Plan G downsides - is it really the BEST Medigap plan?
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- เผยแพร่เมื่อ 7 เม.ย. 2024
- www.abtinsuranceagency.com | (888)465-9728 | Medicare Supplement Plan G is often called the Best Medicare Supplement Plan. But Medigap Plan G has it's downsides, and in this video I am reviewing the various downsides to consider when talking about Medicare Supplement Plan G.
*Videos I reference*:
State-specific Medigap rules: • Medicare Supplement Pl...
Plan G versus Plan N: • Medicare Plan G vs Pla...
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By no means at ALL is Plan G a *bad* choice for Medicare Supplement. Many of my clients love it! However, some agents will only ever talk about the benefits of this Plan, and never share the downsides, which are important to be aware of.
The biggest advantage to having plan G is that you're covered financially if you experience a catastrophic health event.
That's exactly why I went with a Plan G.... like I insurance, I hope I never need it for a catastrophic health event, but I'm comfortable knowing I have it should I need it.
I was watching many TH-cam videos about Medicare when I came across Stephanie. She was far and away the easiest to understand and follow. So I bought my supplement through her company. This year when the supplement company raised my rates, the Abt agency worked hard to find another company for me. I wholeheartedly suggest everyone watching these videos to use them. You won’t regret it!
We are delighted to be working with you!
I like my HDG plan ($34 in SoCal) for max incentive to stay healthy to avoid the medical industry.
Plan G is fine, but the rates will increase on a faster track than Plan N. And if you are lucky enough to make it into your 80s or 90s, you also want to be able to absorb those rate increases as we age. Plan N is fine too - it's just a little more cost sharing under Part B, but your rate increases over time will be less which is good for most of us. Just my thoughts.
Thanks for boiling it down. I kind'a thought that's what the point of the video was, that rates may go up faster, but thought maybe I was missnig something.
I just finished watching your state specific video. I live in Missouri, every year our broker reviews plans from all companies that offer Plan G and finds the best value. We went on Medicare with Plan G 7 years ago and have had 4 providers and our rates have only increased a small amount. Very happy with Plan G, with the ability to change every year with no medical underwriting
You must be extremely healthy to be able to switch. Most people are stuck in with the company they originally pick.
@@Jan96106 Missouri allows you to switch form one plan G to any other during your anniversary month. Mine is June, and I just had a review from my broker and am staying with my current provider, they raised rates by 8%, but they are the lowest cost still
@@Jan96106Missouri has an anniversary rule that allows you to change companies on your part B supplement on your part b anniversary each year without medical underwriting.
So glad you're taking the time to speak the truth about Plan G vs. the other plans out there.
Thank you for all you do in speaking the truth about the Medicare options seniors have! You're awesome!
So are you! 😁
This is exactly why I chose Plan N instead of Plan G. Thanks for confirming my thoughts process on this.
What was the difference in your premium?
@@Newlinjim$70.00 a month in Mn. BCBS.
@@Newlinjim $45/month now, but that difference will grow each year as Plan G rate increases will be higher than Plan N rate increases.
@@barrytimm5497 thank you!
It all depends on how healthy you are and how unhealthy you might become
My Dad has a G plain, he has had colon cancer prostrate cancer and some other small problems. His wife chose the Advantage she also had cancer, osteoporosis and a broken hip, if they both had a advantage plan the cost of there medical problems would have been finically devastating!! Seniors need good coverage that they can afford . When your OLD that’s when you get health problems. It should be against the law to sell advantage plans but so many find out to late. However G plans are getting to expensive ! However if something is wrong with you it can keep you out of the Poorhouse. It’s all a catch 22
A National PPO Advantage plan will cover much more than a free/low cost advantage plan, so it depends on which you choose. They are different, just like medigap plans are different.
I've been trying to figure out which one to use. Have been convinced AGAINST advantage. And leaning more towards plan N. I saw a side by side comparison with an expensive medical issue and the out of pocket cost was lower on N than G, I'm pretty sure. I think N had a copay, but there's a cap on it or something
I'm so sorry about these major burdens. The elderly should not have to worry about this on top of everything else
Appreciate the information and efforts to steer folks toward the best plan providers. Feels like it’s a gamble no matter how much research one does!!
I hope you found it helpful!
