Understanding Plan F And Plan G Medicare Supplements; Which One Will Work For You?


Original Medicare doesn’t cover some costs, thus many opt to purchase an additional insurance plan, called Medicare Supplement or Medigap which falls into Plan F or G. Many questions still linger regarding whether to choose Plan F or G Medicare supplements plans. Let’s first delve into what each plan covers.

  • Both cover Medicare Part A coinsurance long after Medicare benefits are used up for 365 days.
  • Both cover Medicare Part B coinsurance or copayments
  • Both cover for first 3 pints of blood annually
  • Both cover Part A hospice care coinsurance or copayments
  • Both cover skilled nursing facility care coinsurance
  • Both cover Part A deductible
  • Plan F covers Part B deductible while Plan G does not
  • Both cover 80% travel emergency (up to plan limits)

.Which Supplement Is Best Suited For Me: Plan F Or Plan G

From the breakdown above, you can see that between Medigap plan F and G there is only one benefit difference. Plan F covers Part B deductible of Medicare while Plan G doesn’t.  The part B deductible is a one-time deductible ($183) which you must pay each year before accessing Plan G benefits. Once you pay for the deductible, Plan G essentially becomes Plan F and you access all the benefits as F.


Medigap Plan F is for you if:

  • You are looking into Medigap policy with most benefits, but don’t mind the high premiums.
  • You can find a Medigap Plan F with an annual premium that does not exceed Plan G’s annual premium of more than $183. So if say the best-priced Plan F is only $100 more a year, then your best bet is probably Plan G.
  • You live NY, OR, CA or MO; states that allow you to change plans without medical review.

Medigap Plan G is for you if:

  • You are looking for Medigap policy with less expensive monthly premiums. Typically, Plan G monthly premiums are more affordable than Plan F premiums up to even half the cots!
  • Because Plan G is so well priced you can save a good amount annually. If you can get a Plan G’s that will save you more than $183 a year vis-a-vis the best-priced Plan F, then, by all means, go for it!
  • If you do not visit the doctor often, then Plan G may be a better option for you since you’re not spending the ($183) deductible towards your doctor’s visit

Speculation has been rife about the cost of Plan F going up after 2020, essentially locking out younger members yet to join Medicare. Yet no one can predict for sure what will happen in the future. That said Plan F still remains the most popular Medigap plan with the most active members.  It is highly unlikely that its prices will shoot up overnight.

In the end, both of these plans help protect you from extra out-of-pocket expenses should one require treatment beyond what Medicare approves.


Over time prices for everything go up, everyone knows this and accept it as a fact of life. With this in mind doesn’t it make common sense to see what your options you have on your Medicare supplement? If you can save money for the same coverage why not consider it? So the purpose of this article is to show you your options and how you might be able to save hundreds maybe thousands of dollars annually on your supplement costs. Maybe the plan you bought at age 65 has reached a point to where it’s no longer affordable, would you consider changing companies for the same benefits? Maybe you should. Read below and see if any of tis makes sense.

Medicare Supplement Basics
Here are the basics. Medicare supplement plans pay for the shortfall that Medicare doesn’t pay. This includes co-payments, co-insurance, and deductibles. Medicare will pay it’s share of approved costs and the shortfall is paid by a supplement policy. Depending on which plan you have determines how much of that shortfall your supplement will pay. Let’s go over each plan so that you will understand your options.
This is the “Cadillac” plan. There are no co-pays or deductibles. Alot of agents like to sell this policy but you definitely pay more and the propensity for higher percentage increases is high.
Same coverage as plan f but you are responsible for the annual deductible of $183 at the time of this writing. Much lower premiums and the increase percentages are much much lower.
The deductible of $183 you pay plus any co-payments charged that medicare does not pay for. Of course this plan is cheaper but can cost more in the long run.
There is no right or wrong answer but in most cases the plan G is far and away the best choice for most people. Some people will find plan N will work for them best because they are healthy BUT if you encounter health problems down the road and decide to switch to a plan F or G you may not be able to do it because of health issues. When you first signed up for your supplement plan it was mandatory that you be covered, you couldn’t be denied for pre-existing conditions but that’s not true later after you’ve been on Medicare so be wise and consider changing while you’re healthy.
Plan F and Plan G allow you to know exactly what your doctor and hospital costs will be, easily budgeted for. Plan N is another story. The cost will vary because it’s a “pay as you go plan” the deductible is paid for every office visit.
switching plans is not an easy choice so choose wisely. For a thorough evaluation please consider giving us a call, it’s a no pressure environment so call today.


