Is Plan G The Best Medicare Supplement Plan? The Pros and Cons of Plan G
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- www.abtinsuranceagency.com | (888) 465-9728 | email stephanie@abtinsuranceagency.com | Free, unbiased Medicare and Medicare Supplement assistance.
Medicare Supplement Plan G is increasingly popular, and some agents tout it as "The Best Medigap Plan", but is that really the case? This video breaks down why Plan G is so popular, and some potential downsides look out for before you enroll in Plan G. We also review Medigap Plan G vs Plan N and weigh the pros and cons of these plans.
What is Medigap?: • What is Medigap? (Medi...
Best Medigap Plans 2021: • Best Medicare Suppleme...
Plan G vs Plan N: • Plan G vs. Plan N Medi...
Medicare Plan N Copays: • The Truth About Medica...
Medicare Excess Charges: • Medicare Part B Excess...
KFF article, How Many Physicians Have Opted Out of the Medicare Program?: www.kff.org/medicare/issue-br...
Medpac document on Medicare Physician Payments: www.medpac.gov/docs/default-so...
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I have had Plan G for a long while now. I was very healthy, and only needed yearly appointments with my PC. I have all of a sudden been diagnosed with Breast Cancer. Thank goodness for Plan G, I have peace of mind.
I am under mega plan G
Turned 65 in July of 2001
October of 2001 I went through a surgery .., this surgery had bad complications …. I needed a 2nd surgery -I stayed in the hospital 7 weeks … then to a rehab clinic for another 4 weeks!
I didn’t pay one cent for the surgeries or hospital stay neither for rehab clinic
It was a life saver for me!!!
Wow that is wonderful. What is the cost of Mega Plan G?
@@jennifer6814 Cost varies on your state. There is also a high-deductible version which lowers the premiums.
Yep. When you need it, Plan G is there!❤
Thanks for the info! ♥️
why does this country make something so simple, so complicated?
It's definitely complicated!
Simple ?? Huh ?? I just received from medicare "Medicare and You 2022" booklet which may indeed be helpful, but at 130 pages long does it qualify as simple ?? Well not exactly.
It’s about profits first, people second sadly…:
The more complicated it is the more insurance companies make.
Really true. Whoever invented this confusing bull….sh… should be punished!
I think that it is a damn shame that we even need a supplement plan to help with medical cost at all. I worked all my life and payed into medicare for all that time. Why should I have to pay for any of these plan, including part B, and need to get dental , vision, and hearing also to cover all my health needs. This is just wrong!
I totally agree.
" The Centers for Medicare and Medicaid Services (CMS) wasted $143 billion on Medicaid overpayments during the last two years, and it hasn’t been transparent about its efforts to recover those funds. CMS reported $57.36 billion and $86.49 billion in Medicaid overpayments in the fiscal years 2019 and 2020, respectively. The improper payment rates of 14.9% and 21.36%, respectively, represent a substantial jump from prior years, and CMS is required by the Social Security Act to recover improper payments that exceed three percent. "
I'm also going to say something that may not be politically correct but some of the illegals coming into this country received benefits too and they haven't paid into the system like we have.
We should all be calling our members of Congress to make sure at very least that dental coverage is added to original Medicare in the massive spending bill. I am afraid they have dumped that and eyecare from the bill. Dental at least is very important to seniors. Your teeth are your life!!
@@philc.9280 Don't confuse Medicare with Medicaid - and please do not make wild ass statements without any proof. Politically correct or not, if you have proof of your statements, show it otherwise, shut your pie hole.
@@denali9449 Not sure how to respond to your ignorance or stupidity. I'm just quoting news and government sources. Whether you choose to believe it is not my problem." 2020 Estimated Improper Payment Rates for Centers for Medicare & Medicaid Services (CMS) Programs
Nov 16, 2020
Billing & paymentsComplianceMedicare Part CMedicare Part DMedicare Parts A & B Prescription drugs" I stand by my comments that are screened.
I just received my out of pocket bill which totaled $6500.00. I am currently taking chemotherapy. Lesson here: if you get seriously ill, you will owe thousands!
Are you on a Medicare Advantage Plan?
I am also an independent agent who provides Medicare products and I was pleased to listen to your video. Stephanie knows her stuff.
Thank you so much! You just stopped my having a huge anxiety attack due to the confusion of Medicare!
I love hearing that! Please feel free to call or email us with questions at any time www.abtinsuranceagency.com
I just enrolled in Blue Cross High Deductible Plan G. I don't go to the doctor often but figured that as long as I don't go to the doctor more than 4 or 5 times a year, it is the most cost efficient. The high deductible amount of $2490 is a drop in the bucket compared to the $7000 I had for years!