My sister has plan N and it went up a lot this year on her. I pay less on G then she does on Plan N
I have a monoclonal antibody treatment fir metastatic endometrial cancer every four weeks. I see a podiatrist for calluses every 90 days and an orthopedic nurse practitioner for a steroid injection every four months as I can’t have a knee replacement due to the cancer treatment. I also have a CT scan every 4-6 months
So, I’m looking at having to pay $20 copays monthly, etc on a Plan N, and Utah does allow excess charges, although, admittedly, they’re rarely charged. I chose a Plan G Supplement from AARP/United Healthcare, as it seemed to me the monthly treatment would negate the savings on Plan N, which is only about $15 less - I’m currently paying $128.60/mo for Plan G. I am dreading this coming July when my plan will be coming up for renewal - I expect some sticker shock
Cost effective? So I pay $161 for part B. $171 for plan G and $155 for Part D monthly. I also pay some costs for certain meds. And I pay additional costs when Medicare doesn't cover a specialist visit. And the costs go up every year. Fortunately I can afford this but most people who just received SSi can't.
Amen to that - my plan F alone has gone from $130mo to $300mo from age 65 to 73 i.e. 8 yrs.. They have paid out very little so far,,,,,,rip-off
$155.00 for D! My D is .50 a month!
@@gbmwazSee if you can switch from Plan F to a G or N.
Yet the USA can send $100+ billion to Ukraine, Israel, and Taiwan. Nice.
F is no longer offered
With no low cost new enrollees the cost will go up
Recommend if your healthy to switch
i don’t understand , this is ALL a mess! why not just cover it all and STOP all this plan B, C, and D crap???
Because you have no financial incentive to understand?
@@qstrian ……..what’s your point?
I agree !!! Sick of this confusing mess
@@qstrian …….for your information, i’m not eligible yet. i’m trying to understand BEFORE i am. what’s your problem?
Good luck on that!
This is really good to know. Plans C and F are no longer option choices for those new to Medicare if not 65 before Jan 2020. This leaves plan G as the only option that is the most comprehensive garenteed issue choice. So now all others requires underwriting if you want to get off G later with lesser benefits.... bummer. ...oh well
Thank you for this update, Stephanie! And thank you for helping Grace & I with our supplemental plans…they’re working great!
Wonderful!
There was another video put out by another broker who showed that 25 years out ( beyond age 65 to age 90); the additional cost in premiums of Plan G over Plan N might be $ 25,000 more over that 25 year period for a married couple. This is what people do not think about. They only look at the potential ( and unlikely) excess charges for Plan N or the up to $20 copays. But over many years after age 65.....the increase in premiums of Plan G far exceed those charges for plan N.
Luckily I in California. We have the birthday rule which we can change insurers from your current Plan or change to a lower Plan supplement without any Medical Care Underwriting. Unfortunately we are still under a very large international company medical plan where we pay a good premium for 2 of us it's a PPO however deductible is 6k and out of pocket max is 7500 individual. So last year with all included we paid 20k in medical, and this year between frozen shoulder physical therapy and kidney stone issues already went over deductible. Also our company sponsored insurance plan, which is like a ke an Advantage Plan came to just one day of not contracting with UCSF one of the best hospitals in our area. Hearing Hunana and UHC Advantage Plans are having problems like that too. Also, concierge services are now attracting 1 out of 10 doctors and if you are rich you can afford them. Medicare and health insurance companies won't pay the. Bottom line Healthcare in America is not run well
Thank you Stephanie, great channel!
Thank you!
Thank you for such a detailed explanation of Plan G!
Turning 65 in august, looking at plan G, my question after watching many of your videos, if you select a Medigap plan like G and you can not change companies after the grace period, what prevents an insurance company form increasing you premiums a lot, knowing that the person is somewhat locked into the choice they initially made? Seem like a person could be trapped.
They could be. But rate increases are never on a per-person basis and must be approved by the state department of insurance.
My wife has had Alzheimer's since 2/21 and just became plan G eligible in Nov.2023. She was on a plan C from May 2023 - Nov 2023 and was fortunately able to get on a plan G with no medical underwriting . Our broker advised me to get her an AARP-UHC plan for the rate stabilization it has and so we did. Just got a letter from UHC advising a rate increase starting in Nov. 2024 which I calculated out to be 13.3%. Evidently in medicare world that's a normal increase. In my book that's a ridiculous rate increase percentage. Just sharing this as a beware before you buy a plan G. These so called and so touted by brokers "stable rate plans" may not be as stable as you the plan buyer may be led to believe !!! Due to my wife's Alzheimer's disease, she may very well be stuck with UHC due to needing to go thru medical underwriting to qualify for a cheaper plan. Just be ware folks before you commit to any Medicare or Medigap plan.
