Medicare Plan G vs Plan N (New Info!)
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- เผยแพร่เมื่อ 8 มิ.ย. 2024
- www.abtinsuranceagency.com | (888) 465-9728 Plan G and Plan N rate quotes: abtinsuranceagency.com/compar... Medicare Supplement Plan G and Plan N are more alike than they are different, but there are some important differences in these two Medigap Plans that you will want to consider before making your Medicare enrollment decision.
Medicare Supplement Plan G and Medicare Supplement Plan N are two popular options for individuals seeking additional coverage to supplement their Medicare benefits. While both plans offer valuable financial protection, they have distinct differences that can significantly impact your healthcare costs and coverage.
Medicare Supplement Plan G is often considered the more comprehensive option of the two. It covers nearly all the gaps left by Original Medicare, including the Part A deductible, Part B coinsurance, and excess charges. This means that once you meet the Part B deductible, you'll have minimal out-of-pocket expenses for Medicare-covered services. Plan G is especially attractive to those who want comprehensive coverage and are willing to pay slightly higher premiums to avoid unexpected medical costs.
On the other hand, Medicare Supplement Plan N offers a cost-effective alternative. While it covers most of the same expenses as Plan G, it may require copayments for some services, such as office visits and emergency room visits. Additionally, Plan N does not cover Part B excess charges, meaning you may have to pay any additional fees charged by healthcare providers who don't accept Medicare's approved amount as full payment. Plan N can be an excellent choice for individuals who are relatively healthy and want lower monthly premiums but are comfortable with some cost-sharing.
In summary, the choice between Medicare Supplement Plan G and Plan N depends on your healthcare needs and budget. Plan G provides more comprehensive coverage with fewer out-of-pocket costs, while Plan N offers cost savings through lower premiums but requires copayments and does not cover Part B excess charges.
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Excess charges depend on the state you are in as well I believe. RI and Massachusetts do not allow excess charges I was told. Thank you for your review of these two plans! My husband took G and I will take N! Nice to have a choice.
Yes! I talk all about the specifics of excess charges in this video as well -- th-cam.com/video/Ac3s-AL93TQ/w-d-xo.htmlsi=nOMqRCpzD81ekgMU
I have plan N, & I big reason I choose plan N is because I was informed Part B excess charges were not allowed in my home state of New York. I was surprised that New York, as well as a number of other states, are exempt from excess charges wasn't mentioned in the video, otherwise, great job.
@@sidwalker4194 in hindsight I should have mentioned that here. I do talk more about those states in my video about Excess Charges as well as my other Plan N videos!
@@AbtInsuranceAgency While it is tempting to think that the effect of disallowing excess charges would be to save patients money, I wonder whether it means in practice that fewer doctors accept Medicare.
@@sidwalker4194 This is true about NY, therefore this makes choosing plan N a no brainer..... Having said that the monthly charges however in NY are considerably more than in most other states.
Since I don't have to see the doctor all of the time, only once a year for my Medicare Wellness Visit I will be checking into Plan N because Plan G is getting too expensive for me. You did such a thorough job of explaining everything that even a lay person can understand and showing us a chart comparing Plans. I learned a lot.
This professional woman is very well versed in Medicare and presents the information in an understandable manner which is no easy feat! If I didn't already have my Medicare needs met through my former employer Ms Abt is the person I would be calling to assist me in making the right choice for me.
Thank you so much!
@@AbtInsuranceAgency You're welcome, I am simply a mirror reflecting that which is there, thank you for helping all of the people that need it, a win win !
She has been very helpful for me for about 5 years 👍👍
Depending on what state you're in, there will be a pretty significant price difference that you will pay monthly for Plan G. I chose N because even If you pay office visit of $20 a month, that's only ~$240 for the year opposed to a possible $800 - $1k a year paying for the pricier G plan.
Great point!
Those with cancer or MI will pay a lot as they are frequently seen by Doctors. That does add up. All depends on one's health and mind.
Do you mean you will not pay the monthly premium in addition to the copays? I thought we had to.
