When out of pocket costs become a cause of stress, many beneficiaries enroll in Medicare Supplement Plan G in North Carolina. Medicare Supplement insurance serves as a backup to Original Medicare, covering gaps in the federal Medicare program. Those gaps leave some medical expenses uncovered, including coinsurance and copayments. Those are the expenses covered by Medicare Supplement Plan G in North Carolina.
What is Medicare Supplement Plan G in North Carolina?
At the end of December 2018, there were more than 505,000 Medicare beneficiaries enrolled in Medicare Supplement insurance plans. More than 127,000 of those beneficiaries were enrolled in Medigap Plan G. Close to 300,000 were enrolled in Plan F, but Plan G is expected to take over as the most popular plan due to new eligibility restrictions for Plan F.
If you’re interested in enrolling in Medicare Supplement insurance Plan G in North Carolina, there are a few things you should understand:
- Once you’re eligible for Medicare and sign up for Medicare Part A and Part B, you’re also eligible for Plan G coverage.
- The benefits offered by Plan G are standardized by the federal government, so you will receive the same benefits regardless of which insurance agency you selct.
- When you need medical services or medical equipment, Original Medicare pays all medical expenses up to plan limits first. Medigap Plan G then covers remaining expenses like copays, Medicare Part A coinsurance, and Medicare Part B coinsurance.
- One of the most complete Medigap plans is Medicare Supplement Plan G in North Carolina. It covers all out of pocket expenses except the Medicare Part B premium and deductible. That includes foreign travel emergency care up to an approved amount.
You can learn more about how Medicare Supplement plans work by visiting Medicare.gov.
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 North Carolina.
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 North Carolina.
What is the Plan G deductible in 2021?
There is no annual deductible for Medicare Plan G. Keep in mind that it does require you to pay the Part B deductible out of pocket. For 2021, that deductible is $203.
What is the Monthly Premium for Medicare Supplement Plan G in North Carolina?
How high are monthly premiums for Medicare Supplement insurance Plan G in North Carolina? It depends on your zip code and a short list of personal factors like whether you use tobacco or not. To illustrate Medicare Supplement Plan G rates for 2021, we pulled Medicare Supplement plan quotes for a 65-year-old woman living in zip code 27610.
- Monthly Premium Range – $86.46 – $210.48
- Average Monthly Premium – $122
When determining Medicare Plan G rates, there are three methods that Medicare Supplement insurance companies may use:
- Attained-Age Rating – Rates are based on each beneficiary’s current age, which leads to rate increases over time.
- Issue-Age Rating – Rates are determined based on age at the time of enrollment.
- Community Rating – Every Medicare beneficiary receives the same rate regardless of age.
When can I enroll in Medicare Supplement Plan G?
You will likely get the lowest rates when you enroll in Medicare Plan G within six months of signing up for Medicare Part B. That’s known as your Open Enrollment Period, and it only happens one time. You may qualify for a special open enrollment period later, but that isn’t a guarantee.
The following guaranteed rights apply only during the Open Enrollment Period:
- The insurance company is required to accept your application for the plan of your choice. They cannot discontinue your coverage as long as they offer the plan and you continue to pay your premiums while living in the service area.
- Medical underwriting is not permitted. The insurer cannot ask questions about your medical history or current medical condition when determining your rates.
If your Open Enrollment Period has already passed, you can apply for Medigap plans at any time. The insurer will just have the right to use medical underwriting to determine your rate and may deny you coverage.
What Is the Difference Between Plan G and Plan G With a High Deductible?
There is only one difference between the standard Medicare Supplement insurance Plan G in North Carolina and the high deductible plan G: The deductible. If you select the standard plan, you will pay higher premiums but will have no deductible to pay before accessing all supplemental Medicare benefits.
The high deductible plan requires you to pay the full deductible amount before using any benefits, including up to $50,000 in foreign travel emergency benefits. The catch is you will pay much lower premiums.
What is the Best Medicare Supplement Plan G in North Carolina?
Your coverage is always the same when enrolling in Medicare Supplement insurance Plan G in North Carolina. The federal government determines what benefits are included in each supplemental plan, and the insurance companies cannot change the coverage.