You can change companies, but if you're not in one of the "special rules" states, you have to go through medical underwriting. But - that's true of ANY medigap plan, not just plan G.
One way you're not "trapped" is that if you started Medicare with a medigap plan, you can switch to an Advantage plan for up to 12 months. If you don't like it, you can switch back to the medigap plan you had. No medical underwriting required.
CA has supplement open enrollment on your birthday with out any medical under writring
The California Medigap Birthday Rule does have restrictions. You can only switch to a plan with equal or lesser benefits than the plan you are currently on, if you want to switch without going through underwriting.
Thanks Stephanie, this is very good info to know!
You are so welcome!
Great video Stephanie. I am very pleased with my plan G. Mark H
Plan G sounds like a winner🎉🎉why not thrown it in with basic A and B BUT first dental /vision!!!
In CA anyway, I hear that Delta Dental is one of the bigger dental insurance companies. I'm pretty sure that's what my ex's union had.
2 free teeth cleaning per year. And I think they pd 80% of cavities and stuff
My wife and I went with Plan N, glad we did now that we are seeing the increases on some Gs are much more than N. Also some companies are closing admittance to their G plans so this will cause increases to these plans due to no new younger retirees coming in.
With regard to closing plans, I think you have confused Plan G with Plan F. I would be very shocked if a company closed their Plan G. Can you say which companies are doing this?
@@barreloffun10 Nope, not confused, there are G plans that are no longer taking new customers, it's true. Google it.
@@barreloffun10 I got that info from another broker I follow, and the 2 or 3 he referenced were some I had never heard of before, one was fireman's something but something to be aware of that can happen.
Plan F is the one being discontinued. Participants in the group are still covered but they aren't accepting new enrollments. Plan G is going strong. So that people are NOT misinformed can you please share which companies are discontinuing their G plans? I do know many are closing their Advantage Plans because doctors and hospitals aren't getting paid by the companies, and there is legal action being taken against some of the Advantage Plans - I don't know which ones exactly. I know that private insurance is not offering plan G because they don't want to. For example, I can not find a Plan G for UPMC - the big and famous hospital in Pittsburgh PA, they have 10 different Advantage type plans, but I'm not seeing a Medigap plan for them. I am thinking the reason for this is UPMC is a regional hospital that provides insurance for their hospital. PLAN G is strong and not being discontinued.
Thank you.
I’m afraid that some folks may not be taking into consideration what their employment insurance costs were (OOP) prior to Medicare enrollment. For my wife and I, good health will result in less cost OOP than during our work years/COBRA coverage. Yes, premium costs will go up as you age because your risk level also increases, just as it does for auto/homeowner coverage. You get one chance to get this right so do your research!
Yep - I have the best HC at my work and I never realized what the premimums cost until I looked into COBRA - needless to say, I stayed working one more year. $850 a month was just out of my reach for HC.
Love it! So true!
Moved from plan F to G a little over a year ago. Plan F covered everything with no deductible. Wish I had not moved now, but the cost was getting prohibitive. The sad thing is once you leave plan F, you can never go back again.
You can, if you can medically qualify.
@AbtInsuranceAgency That's news to me. My insurance advisor told me you only had a short period of time to be a ble to do that and after that small grace period was over that we could not go back. The fact was they are trying to eliminate that group by aging them out and not offering to newcomers.
@@dheller777 anyone who was on Medicare before 2020 still has Plan F available to them! Lots of agents are not fully informed on this.
@@AbtInsuranceAgency Thank you. I will look into it.
Does your company work with USAA in North Carolina?
turning 65 this november. i will choose the N plan in my state.
i just don’t know what the cost
will be each month.
We can help! 888-465-9728 😊
You need to do a video on the downsides of Medicare Advantage plan.That's not scary it's horrifying.
I have done several!
N in my opinion is a hidden gem. It covers what G does minus excess expenses which rare and it doesn’t increase in premiums like G does. On average G increase 4.75% per year. N is much lower.
how much has N increased?
@@busygal1959 On average its about 3% compared to G which jumps about 5-8% depending carrier and state. Some gap plans have jumped 12%
Ihave dialysis I just got madicare this month Please advise me what plant I choose?
If you move to another state with a lower premium does it change with your move? For expample, Florida is much higher than TX. If i relocate to TX does my premium change? Thanks
This is dependent upon the company you choose and the plan subsidiaries they offer in the new state!