I wanted to be skeptical !!
(Profit driven)
But God Bless You .
A very tight, cohesive and understandable video Thank you so much.
stephanie, you are a godsend. thank you for what you do. i turned 65 in oct 2021 so all of this is new to me. i spent several days in nov comparing plans and fretting over which would be the best for me. i found this video AFTER i had selected and signed up for medigap and part d plans. i selected an AARP plan g, so your video had the value of reassuring me that i had selected well. thank you ♥️
I have plan G, had 2 surgeries, and only paid part B. One surgery cost $65,000.
You are the best, thank you for your service and time!
Thanks for watching and commenting!
Full of awesome information as always thank you Stephanie.
Hi Stephanie, thank you for the very informative explanation of the Medicare supplemental plans. I wish I have discovered your video soonerwhen I first retired 2 years ago to help me select the best plan.
Glad it was helpful!
I will be calling you next week. You explain this well, and I need to make a decision for the first time.
Stephanie, thank you for producing these informative videos.
I am 6 years away from retirement and have begun to explore Medicare and all that it entails. You've done an excellent job explaining Medi-Gap plan G and plan N. Thank you Stephanie!
Thank you for watching!!
All I can say is MEDICARE sucks! After paying for MEDICARE all my life, I am still paying for MEDICARE every month, and I'll soon be running out of savings.
thank you for your precise presentation - perfectly articulated
Wonderful video, thanks for explaining so nicely👍
Thank you Stephanie for great and very informative video!!!!! you helped me understand what I have to do as this year will be my first year on Medicare.
Hi Stephanie ,I just turned 84 and I have plan g through Mutual of Omaha . I have ulcerative colitis and asthma this year my premiu apayymens went up to
You are very good at explaining the different plans.
So decent coverage under Medicare will cost about $700/month for a couple.. And I'll get $1200/month from my Social Security. So thankful I got serious about saving for retirement in my mid 30"s!
Thanks for posting! 👍
I think you're video is a great way to answer the complicated issues to Medicare Please keep us victoms informed , Thank you so very much !
Thanks for all the detailed information you have provided in this video. I like your way of explaining every point. Keep sharing such great videos in the future also.
I learned more from you than all my many phone calls together !
Thanks Jenny. Had I known how difficult this is., I would have started reading about retirement ten years ago.
Pedro, your dilemma is these plans and legislation change annually. Go with the best supplement u can afford. Stay away from Advantage plans
@@JohnJohn-wr1jo Hi, if you have time, please share your reasons for not going with an Advantage plan. I chose traditional Medicare and a Plan G when I retired last year because I knew I'd be moving out of state soon, to a rural area, and wanted a wider choice of doctors if I wasn't pleased with the locals approved by an Advantage plan.
I was thinking that after moving and learning more about the local medical community, I might drop the Plan G, and go with the new state's Advantage program. But you say no so convincingly, I'm having second thoughts.....what's you're reasoning, please?
Explained well, thank you
Stephanie, If you are not already a millionaire, you will. Be, and should be. Your appearance is professional, your speaking ability is terrific (former teacher?) and hope you are a principal in an honest
FMO with stock options. If not, start your own!! Many will come. I always enjoy and benefits from your videos. Jack Frick, CIC, CISR, AIS, M.Div. Austin. TX. Keep on, keeping on.!
Hi Stephanie,
Great video in explaining medigap insurance. I was diagnosed with CLL in 2007 and never had to have treatment so far. Praise The Lord! When I signed up for a supplement they put me on plan N instead of plan G when they found out that I had this blood condition. My wife is on plan G. Doesn’t seem fair that I have those copays and my wife’s plan G doesn’t. Can you elaborate on this a little more? Thanks 😊
Who was 'they' that put you on a Plan N? I know the pre-existing thing can be a difficult road but normally if you stick to the Medicare timeline and had coverage before you signed up, the pre-existing clause is waived. Speaking as someone who was receiving medical care for a kidney transplant for 15 years prior to signing up for Medicare. No questions asked, sign here and pay the premium. I got a Plan F back then and have stuck with it. I make be wrong but it sounds like you were misled.
Everyone should carefully listen to this young lady. She has helped my wife and I navigate a very complex part of retirement.
Stephanie provide valuable help and data when making these healthcare decisions when retired. With todays ever rising healthcare costs it is better to be safe than sorry.
Stephanie Abt is highly recommended.
Thanks for interesting and clarity review of these plans. Also being up front about how you are reimbursed gives me more trust with you.
thank you. you break it down and explain it extremely well.
Thank you for watching!