I have a question on this I asked today!
Good day are you license in New York
Wow!! You are so clear and concise. Medicare has always been so unnecessarily confusing and you made it so clear. Thank you sooo much!!
Thank you so much!
Finally! Someone who articulates the benefits of Plans G & N in an straight forward and understandable manner. Thank you for your honesty. I was under the impression that Plan G was my best option, but I am now seriously considering enrolling into Plan N. What is the earliest I can begin the enrollment process before my 65th birthday?
Thank you! 😊
And you can usually enroll with us up to 6 months prior to turning 65!
One of the better explanations of the difference. I noticed several agents here push Plan G very heavily. My wife and I see a doctor twice a year, so co-pays don't bother us. We would have to have three doctor appointments a month to make up the difference in plan prices. Good job.
Thank you! And yes, some brokers right here on TH-cam won’t even sell or discuss other options besides Plan G.
@AbtInsuranceAgency I have sle lupus I have medicare and united health care what are plans n and g for
Don't the brokers make more money on the more expensive plans? Of course they do. That is why they are all pushing plan G. This nice person on the video is honest. It's appreciated.
@@gianmatt1930 thank you! 🙂
Thank you for explaining this. I have not heard anyone explain plan N coverage before
I always enjoy listening to your explanations of this confusing insurance. Since the day I 1st went on Medicare 4 years ago you have consistently steered me in the correct direction. I thank you SO much for that! Stay blessed!
Thank you so much for this comment! 🙏
Thank you Stephanie. That was very good information. I hope the listeners will stay to the end of your video. Because the most important cost information is at the end. Case in point, my supplemental premium jumped up 50% from one year to the next. Talk about sticker shock. Fortunately I was healthy enough to pass underwriting and switched to a better company. I think this is not the case for many subscribers. Bottom line: don’t get tricked by the “lowest” first year cost! It may turn into the highest cost within a few years.
So absolutely true!
Plan N for me. I live in OH where excess charges are not allowed. Since I only see the doctor a few times a year the savings in monthly premium exceeds any co-pay by far.
Excellent choice. 🙂
Thanks so much for making it so clear! I signed up through you a few years back and I felt you were honest out of the gate. Watching this video makes me feel I made the right choice. Plan N is where I am at these days.
I love to hear that Tom!😁
I’ve been watching a number of videos trying to understand the difference between plan G and N and have been shaking my head and shutting off the videos. They go round and round and digress forever. THANK YOU! Your explanation was straightforward and easy to understand! I know what I need to make a decision!!! Thank you!!!
Amazing - I am so glad it was helpful! Call us anytime, we’d love to help - 888-465-9728
What are your thoughts on Plan N versus Plan G? Share below!
We have many doctor visits so G would probably be our choice. My wife is disabled, she had a treatment Medicare did not cover so we dropped Medicare in 2015. I regret we did not appeal the decision, big mistake. We are getting a second chance to get Medicare with no penalties through the new PSHB taking effect in 2025 with a SEP in April 2024. Out-of-pocket expenses have been running 7 to 8 thousand a year with BCBS Federal. Combining Medicare and BCBS Federal seems much better than Medigap but who can tell the future? I think my wife could still get Medigap under the SEP for Medicare. Any incite would be appreciated.
My plan G has gone up 20% per year each year for the last 5. With todays economy being so poor, affordability is becoming an issue, however my medical need as I age will keep me on the plan as the co pays will erase any savings I might enjoy. Thanks for this video as I did not know to check until you presented this information. Owe you one.
Thank you for watching!
Excellent Video explaining the differences! Stephanie Thank you very much! 👍 I'll be calling you.
@AbtInsuranceAgency Thanks for all you do : )
Hi Stephanie, Your video is the clearest visual explanation that I have seen! Thank you for your expertise on Medicare! I've been looking at broker videos and have seen:
1) State of Wisconsin plans are different in that a Medicare recipient can purchase which parts of the Plan G they would like. How are these plans for rate increases over time?
2) United Healthcare Plan G with AARP, and UHC without AARP; could you explain the difference between the two plans?