If you’re 65, chances are you’re eligible for Medicare.The federal

program began in the 1960s to provide those over age 65 with

secure access to medical care. If you’re still working, your employer medical plan remains your primary coverage, but you may need to make some decisions

about Medicare for yourself or a family member who is turning 65.

How and When to Enroll in Medicare

You’ll most likely become eligible for Medicare when you turn 65, but it could happen earlier as a result of becoming disabled or being diagnosed with permanent kidney failure or ALS (amyotrophic lateral sclerosis). If you are an employee, your employer will usually send you a letter about Medicare a few months before you reach age 65. As long as you are an employee, you will remain in your current employer medical plan regardless of whether you enroll in Medicare. If you’re retired, your employer should send you a Medicare information packet that includes forms and instructions three months before your 65th birthday. In general, Medicare will require enrollment by age 65. It’s generally to your advantage to follow the guidelines below. These guidelines also apply to any covered family members who become eligible for Medicare. Once you retire Medicare becomes your primary medical insurer.


Medicare’s terminology can be confusing at first, but once you understand a few essentials, it becomes pretty straightforward. Medicare has four parts: A, B, C and D.

Part A

covers hospital inpatient care, skilled nursing and hospice care, and home health services. It’s “premium free,” as long as you, your spouse or your ex-spouse have worked full time for 10 years and paid Social Security taxes. If you qualify through your spouse or ex-spouse, you need to have been married at least 10 years.*

Part B

covers outpatient medical services like doctor visits, including some preventive care as well as ambulance services, mental health care, and equipment like wheelchairs and walkers. You must pay a monthly premium to maintain Medicare Part B coverage; under Medicare regulations, this monthly premium is higher for those with higher incomes. Part B premiums are paid to the Social Security Administration (SSA). If you’re receiving Social

Security income, the premiums will be deducted from your monthly Social Security benefit. If not, Social Security will bill you directly. If you’re eligible for one of UC’s Medicare-coordinated medical plans, it’s possible that you’ll get a portion of your Part B premium refunded to you. That’s because the amount UC contributes toward your retiree medical benefits is sometimes higher than the total cost of the premium. If this is the case, the university will refund part of the amount that you pay for your Medicare Part B premiums. (The reimbursement is added to your UCRP monthly pension benefit payment.) To be eligible for any reimbursement, you must have assigned your Medicare to the UC medical plan at the appropriate time by filling out a form and maintaining continuous enrollment by paying both your Part B and UC medical plan premiums on time. Be aware, though, that the Part B reimbursement will decrease in future years. UC is gradually reducing the percentage that it contributes to retiree health premiums. For 2017, UC’s contribution covers, on average, 71 percent of the total premium.

Part C

is different—it doesn’t refer to a separate subsection of care like Parts A, B and D. Instead, it’s another term for Medicare Advantage plans—a type of Medicare-approved plan run by private companies. UC’s HMO plans offer Medicare Advantage options. Under these arrangements, you’re required to assign your Medicare Parts A and B benefits to your plan (enrollment into D is automatic), and to maintain that assignment. In return, the plan provides all of your benefits. To learn more about how this works, see “How UC Medical Plans Work with Medicare,” on page 11.

Part D

also called the Medicare prescription drug benefit. This is a mandatory program unless you’re enrolled in part C, which usually carries a drug benefit. What is covered in part D  drug plans cover all commercially available vaccine drugs when medically necessary to prevent illness. Many Medicare drug plans place drugs into different “tiers” drugs in different tiers each tier have a different cost. Lower tier drugs will normally cost you less than a higher tier drugs. Drug tier changes have to be approved by Medicare.


People tend to link Social Security and Medicare, but there are many instances when they are not connected. For example, the age at which individuals are eligible for their full Social Security benefit may be later than age 65, but the Medicare eligibility age remains at 65. When you turn age 65, you must sign up for Medicare, if you’re eligible.

If you have any questions please call or contact us from this website. http://imedigapplan.com