plan eliminates most out of pocket costs, including coinsurance, copayments, and excess charges. Enrolling in Medicare Supplement Plan G in Maine gives beneficiaries peace of mind when medical expenses arise.
What is Medicare Supplement Plan G in Maine?
Medicare Supplement insurance Plan G in Maine serves as a backup payment source for Original Medicare. Unlike a Medicare Advantage Plan, it works with Medicare Part A and Part B, covering copays and other expenses that would otherwise become out of pocket expenses.
You can learn more about Medicare Supplement insurance at Medicare.gov, but the following tips will tell you how it works in general:
- You can enroll in Medigap Plan G once you’re eligible for Medicare and sign up for Part B.
- An insurance agency authorized to sell Medigap plans can help you enroll in Plan G. Our Policy Guides can also help you compare Medicare Supplement Plan G rates.
- Plan G is the most comprehensive Medigap plan available to beneficiaries ineligible for Plan F due to enrollment limitations. It covers all of Medicare’s gaps except for the Medicare Part B deductible.
- When a Medicare beneficiary receives medical services or medical equipment, Original Medicare pays all claims up to plan limits. Plan G coverage is then utilized for remaining expenses like copays, coinsurance, and Medicare Part B excess charges.
What does Medicare Supplement Plan G cover?
Original Medicare pays for a lot when it comes to your healthcare. On top of the Medicare-approved amounts that are covered by the Federal Medicare program in the United States, you can enjoy having these additional Medicare benefits covered if you sign up for Medicare Supplement Plan G in Maine.
Medigap Plan G will cover:
· Initial pints of blood
· Medicare Part A deductible
· Medicare Part A hospital costs
· Part A expenses
· Part A hospice care coinsurance
· Skilled nursing facility care
Benefits also pay these Medicare Part B costs:
· Charges over the amount Medicare allows – “Part B Excess Charges”
· Durable medical equipment
· Foreign travel emergency care (lifetime plan limits apply)
· Medicare Part B coinsurance and copays
Be advised that the Part B deductible will not be covered by Medigap Plan G in Maine
What is the Plan G deductible in 2021?
There is no deductible for Plan G, but you do need to pay the Medicare Part B deductible out of pocket. For 2021, that deductible is $203.
What is the Monthly Premium for Medicare Supplement Plan G in Maine?
The monthly premium for Medicare Supplement insurance Plan G in Maine depends on a variety of factors, including location, age, and tobacco use. Plan G has higher rates than most other Medicare Supplement insurance plans because it offers more benefits, including up to $50,000 in foreign travel emergency benefits plus Medicare Part A coinsurance and Medicare Part B coinsurance.
To illustrate potential Medicare Plan G rates, we ran Medicare Supplement plan quotes for a 65-year-old female nonsmoker living in Maine zip code 04401 in 2021. The following rates resulted:
- Plan G Monthly Premium Range – $206.25 – $318.54
- Plan G Average Monthly Premium – $247
There are three methods used by Medicare Supplement insurance companies to determine rates for Medicare Supplement Plan G in Maine:
- Community-Rated – Every Medicare beneficiary enrolled in the plan receives the same rates. Personal factors don’t matter. This is the least common Medigap rating method.
- Issue-Age – Beneficiaries receive rates based on their age at the time of enrollment.
- Attained-Age – Beneficiaries receive rates based on their current age. Rates tend to go up with age.
When can I enroll in Medicare Supplement Plan G?
You can enroll in Medicare Plan G at any time, but there are guaranteed issue rights that you only receive during your Open Enrollment Period:
- Guaranteed Acceptance – The insurance company cannot deny coverage.
- Guaranteed Continuance – The insurer cannot cancel your policy as long as you pay your monthly premiums and remain within the plan’s service area.
- No Underwriting – Your pre-existing conditions and current medical condition will not impact your rate.
Your Open Enrollment Period starts the month that you enroll in Original Medicare and closes six months later. If you miss that period, you may qualify for a special enrollment period with eligibility for the same guaranteed issue rights at a later date.
If you don’t qualify for a special enrollment period, you may apply for Medicare Supplement Insurance Plan G in Maine at any time. Medical underwriting may increase your rate or disqualify you for coverage.
What Is the Difference Between Plan G and Plan G With a High Deductible?
The standard Medicare Supplement Insurance Plan G in Maine and the high deductible plan both offer the same coverage. The difference is that beneficiaries must pay the full deductible amount before utilizing those benefits if they select high-deductible Plan G. The advantage of the high deductible plan is much lower monthly premiums.