3) It also stated that for Wisconsin, there is ALWAYS a co pay of up to $20 for an MD and $50 for ER that is waived upon hospital admission. Could you please comment on this or do you have another video for Wisconsin Medicare?
4) For something similar would the recipient pay all three; deductible, co-pay, & the monthly premium amount ?
5) Since Wisconsin is not exactly Plan G or Plan N, how does that affect the Guarantee of Rights?
Maybe the GI (guaranteed issue) benefit should be a line on this chart. The presentation is excellent except for minimizing this as an issue. Just because you have no preexisting conditions now does not mean that you will never have any. At 65 I was fit with few medical visits and no prescription drugs. Two years later I have had melanoma and a heart diagnosis. Thankfully I have Plan G.
Simply the best Advisors on Medicare.
Been awhile (about a year) since I’ve joined Medicare, having used your agency to help me make my decisions. And with annual enrollment underway I happen to watch your recent comparison of Plans G and N. Couple of thoughts…first, you’ve become much more comfortable in front of the camera from a year ago. And second, I found the content you shared comparing Plan G and N very helpful. I may reconsider
12:19 my enrollment in Plan G based on the information you shared and will be calling your office Monday!
Thank you for the comment, and we look forward to hearing from you!
Thank you. This was the best overview of G vs N I've found.
Thank you!
😊 Watch you every year Ms. Abt. love how clearly you explain these benefits
Wow, thank you!
Note that with California's "Birthday Rule", for a 60-day period each year, if you already have a Medigap plan, you change to another plan from any company, but are only guaranteed to be able to change to one that has the same or fewer benefits than your current plan, and so if you have plan N, you may not be able to later switch to plan G, whereas you can always switch from G to N, if desired, during your annual 60-day birthday window.
That’s correct!
@abtinsurance When initially signing up for a supplement plan can I choose any carrier and then switch to another carriers plan using the Ca Birthday rule?
Is it 30 days before and after the birthday? eg birthday is 4/16, so is the window 3/16 to 5/16? if not, what dates would it be? TY.
@@brendareed5050 California: You have 60 days from the first day of your birth month to change to another Medigap plan with the same level or a lower level of benefits. You can also change insurance carriers during this time.
@@brendareed5050 California: You have 60 days from the first day of your birth month to change to another Medigap plan with the same level or a lower level of benefits. You can also change insurance carriers during this time.
Thank you so much for this wonderful information. It’s really eliminates a lot of my confusion😊
Thank you for clarifying so many confusing points! My husband will be enrolling for 1st time in a few months (turning 65). We're looking at Plan G High Deductible and comparing to Plan N. The monthly premium is less. What are we not seeing that we should consider? Thank you so much for very clear communication!
A lot of it depends on your area, and your medical needs and health history. We would be happy to assist! Call us anytime- 888-465-9728
You may be stuck with Plan G in later years if you do not qualify with underwriting for plan N and plan G cost's will increase more having people with serious illnesses that are stuck there with you.
I would pick plan N. As I rarely see a Dr. When I’m ready to sign up. I’m definitely calling your agency. I’ve gone to several of those free dinners where the presenters are pushing a certain product. You definitely make things more understandable.
What a compliment- thanks and I look forward to hearing from you!
Plan N for me here in NC. Excess charges not a concern here. Premium substantially lower than plan G. Plan G is now the guaranteed issue policy. That will most likely keep plan G premium rates rising more than plan N in the future.
Thanks for your help in the past with my Medigap policy and sharing this information.
You are so welcome!
Very well-detailed , articulated and simplified.
Thank you!
Thanks Stephanie! Have a great week.
Same to you! 🙂
Thank you for presenting this so clearly! I’ve been confused by this whole Medicare thing and I have a masters degree!
They certainly don't make it simple! ☺
Thanks for the information Stephanie! As always "Spot On" Thanks for the help in the past.
You are so welcome!
Well done! Thanks for the straight talk on a complex decision many of us have to deal with for medical insurance.