When comparing Medicare insurance companies, you should consider the following:
- Stability over time
- History of financial stability
- Dedication to customer care
When those factors are considered along with long-term knowledge of rates, there are only three insurers that we confidently recommend to beneficiaries:
- Mutual of Omaha: A+ (Superior) A.M. Best Rating
- Aetna: A (Excellent) A.M. Best Rating
- Cigna: A (Excellent) A.M. Best Rating
Which is better, Plan F or Plan G?
How are Plan F and Plan G Different?
Both plan options offer the same coverage other than the Medicare Part B deductible. Plan F covers the deductible and Plan G does not.
Is Plan G Cheaper than Plan F in North Carolina?
Plan G is cheaper than Plan F, but paying the Part B deductible out of pocket is an added expense that you don’t have with Plan F.
Which should I choose?
If you enrolled in Medicare Part B prior to January 1, 2020, you have the option to enroll in any Medicare Supplement plan. Plans F and G are the most comprehensive options. If you enrolled in Original Medicare after January 1, 2020, you aren’t eligible for Plan F. Medigap Plan G is the next most comprehensive option.
You should select the plan that best fits your budget and healthcare needs after considering all out of pocket expenses. Working with an insurance agent or one of our Policy Guides to compare rates will help you make that decision without stress.
What is the Most Popular Medicare Supplement Plan in North Carolina for 2021?
Plans F and G are the most popular plans in North Carolina and throughout the country. Now that enrollment in Plan F is restricted, Plan G is taking over as number one. There are four reasons you may select that plan after a comparison of all available options:
- You’re guaranteed enrollment in Plan G during your Open Enrollment Period regardless of your Medicare Part B start date.
- When you compare rates and out of pocket expenses between plans, you’re likely to find that Plan G offers the most value.
- Plan G covers almost all gaps in the Original Medicare coverage. It’s the second most complete insurance plan offered in North Carolina.
- There are no network limitations with Plan G. The policy even covers Medicare Part B excess charges if a medical provider charges more than the amount authorized by Medicare.
Frequently asked question about Medigap Plan G:
Full Medicare Supplement Plan G Benefits Chart
Does Plan G cover prescription drugs?
Prescription drug coverage isn’t included in Medicare Plan G. Beneficiaries have three options to secure that coverage:
- Enroll in a Medicare Advantage plan rather than a Medigap plan. Some Advantage plans include a drug plan.
- Secure medication coverage through Medicare Part D.
- Choose a Medigap insurer that also offers prescription drug plans. You will have two premiums, but you will also have more complete health coverage.
Does Plan G cover the Medicare Part B deductible?
The Medicare Part B Deductible is not covered by Medicare Supplement Plan G.
Does Plan G cover Medicare Part B excess charges?
Medicare Supplement Plan G covers excess charges for doctors charging more than is covered by Original Medicare. That opens up more opportunities to see the best medical providers when you enroll in Medicare Plan G.
Does Plan G cover the Medicare Part A Deductible?
The Part A deductible is fully covered by Medicare Plan G.
Is Plan G worth it?
Plan G is worth the premium if you want to simplify your health insurance for greater peace of mind. It offers the most benefits if you don’t qualify for Plan F and is often more affordable even if Plan F is an option. If you can afford the Plan G rates in your area, you may find it much easier than paying coinsurance, copayments, and other out of pocket expenses throughout the year.
What is the difference between plan G & N in North Carolina?
If you want to minimize out of pocket expenses, your best option is Medicare Supplement insurance Plan G in North Carolina. Plan N offers similar coverage with two differences:
- Plan N doesn’t cover Medicare Part B excess charges. Plan G does.
- Plan N requires copayments of up to $50 for emergency room visits and up to $20 for doctor visits. There are no copays with Plan G.
Does Plan G cover dental?
There is no dental coverage through Medigap Plan G. You an buy a separate policy for preventative dental care and restorative services.
What is Medicare Part G?
Medicare Part G is often used in place of Medicare Plan G. The term is technically incorrect since Medigap plans weren’t a part of the original Medicare policy. They are thus referred to as plans, not parts. It’s still common to see Plan G referred to as Medicare Part G.
Does Plan G cover SilverSneakers?
Silver Sneakers memberships are not included in Medigap Plan G or any other Medicare Supplement plan.
Ready to learn more?
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.