Hi Stephanie! A brand new subscriber and I appreciated the clarification between Plan G and N. I will be watching all your videos to catch up. Will be very helpful for my husband and myself. May I politely suggest your doing your videos in a room with more "padding" or more furnishings? Your sound quality is hard on my elderly ears. Like you were in a cave or a large subway restroom. I had to turn the sound down quite a bit. Thank you! 😊
Thanks for the feedback! In my more recent videos I’ve changed up the microphone set up to hopefully improve sound quality. It’s definitely a learning process, thanks for following along! 🙂
Agree about the tinny sound…..need better. Acoustics!
@@jpear agreed!
Hopefully on the newer videos on my page you’ll hear better acoustics. I’m definitely still learning 😉
I changed from N to G
Has saved me thousands as I fell and it has taken all year to rehab. Different story on part D. Skyrocketing drug costs..
Stephanie you are simply "GREAT"
😊
Great Great information and easy. Thanks a lot.
I'm trying to get my father some supplemental insurance, I need something that will pay for skilled nursing, either in a facility or preferably in his own home.
Stephanie thank you so much for offering these videos. Thank you even more for offering your services to us all. You are a true wealth of knowledge and sage advice. I will send all of my friends who are seeking help with their Medicare decisions to you. Best to you and your family!
HDG seems to be the best for us healthy people approaching 65. The only thing that concerns me is if at some point N becomes a better deal due to new health problems, I wonder if underwriting will make it too expensive.
Thank you for this explanation. I didn’t know I could ask for the cash price of my script instead of using part D. My only question is why am I paying for a med that I was getting at no cost prior to signing up for Medicare?
I just found this video and I must say you really explain on a level anyone can understand. About me well I turn 64 this year so I have a little time. I am also "The Cajun Ninja's" dad. Between Facebook and You Tube he has 1.2 million followers. He has his own "PIYAHHHHH" seasoning and we just did a photo shoot for his cookbook coming out later this year. He also teaches Martial Arts hence the name. I say all this because I told him when he reached a million followers to remember he could not have got there without having the first one. I think it is awesome the way you explain everything. You definitely have a new follower and I will be watching your videos. You nailed it when you said "Peace of Mind". I am not sure if you are licensed in my state of Louisiana. I noticed your chart did not show Dental and Vision. I am curious what the price tag would be to have the G plan with Dental, Vision and what ever else makes it a complete package plan. Also you should have a lot more subscribers than you do, so stay who you are and you will continue to grow. Great Video!
Hi Stephanie, what is the difference between part g and high decibel part g? And what would drug gap costs be?
In my area several specialists do not accept assignment, so I stir them towards G. Also, the last time I checked the Mayo Clinics do not assignment.
Thank you for the great info. Question: what has been the average annual increase during the past 10 years for Plan G and Plan N? I will be turning 65 next year and i am currently fairly healthy so i am leaning towards Plan N, but if the annual increase between Plan G & N are not significant, i probably will go with Plan G just to have that peace of mind since health tends to deteriorate as we get older.
For some crazy reason I have been told that plan N is more expensive than plan G In my state even though plan G pays for more. I’ve seen videos where they’re saying that the cost for plan G will be going up more rapidly because it has more people and many of those people are more sick. If that’s the case why in the world is plan N more expensive in Kentucky? It seems if you’re willing to shoulder more of the cost the rate should be lower
Stephanie do you have a video on GHD
I have a medicare advantage plan with a drug plan included. I love it. I spent a little over $600 last year out of my pocket for health care. Not bad for a 67 year old male
Yes, but what would have happened if you’d gotten cancer?
@@kathygann7632 that’s a chance we take but my plan affords me superior coverage with easy access to my primary for checkups. A healthy lifestyle, plenty of exercise, healthy meals means a lot too.
The only thing with ADVANTAGE plans are U have big deductibles . No one ever know’s about their health from one day to the next .
Usually a person pays approximately $3000 for a hospital stay with ADVANTAGE plans . Can you imagine going into the hospital twice in a year ? Most advantage plans don’t cover HOSPICE either . Freedom of choosing your own top physician is vital to me . Don’t take it for granted you will be healthy all through your senior years .