Good stuff. I am now subscribed. I figure the more the merrier when it comes to learning these things.
Thank you!
Plan N sounds best for my situation. I rarely go to the doctor and am on no major drugs.
Am I need to pay co-pay for blood tests or sono or mri if I choose plan N?
Great Video! Clearly explained information! Bravo!
Why thank you!
Wonderful video! So helpful! Thank you❤
I extremely like the video, man. Very helpful and informative. Thank you very much. It is presented so well too. Great, positive work.
Thank you!
Yes people need to look at Plan G Plan N and HDG. Each states has prices all over the place. I chose HDG. Max OOP vs Plan G is only $466 difference in my state.
Just curious: For Plan N, do I have to pay a Copay for a yearly “Wellness” visit and many other Medicare covered preventive services(like colorectal cancer screenings and mammograms)? Thank you very much for the quick answers to my previous question!! You are the Best!!
No co-pays for routine preventative services!
@@AbtInsuranceAgency; Wait a minute; are you saying that N plan has wellness appointment mandatory? and G plan does not?
I used the VA for my surgery, not realizing that they do not use plan N If I had used my surgery by a hospital instead of the VA I would have saved over a thousand $.
The VA never told me this when they asked to see my Medicare and Plan N cards. The VA never told me how their billing worked, I just assumed that they would charge Medicare and my Plan N would pay the rest. I assumed that because I was asked to see my cards and they put them in their computer system. I sure learned an expensive lesson. and will never use the VA again for surgery. hopefully, I will never have surgery again anyway. :) My co-pay at the VA for the surgery was 1500$ part N would have saved me 1244$
I was wondering why the VA did not tell me this? they knew what insurance plans I had.
Wow, they should have explained that to you!
@@AbtInsuranceAgency I misspoke the reason that my plan N is not paying the VA has not submitted the bill, But what is sad, is I have given the VA my info 5 times over a 2 month period and my info is not in their computer system. 5 Times with 5 different people. however this last and 6th time I personally know the person and he is working on it. Maybe this issue is something that you can address on a video as to how the VA works with supplemental plans. Thank you
@@jerrysullivan8424I surely hope it all works out. I know the VA is a real quagmire but to literally make you pay thousands in unnecessary payments would have made me seethe at the thought of your mistreatment.
I still may lose what Aetna Insurance would have paid for my surgery because of some loophole. the surgery was on Sept 26th it is now Dec 4th. and I have not heard back from the VA. . @@scottrevia1611
Use that white board behind you! Many visual learners out there.
Also Very Few Drs charge Excess Charges - to be sure before going forward with care, all you have to do is ask.
If you live in Washington and are still healthly HD Plan G is the only way to go. $49 per month and you can switch to another medigap plan with no trouble, like regular Plan G at 4 times the premium which makes sense for a major medical issue. Less likely to get premium increases or at least much amaller ones with HG Plan G as well.
I have a HD plan F that is very affordable. (It's now HD plan G) My husband has plan G as he's a cancer patient. It's good to know that we are not limited to a network and don't need referrals.
How much are you responsible for until HD plan G…. Starts covering the costs?
@@Slo-ryde My deductible is currently $2700/year. Medicare Part B still picks up the first 80% of my costs. I'm responsible for the remaining 20% until I reach the deductible. I pay $59/mo for the premium, plus a small amount for a Part D Rx plan. In my state, I've even been getting a $200 premium reimbursement from Blue Cross each year, because they don't have as many people on this plan and not so many claims as the regular Plan G, which has higher premiums but no deductible.
Thanks for the great content. Your videos are spot on!
Thank you!
@@AbtInsuranceAgency My pleasure, indeed!
Thank you for the new information on these plans. Question for people that were in the military?
How do these plans fit in with people that are military retirees and or those with VA benefits? Are these needed for the extra out of pocket annual expenses?
Plan G is rapidly growing in price, and there's no reason that trend won't continue.
Thank you for an honest assessment!