What is the Best Medicare Supplement Plan G in Maine?
Every Medicare Supplement plan offers the same benefits regardless of the insurer. Insurance companies are limited to competing with rates because the federal government has standardized all benefits included in each plan.
You should consider three factors when selecting an insurance agency:
- Financial integrity
- Long-term stability
- Customer service
Our Policy Guides consider all of these factors when recommending insurance companies to a Medicare beneficiary. Our strongest recommendations go to the following companies due to their financial strength, long-term stability, and commitment to excellence in customer care. We’re including the A.M. Best score for each company to help you compare your options.
- Mutual of Omaha – A+ (Superior)
- Aetna – A (Excellent)
- Cigna – A (Excellent)
Which is better, Plan F or Plan G?
How are Plan F and Plan G Different?
Both plan options cover coinsurance, copayments, and foreign travel emergency care up to an approved amount. The difference is that Plan F covers the Medicare Part B deductible and Plan G does not.
Is Plan G Cheaper than Plan F in Maine?
Yes, Medicare Plan G is cheaper than Medicare Plan F due to the slight variation in coverage.
Which should I choose?
If you signed up for Medicare Part A and Part B after December 2019, you only qualify for Medigap Plan G.
If you signed up for Original Medicare before January 1, 2020, then you may choose Plan F or Plan G. Your budget should guide your decision, so take the time to compare your total out of pocket costs with both plan options. An insurance agent or our Policy Guides can walk you through the comparison process.
What is the Most Popular Medicare Supplement Plan in Maine for 2021?
Due to enrollment limitations for Plan F, the most popular Medigap policy is now Medicare Supplement insurance Plan G in Maine. When you compare all plan options, there are five reasons you may decide Plan G is the right option for you:
- There are no restrictions on enrollment. If you’re enrolled in Medicare Part B, you can apply for Plan G.
- There are no network restrictions when seeking medical care. If a doctor accepts Medicare, you’re free to book an appointment. You can also see doctors unwilling to accept Medicare because Plan G covers excess charges.
- In comparison to all other plan options besides Plan F, Plan G offers the most comprehensive supplemental Medicare benefits. It even covers emergency care when traveling abroad.
- When you consider all out of pocket expenses like the Medigap premium and the Medicare Part B premium and deductible, Plan G is likely to provide the most value.
- Plan G makes healthcare coverage more predictable by eliminating almost all Original Medicare gaps.
Frequently asked question about Medigap Plan G:
Full Medicare Supplement Plan G Benefits Chart
Does Plan G cover prescription drugs?
Medicare Plan G doesn’t include a drug plan. You can secure prescription drug coverage through Medicare Part D.
Does Plan G cover the Medicare Part B deductible?
Medicare Supplement Plan G doesn’t cover the Part B deductible.
Does Plan G cover Medicare Part B excess charges?
Medicare Supplement Plan G covers all Part B excess charges. That’s what sets Medicare Plan G apart from Medicare Plan N.
Does Plan G cover the Medicare Part A Deductible?
Medicare Plan G does cover the Medicare Part A deductible.
Is Plan G worth it?
Plan G is worth the monthly premium if you want a simpler approach to health insurance. It eliminates all of the gaps in Medicare’s original coverage except for the Medicare Part B premium and deductible. It also allows you to pick your own doctors and receive emergency care overseas if needed.
What is the difference between plan G & N in Maine?
Medigap Plan N offers the same coverage as Plan G except it doesn’t cover Medicare Part B excess charges.
Does Plan G cover dental?
Medigap Plan G doesn’t include a dental insurance plan.
What is Medicare Part G?
The term “Medicare Part G” is often confused for “Medicare Plan G.” There is no Medicare Part G because Medicare Supplement plans weren’t a part of the Original Medicare coverage. Medigap plans are referred to as plans, not parts.
Does Plan G cover Silver Sneakers?
Medigap Plan G doesn’t include Silver Sneakers membership.
My Medigap Plans is a rapidly growing resource for Medicare beneficiaries. We specialize in educating consumers on their options and guiding them through the process of plan selection. We work closely with some of the nations top rated carriers such as Aetna, Cigna and Mutual of Omaha. Compare our list of the 10 Best Medicare Supplement Insurance Companies or take a deeper look at the plans by reviewing our Medicare Supplement Plans Comparison Chart. Learn more or about Medicare Part D Prescription Drug plans, or request a Medicare Supplement Plan Quote.