I am looking to have several joint replace surgeries over the next several years. I will be 65 in Oct.
What plan would be best for me- plan G or plan N?
Depends on a few factors - call us at 888-465-9728 for a personalized review!
I suppose that if you are not the healthiest critter then Plan G is probably best. You get what you pay for, especially when it comes to health insurance.
Yes, very true!
Plan G is the best.
How good is Globe Life for a supplement plan?
We would be happy to chat with you about this! 888-465-9728 or email stephanie@abtinsuranceagency.com
Are people with Medicare parts A,B and D required to purchase a medigap plan such as N or G if they can't afford the monthly premiums?
No, Medigap is not required!
Do you have an idea of how much Plan G rates for say Cigna, have gone up over say the last 10 years?
Cigna recently announced they were exiting the Medicare business, selling it to Health Care Service Corporation. This could be bad news for existing Cigna Medicare Supplement enrollees, as they could become "trapped" in their existing Cigna Supplement with what would become a closed risk pool, if they are unable to pass underwriting to switch to a different Supplement. Closed risk pools will often result in major premium increases in ensuing years. You may want to consider switching to a different Supplement, if you can pass underwriting now.
Since Covid, rates have gone up much higher on Supplemental plans and it depends on the carrier and state- but I would say 6% to 10% is a good average now.
We would be happy to share more specific information on this data -- please call or email us! (888) 465-9728 or stephanie@abtinsuranceagency.com
I get mixed information. I heard somewhere that someone on plan N cannot flip flop to plan G without medical underwriting - or some kind of penalty.
If I purchase a Plan G supplement in AZ, is it the same coverage in all states if I move, or travel, etc? Also, is AARP Humana healthcare Plan G a good choice?
Yes, coverage is the same across the states! Are you asking about Humana or AARP?
@@AbtInsuranceAgency Primarily about Humana, but yeah, is AARP good to be in that mix, or is there a better path?
I have a supplemental plan G from AARP/United Healthcare in Texas and for a few dollars more premium, you can get the plan with free gym membership called RenewActive. There is a Lifetime Health/Fitness Luxury Resort Style Club near where I live which I joined for FREE! Regular monthly dues at this Health Club are $135 to $165 per month. This Plan G plan from AARP/UHC with the RenewActive program was a no brainer for me, and I can start working out to stay healthy as possible again!
What if i already paid my 240$ medicare part B deductable for the year before enrolling in plan g. Do i have to pay plan g deductable again?
No! If you paid the part B deductible already then that carries over.
If you have A and B currently. Can you sign up for a G or N at age 67, will it cost more that at age 65?
In most states, Rates go up every year based on your age- a few states have community based pricing
You can sign up for a Medigap plan at *any* time, as long as your have Parts A and B. But yes, it may cost more, and you may or may not be eligible based upon your health or the state you live in.
@@AbtInsuranceAgency 08054 NJ Good Health\Plant based. Need focus on good long term provider for this area.
You're still better off with Plan G because it brings peace of mind. Plan N doesn't cover excess Part B charges, which can be a lot if your health suddenly declines. With Plan N, each ER visit and doctor visit requires a co-pay. With the nominally higher premium for Plan G, I plan to cut back on frivolous spending when I retire soon. Your health insurance is priority #1 because, let's face it, your health is everything.
Where are you located?
Are you licensed in Oregon?
yes!
I'm 64, a federal employee. Will work past 65, probably to 68. I have FEHB. Should enroll in Medicare Part A next year even though I'm working?
You can delay as long as you are still working with creditable employer health coverage!
@@AbtInsuranceAgency Thank you
@@AbtInsuranceAgency I was under impression that a person who turned 65 must take Part A even if he/she is still working. It is Part B you can delay until you retire. Isn't this how it works? What am I missing?
Is Plan G HD still a good value overall compared to Plan G and N? For 2024
For NY residents PlanG HD is a no brainer. $243 for Plan N vs $72 for G HD
In some parts of the country it is a good value, while in others Plan N is a much better option.
@@AbtInsuranceAgencyif you move after enrolled how is the premium affected?
Nothing in this video would change my decision to choose plan G. The rate increase would have to be 10x before it would get close to my out of pocket cost for high deductible health insurance before getting on Medicare, and my health was good. It’s funny how all you Medicare Experts are putting out plan G bashing videos right now.