It feels so satisfying to make decisions that can shape your life for good...earning $11,850 returns every single week. God has been so good to me. 💯
I never thought i could achieve some of my goals this year after been sacked from my job, l almost lost hope.. am glad i could look back at my life and smile. I now own a beauty salon of my own and everything is finally falling into place.
Hello, please I have no job and I always want to be successful, show me how 🙏
Alright! after my encounter with a professional Broker Mrs Charlotte Evette Carter during her seminar in Chicago, my financial life completely changed, it wasn't an easy decision to make but am happy I did and turns out successful.
You're right 100%. Mrs Charlotte is a certified broker, i think over 26 years of trading experience. She's very good at it
_Hello madam, any handle or link where someone can get info?
I glad I found you ..your absolutely amazing
Why thank you!! I’m glad you’re here
I liked your analysis of Plans G & N. However, for people in some states, Plan HDG can be their best option. I'd like to see a video that compares the Total Costs (Premiums + OOP) of all three of these plans, especially in states that have relatively higher G rates like FL or OR.
Good idea! However premiums + OOP will vary greatly from state to state, even county to county. In FL and OR HDG can be a great fit, while in others Plan N makes more sense, or Plan G. We help our clients with this in a way that is personalized for them. But a good concept for a future video, yes!
I'm in Texas on a Plan N. It should also be remembered that with the HD G plan, Medicare is still paying its 80% up-front, before you start paying down the deductible.
Right, and the 20% is of the Medicare-approved amount up to $20. I’ve heard it would take a long time to reach the high deductible by utilizing just co-insurance for doctor visits. However, if one was hospitalized, I think we’d need to pay the Part A deductible for the hospital stay.
(I had made this specific point because the Part A deductible would be a lot larger than the coinsurance for doctor visits, but the Part A deductible is of course also applied to the high deductible unless the high deductible has already been met.)
@@dmulvany with HDG, it's just like only having Traditional Medicare Part A & B. You have to pay the Part A deductible, the Part B deductible and 20% copays until you have paid $2700 out of pocket.
@@dennislaplant95 that’s correct!
Plan G made more sense to me in FLA.😊
How much do you pay per month? I am assuming around $300.
Can you explain why?
I pay less than $180 per month for Plan G from United Health Care.
@@waynehemphill8792 Thanks, Wayne, for the reply. It's more affordable than I thought. I am thinking of G as well.
I have Plan G in Oklahoma and pay $127.00, however I did just receive my letter increasing that amount by 15 cents!
Love your video. Great information. When you first sign up for Plan N do you have to do medical underwriting? Also we don’t have Plan G in Minnesota but have basics with riders
You don’t have to pass medical underwriting to enroll in Plan N unless you are more than 6 months from your Part B effective date.
@@AbtInsuranceAgency Thank you
Your videos are so informative. Thank you for sharing your knowledge with all of us that find this sooo difficult. I wanted to clarify something you said...the monthly premium I'm seeing on all the websites does that include the 174.70 that is already coming out of my social security??
No, the Medigap premium is on top of that monthly Part B cost. I hope this helps!
Glad to have found your videos and services! I turn 65 next year. Two questions. First, if a person begins Medicare at 65 with a Medigap plan with one company, if the person wants to stay with the same plan, but through a different company, would the person need to go through underwriting with the new company? Second, could you make a video explaining the differences and pros/cons of "attained age pricing," "community pricing," and "issue age pricing" - especially from the perspective of a new enrollee like myself? Thank you!
I found some information about the second question, but I'd still appreciate your take on the differences. www.medicare.gov/costs-of-medigap-policies
Hello!
1. Yes, in most states underwriting would apply in this scenario
2. I have a video that explains just that ! Here-th-cam.com/video/txvHBbH2Nas/w-d-xo.htmlsi=bv2LZ9EXNt7VpInP
@@AbtInsuranceAgency Thank you!
Plan G all the way. “N”o way to “N”
Like people are going to check this N nonsense every time they go to a Dr. What I would like to know is which plan gives a higher commission to the agent? My guess is N. The insurance companies have done the math on it. Not being negative, just being realistic.