@@maryisabell8760 i have had Essence Advantages for the last 2 years. I have averaged only $600 per year out of pocket. MOOP is $1800. My 91 year old father had the same plan with multiple hospitals visits. He only paid the MOOP of $1800. Per year. Essence has a 5 star rating in St Louis. A top teir carrier. My drugs are all their 1. Little or no expense there. No oop for my primary doc. I eat right and exercise. Keep a health life style for pushing on 69 years old. Life style choice affords me the luxury of a MA. Not everyone can or will have that choice
Yeah, I was doing great at 67 too. 75 now. In the interim, 2 strokes, a heart attack, prostate cancer, 9 day hospitalization for hymolitic anemia, 6 hospitalizations in all. I'd exercised and followed a healthy diet. Generally, I'm above average shape for my age. Everybody is in good health until they aren't. Good luck trying to switch back to original Medicare when your Medicare advantage deductibles kill you financially in a few years. My Aetna Medigap supplement plan covered every penny of my medical bills with the exception of 20.00 specialist copays, The 170.00 monthly premium is well worth he cost My Plan D is 25.00 month and covers everything. Enjoy your life now, because your future might not be so rosy.
Thanks so much for taking a lot of the pain and time out of a complicated subject!! Is it a true statement that Medicare is completely individual?! Not like my employer plan where it covers my spouse and I.
Yes that’s right. Individual coverage under Medicare.
Maybe it is Semantics but when you said ‘every other Medicare part a and b coverage service is fully covered at 100%’ I had to rethink this. ‘Every other’ is only 50%.
Great information. Another advantage of Plan G is the "high deductible" option. In my opinion, the deductible is very low. You can pay a much lower premium than the standard Plan G and Plan N. An important thing to note, however, is that if you ever want to switch to a plan with more benefits in the future (i.e. plan N to Plan G), you will need to go through medical underwriting as well.
I'm curious about Plan G High Deductible. If you want to switch from Plan G HD to Plan G or Plan N, do you still have to go through medical underwriting?
@@motnoslo most likely yes. Unless if you are in a state that allows you to switch which are very few. California, for example, allows you to switch to a plan of equal or lesser benefits within in 60 days from your birthday. Great last name by the way ;)
@@samolson5322 Thanks Sam! I like your last name too! Lol
Another word for “medical underwriting “ is “pre-existing conditions exclusion”. Plan N is cheaper by about $45/ month than plan G, however N has more Copays. If your health deteriorated later on, you might not be accepted by plan G providers ( unless your payer went out of the supplemental insurance business). Not sure the monthly saving of plan N is worth the gamble if your Heath worsens…I know it isn’t for me, and I worked with these insurances for 20 years as a certified Nurse Case Manager
@@josephdebes3060 I had wondered about where pre-existing conditions fit into the Medicare picture, since my husband is a T1 diabetic.
I chose plan G for piece of mind.
Im in NY and its $271 a month
What’s the monthly premium for plan G and N? How does Medicare Advantage fit into this?
Thank you...very informative.
this is all greek to me but I need to get with it, I'm 65 and hope to work another 5 years. I'm enrolled in A&B, whatever that means, I just do what I'm told. Hope you'll handle Louisiana
Stephanie, you are our favorite TH-cam Medicare expert! Thank you for all the excellent, clear information. QUESTION: If a person chooses plan G, they would pay the cost for Medicare part B which is currently $148.50, every month, I believe. They would also pay a monthly premium which can vary; according to your video for a woman the cost may be between $100-$150 each month. They also incur the first $203 of an annual deductible for Medicare part B. Do I have all of this correct, Stephanie?
Yes, all correct! ☺️
@@AbtInsuranceAgency And if you had plan N you also will be paying all of the costs explained above? Is there other Medigap plans that you would not be responsible for the Medicare part B? Thanks
@@Wart6045 The short answer is no, Not a Medigap / Supplemental plan.
Part B is going up to $170.10 in 2022 and the deductible is going up to $233..
In my state the best rate for plan G is AARP and that's $212. The rates are unisex.
Good Information,, Thank you.
Hi Stephanie, I’m glad I found your channel I’m just 52 years old but I’m on Medicare now as I’m post lung transplant and I’m on ssa Disibilty. I’m not going back to work it seams like. It’s overwhelming the choice I’m on a long list of anti rejection meds , I lived in Houston but I’ moved to Florida for my transplant and now live in ga and I travel to Florida for checkups often. Any advice would be great thanks Gabe
Feel free to give us a call at 888-465-9728!
Stephanie, my wife and I are both turning 65 in June and July. I retired from BISD12 years ago and I am on TRS. My wife is also a retiring from BISD in counseling in 2 weeks.
I'm not crazy about the TRS Medicare advantage plan. I would like to schedule an Appt with you to go over all our options. But plan N sounds good to me. How would I go about getting and appt with you so that we can both sign up at the same time? She already has her Medicare card. I'm waiting on mine. I had to piggyback on here Medicare through spousal privilege, since I didn't have the quarters. She is from July and I'm from June.