I am by no means bashing Plan G! I think it's a great option for many, and a very large percentage of my clients choose Plan G. I only aim to educate about the potential downsides of this Plan, since some brokers will only ever sell Plan G.
Hi Could you help me to get the direct Contact number of representative for BCBS IL PPO , as I am from providers offices and it is hard to connect to representatives for the CLM status or Clarification on denial also for appeal. And if you can guide me. So it will really helpful.❤
Plan G High Deductible in New York is an absolute no-brainer.
Agreed!
Could you please expand on why this is true in NY?
@@buffalo_wings8224 I pay $70/ month for G-HD.
Regular G is something like $300/month. So I'm saving $2,760/year.
If I have major healthcare expenses, the most I can pay in a calendar year is something like $2,800. You would have to have $14,000+/- in medical expenses to reach that $2,800 (20% deductible).
Like I said, a no-brainer.
I asked my supplement insurance agent to find a better Medicine plan. She switched me to a Advantage Aetna plan without explaining anything to me. Now I have both. How do I get off the Advantage Plan and go back to Regular Medicare Plan and a supplement plan?
Uh oh. You should NOT have both. If you have been continuing to pay your Medicare Supplement plan payments then your policy is still active (but not usable until you cancel your Advantage plan). Feel free to email us at stephanie@abtinsuranceagency.com or call 1-800-MEDICARE for more guidance!
You’ve been taken
@@AbtInsuranceAgency My agent did not explain that she was putting me in an Advantage Plan.
@@williamhickstein685 wow. Thats disheartening and infuriating
I found about the switch in Wisconsin, trying to fill a prescription and the Walgreens said my insurance would not pay because they did not have a agreement with Wisconsin. I live in Illinois.
The most comprehensive, but not best value. Choose N or HDG and don't even consider managed care.
As long as you don't get sick, all plans are the same, except for the cost.
My wife and I are both on Plan G. We are satisfied with it, and Plan G is the most cost effective for us, unless we want to take risks. I feel this video was too critical of Plan G during the first part of the video. Stephanie did not get to the advantages of Plan G until the end of the video. I have always through her videos were fair and balanced. Not so sure now. Be sure and watch all of the video, not just the first part.
Thanks for the feedback. We have many many clients that continue to choose Plan G and are very happy with it. I'm glad that you have a plan that is working well for you too!
Plan G is the best option in terms of benefits, however it is often NOT the most cost effective. It does have the most predictable costs for coverage, but premiums will continue to increase in the years going forward. It clearly is a good plan for those requiring a lot of services.
My wife went with HD-G and I’m likely going with the same, but will look at Plan N. We are both physicians in good health, and in our area Plan G is not cost effective for us, meaning it is expensive. We are happy accepting slightly more risk.
Is plan N has no downside ?
@@sarahkiernan139 Will not pay the extra fee a Specialist can charge at his discretion. This can be enormous these days as some have no shame and are so greedy.
@@sarahkiernan139 plan N can require up to a $20 copay for an office visit, and $50 for an ER visit, with no limits. So if you get seen a bunch in a medical office, you will have a bunch of copays. If not you won’t.
Do the cost of plans change by zip code within the same state?
Yes!
@@AbtInsuranceAgencywhat basis do they use to determine this cost?
If your plan N for some reason goes away what happens ? Are you guaranteed to pick a new N or even a G but really I want to know can you get another N without having to quality in that scenario
In the highly unlikely event that your insurance company can no longer offer you your Plan N any longer, you would have a “guarantee issue right” to purchase Plan G with another company.
buyer beware do your own homework. don't trust the agents.
This video seems to aim to create fear of G…
You have some very good information in your videos and I thank you for producing them. However, you desperately need to use a better microphone setup and think seriously about doing these videos in a more acoustical room.
The audio in its present form is of poor quality.
plan F rules!!!!!!!!!!!!!!!!!!!😁
Plan F has the best coverage, but isn't talked about much because it is no longer available to new Medicare enrollees.
Plan F is the only Medigap Plan with more coverage than Plan G - but it's no longer available to folks who are not new to Medicare.
really? My F plan premiums has gone from $130mo to $300mo in 8 yrs with few small claims
No longer available
@@gbmwazThis is not surprising. Because Plan F is not available to folks who are new to Medicare, the pool of people who are on Plan F are aging with generally more health problems as the years go by. The significant premium increases each year are covering the costs of all that health care for an aging group that has no newer, younger, presumably healthier members paying into the system.
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