The open enrollment period of 6 months is critical. Advantage plans are an “Advantage” to insurance companies. They have done the math. G = Good, N = NOT GOOD. The reason the N plans have lower claims is because if coverage is “DENIED” , therefore no claim exists and does not count toward this nefarious statistic.
My husband and I are on a Medicae Advantage plan utilizing MSA. It's worked great so far, but I could just kick myself for not researching all the options! With that said, we have been on MA for 2 years but are seriously considering G & N. How difficult is it to get approved with the underwriting? We consider ourselves in good health.
Email me at stephanie@abtinsuranceagency.com and I can send you a sample of the health questions!
It also depends on your state. Indiana does not allow switching to reg Medicare from MA if you’ve been on MA for over a year.
@theresemartin3625 We were informed that our MA plan that we have, will not be available/offered as of January 1. The independent agent stated that we ARE able to choose any supplemental plans without underwriting. What a blessing! And, we did choose plan G.
Yes, that is one example of a Guaranteed Issue Right situation! @@immasher2139
Can't thank you enough. Great information
Thanks for the great info. I'm convinced plan N is what I want. Unfortunately, I live in Wisconsin. Can I get a plan with similar coverage?
For Plan N, what about copays for diagnostic tests? For example, a comprehensive metabolic or lipids test has different diagnostic tests making up the whole test. Are each of those tests requiring separate $20.00 co pays? I tend to need alot of diagnostic testing to keep track of my test levels. Also, are those diagnostic tests covered only within a clinic with a person's preferred provider?
The diagnostic test is for the office visit that is intended to diagnose or evaluate a condition. Not for testing.
interesting summary. I'm on a MA plan and want to understand when I should jump to a supplemental plan and how best to do that.
That’s exactly what we can help with! Call us anytime - 888-465-9728
This was very interesting and clear; thank you! I am a little confused about my state's guarantee issue rights. I'm in WA state, and it has more flexible rights than are available at the federal level. On the state's website, under "when can i switch plans (medigap)", it states: "If you're already enrolled in a Medigap plan B through N, you can switch at any time to another Medigap plan B through N. If you have a Medigap plan A, you can switch to any other Medigap plan A. In either of these situations, you do not have to take a written health screening questionnaire."
I am interpreting this to mean that I would have a guaranteed issue right to go from Plan N to Plan G, and vice versa. Did I interpret that correctly?
Yes, that’s correct!
Thank you!! @@AbtInsuranceAgency
Thank you for the insights. I have a couple of questions for you, If I were to enroll in Medigap Plan N during my original enrollment, would I be able to each year during enrollment change Healthcare providers within Plan N? If so would this incur an underwrite event? Would I sometime down the road be able to change to Plan G? Assuming yearly enrollment including underwriting.
Yes and yes - underwriting is required to change Plan letters or to change to a new insurance company, unless you live in a state that has a special rule.
Very helpful video. Could you do a similar video comparing plans G and HDG?
Good idea!
Oops. No matter how many comments there are, I should watch my manners and realize the narrator herself might read what I say. My wife just punched my arm. Good video.
🙂
You’re great!! Thank you!!
Thank you Stephanie! You are so good at explaining the different plans . I’m 75=widow in Louisiana on a Humana Plan F which they no long sell its 100% plan although the premium is getting higher . I pay Just my med about 335 month going up 50 the first of the year. Just wondering if I went to a G plan if that would lower my monthly. I Thank you so much!
It absolutely would. Call us for help. 888-465-9728.
So, which plan would be the lowest long term out of pockets costs for Disabled older women on SSDI wirh multiple health issues in MI?
Reach out to us and we can assist! stephanie@abtinsuranceagency.com
VERY GOOD JOB THANKS LOL 🌹 👍 😃 💘....
Well Done
Some states do not allow excess charges like Ohio.
Thanks for the info :) Whats the difference between Part G and Part G*?
Very informative, thank you
Glad it was helpful!
Cancer is a common illness. Would there be any co-pays for chemotherapy for a patient on plan N?? Just wondered since its not a doctor visit as explained in the video. Thanks for the videos!!!
Great question! The Plan N copays are for ER visits or doctors office visits - outpatient services like testing and treatments (chemo falls in this category) typically have NO copays.
@@AbtInsuranceAgencyin my medical clinic ( we have only this one around) they charge $20 for doctor who read test and make report
As with many things in life, what fits your situation now may not be what fits your life in the future. I see a lot of folks pushing plan G really hard, and that is for a reason. They are compensated via commissions, and the commission is higher for a plan G. They tend to scare people with the excess charges issue to steer them to G, even though excess charges are rare and becoming more rare. Considering the higher premium for G, and the higher rate of premium increases for G, people in reasonably good health will save money with plan N. People who see many medical providers several times per year, on the other hand, might find that their total outlay per year to be lower with G. You can actually make trial calculations to see if your copays will total more than the difference in premiums between N and G. But go back to my first sentence; there is no guarantee your situation won't change. Unfortunately they still haven't invented an accurate crystal ball.
What does the asterisk by Plan G mean, as shown on the chart at 1:30 timestamp? Thank you.
Hi there, we are in California, we choose Medicare Advantage from the beginning, what if few years later we want to change to traditional Medicare. Do we need to go through Medical underwriting or not? Thanks
It depends. In California, the rules can be a bit different. Let us know if you need assistance! 888-465-9728
Have you done a vidio on which is the best part D carrier for someone with alot of different meds.
Yes! th-cam.com/video/xf0aVQbgu3c/w-d-xo.htmlsi=-7GzTh6SvchBh7S_
@@AbtInsuranceAgency thank you
Does percent of non participating providers vary by state? If so, do you have that data?
The data I showed her is national data showing that 4% of doctors in the US accept Medicare patients but are NOT Medicare participating providers. I don't have state specific data, but this info should help: www.kff.org/medicare/issue-brief/how-many-physicians-have-opted-out-of-the-medicare-program/
Can you switch from G to N or any other plan during open enrollment or must you stay with what you started with in the beginning? TIA
There is no annual open enrollment for Medigap - medical underwriting is required in most states if you want to make a switch.
Very informative and well explained.
Glad it was helpful!
Hi, I have 2 questions please:
1. Why is Plan G "guaranteed issue" and Plan N is not?
2. What are the requirements to obtain guarantee issue insurance, when changing back from another status such as having been on Advantage coverage?
Does everyone carry these medigap plans G &N. Also, is there to help pay for these medicare supplements plans
Most major Medicare insurance companies offer Plans G and N to folks 65+ in most states. Medicare Supplement plans are private insurance policies so they are not subsidized by the government. However, some low income folks may qualify for assistance in paying for Parts B or D of Medicare.
Do all the medicare supplement plans have a plan N and plan G? I know you probably can't endorse an individual plan but which are the most popular medicare supplement plans? I am turning 65 in June of 2024. I just started receiving my social security retirement benefit this September 2023.
It depends on your area - we would be happy to assist! 888-465-9728
I don't think there are co-pays for physical therapy visits. Am I correct? I have plan N.
It depends on how to doctor codes it, but usually no there are not.
Hi Stephanie I find all of your videos so extremely helpful. I turn 65 next August but am starting to do my research now. I have a few questions for you. 1. I want to use your services next year. I live in California. Are you licensed here in California? 2.. When it is time for me to use your services would I be able to use you directly or would U just be using 1 of your agents? 3. I want to have help finding a supplement plan AND also part D plan for my medicines. Would you be helping me to find both? 4. Would I be paying the premiums for the supplement and part D to you or would I pay the company directly that offers the supplement and part D?
I look forward to your answers. Thank you so much
Bonnie Kent
Hi Bonnie!
We do work in your state and would be happy to help! Typically we like to talk with you about 6 months prior to your 65th birth month to review your options. My personal case load is limited, so if I can’t work with you directly I have several agents in my office who have been with me for a long while and whom I trust completely to assist you. We can help you with Medigap AND Part D, and premiums are never paid to us, always to the insurance carrier.
I hope this helps!
@@AbtInsuranceAgency thank you so much for answering all of my questions Stephanie. I look forwarding to being in contact with your company next year prior to my turning 65
I pay 169$ a month for plan g and it’s paid off cause I can’t stay out of hospitals , I’m happy with my choice , no co-pays or deductibles after Medicare deductible at the beginning of the year 😊
Great coverage
What states don't allow Medicare excess charges?
The states that don't allow or limit excess charges are Connecticut, Massachusetts, Minnesota, New York, Ohio, Pennsylvania, Rhode Island, and Vermont.
one thing to emphasize is that if you're healthy when you choose the Plan GHD that 's great but if you a chronic illness or cancer, and want to return to another plan, you'll be underwritten and may be stuck with that increasing deductible every year thereafter.
This was a wonderful presentation. Are you familiar with NY plans?
Yes! Call us anytime. 888-465-9728
In 2023, my Anthem BCBS monthly payment is $1592.92. I haven't canceled it yet, as I turned 65 in August, and I was waiting for my Medicare/UHC insurance to deal with the first claim before canceling. Which finally happened just a few days ago for UHC. So, I can finally cancel Anthem BCBS before October's withdrawal. What I pay for Medicare/UHC is far less than what I've been paying for many, many years for Anthem BCBS, and social security pays for the full amount, with money left over. So, I can put the full $1592.92 in a savings account for whatever needs might come up.
Wow - that is a hefty monthly payment! We have Anthem BCBS through my husband’s employer and it’s $300 month for the top tier plan. It really is nice to have a company that takes on such a large part of the cost, for sure. We are about to go on Plan G when he retires in June.
Very insightful, thk you!!!
Glad it was helpful!
How do these Medi-Gap plans work with a "Dual Eligibility" client?
It depends on a few factors. Some insurance carriers will not issue Medigap plans to full dual-eligibles. Most dual eligible folks that we help end up going the Medicare Advantage route!
This is the best video about Plan G and Plan N. After watched this video, I decide that I will buy Plan N. One question: If I ever move out of the state, can I keep the Plan N with current company? Thank you!
Yes! And please call us anytime, we’re happy to help.
As I understand it... You need to contact abt or other broker to ensure your coverage when moving state to state... Different states have different Medicare laws and the carrier will bill accordingly....
@@steves3688 not when it comes to Medicare supplement plans - they travel with you and you do not need to change your plan if you move out of state.
@@AbtInsuranceAgency What I meant is the premium costs might change for the same plan...is that not true? And the insurer(even through a broker) needs to be notified of the move...right?
@@steves3688 Yes, correct
Does medicare part a or b work in Canada? Going on short trip just curious?
No, but most Medigap plans include foreign travel emergency benefits. More on Medicare and travel here - th-cam.com/video/c7EYb9lj3X8/w-d-xo.htmlsi=8A6_DWkXG_aJnk1k
Do you have a more current comparison of Plan F and G and N. We have learned sooooo much from watching your videos
With Plan F, the only difference is that it DOES cover the Part B deductible, and that benefit will never change. I'll be putting out another Medigap video soon! Thanks for watching!
Thank you for making these videos! Question about the types of co-pays for Plan N. If, for example, I have a doctors appointment and they give me a prescription to have blood work done at a separate facility such as LabCorp, would that be two $20 co-pays? One for the Dr visit and one for LabCorp? Another example: mammogram appointment at the hospital, if they see something suspicious and want to do an ultrasound. Is that two more $20 copayments? If they want you to come back for an MRI or a needle biopsy how is that handled. In other words, is each procedure a separate co-pay? It would be great if there was a chart somewhere on the Medicare site that had every CPT code, and which ones trigger a co-pay for Plan N. Thank you for any guidance.
Copays are for the office visits only, not subsequent outpatient testing.
Thank you for the quick reply and clearing that up for me. I will be eligible for Medicare next year and I’m starting my research now.@@AbtInsuranceAgency