Hello, Stephanie, I was forced into early retirement due to a disability a few years ago and have had a Advantage plan ever since. I like my doctor and stayed with him though out thease years. But he's about Thirty miles away and anytime I need to see a specialist or even just get an Xray. I'm forced to go Thirty plus miles and deal with the preapproval nonsense. Luckily I've been able to stay well doing my physical therapy at home and have actually improved a little over the years. When I first sighed up I attempted to find a doctor closer to me but the of the doctor's in there welcome package. More than half said they didn't take my plan or were not taking anymore patients. Would I be able to get a plan G .I'll be 64 this January.?
You're amazing! I will be contacting you in the future for my Medicare policy! Keep up the good work.
Thanks Stephanie, I turn 64 this year so I've got a year to figure this stuff out. Pretty sure I'm gonna be contacting you in the next year.
Looking forward to it!
Something to think 🤔 about, Thanks 😊
We have F which is G with zero deductibles and co pays no longer offered .
It’s pricy up front , we pay over $500 combined plus $340 for Medicare part B and $45 for part D ( drugs) monthly.
Since it’s not an HMO or PPO you can got to any Docter in the country who takes Medicare without referrals
I had a surgery and a serious procedure this last year and never got a bill
My wife is constantly monitored because of a condition
If you can afford the part G plan
Thank you! 👏👏👏
You're welcome!☺
We need the politicians plans that pays everything...plus the retirement they have....
Can you please tell me What is politicians plans
LIE....Congressmen have Obamacare Gold Plan subsidized by the taxpayer so they pay about 28% of the total premium. They are also under the same retirement system as all Federal Employees and have been since 1986
Yeah, lots of people think that Congress and Senators have some really great health plan, and it is a good plan, but it is Obamacare which they cost share on. When Democrats were pushing Obamacare through, Republicans thought they would be clever and suggest that if it was "so good" all members of Congress should have to be on it. They figured Democrats would say no and they could use that against them. To their surprise (and maybe shock) they jumped on the idea! So Congress being on Obamacare is perhaps the only contribution to Obamacare from Republicans.
@@alansach8437 Nice try but FALSE. Democrats controlled the process. They controlled both Houses of Congress during the entire time the Bill was being crafted and passed into law. The final bill was passed in the Senate by the reconciliation process and NO Republicans voted for it. The Republicans PUBLICIZED that fact that early versions of the ACA exempted Congress and the political pressure changed that exemption by the final version of the Bill passed.
I can't get over how much anxiety this insurance " stuff" has caused me. Just started this. Already have to change Rx due to rate hikes. One medication, I am having great difficulty getting.
Me too! I went through a broker last year, and he cheated me good! I have Barrette’s Esophagus (pre-cancer). Before Medicare, my insurance covered it well. Since then, I’ve had to settle for a less effective drug, meaning I will get cancer eventually. The good drug costs $800/month Medicare Advantage with United Health Care (UHC) only covered HALF the cost. Living on Social Security, I can’t afford $400/month. It would be much less expensive if I got 90 days at a time ($229), but UHC refuses to allow the pharmacist to fill more than a 30-day supply. UHC sucks!
I have fretted , worried , went back and forth like a YO YO , which is best for me ? Really not TRUSTING anyone else to make these decisions for me , that I will have to live with . I was originally enrolled in PLAN F - which is better than G PLAN . I understand only people who already have PLAN F can keep it - it is not offered any more . The ADVANTAGE PLANS are what I would stay away from . It is VITAL to me to be able to CHOOSE my own doctors, any where I want ( that accepts MEDICARE ) . ADVANTAGE plans have big deductible’s and who knows if we can afford those deductible’s in the future ? This is the thing -- we don’t know how long our health will hold up - getting older ?
@@cherylmcnutt9905 Me three!! I retired last year at 69, and like "Barbara Ebner" above said, I can't believe how stressful navigating health care/insurance issues has been! How I miss my employer's group benefits involving only 2 decisions! What cruel irony that just when memory and other mild cognitive deficiencies start to show up, and my income is suddenly half what it used to be, I'm tasked with learning at least 6 different insurance Plan parts (A, B, D, Advantage, G, and now N); plus trying to calculate costs of all the options and combinations, and timings, and prescription prices at different pharmacies, and realizing the same health care will cost me three times what it did when I was employed.
With all the technology we have, why isn't there a computer program for entering your data and it having it calculate what all your best, and least expensive choices are during each open enrollment period?? There is some sort of program the local brokers use, but it still leaves me with too many options and not enough info. For example, I found out Medicare does not approve of one of my prescriptions; consequently, what my employer's insurance cost me $20 for a 90 day supply, will now cost me $600 for the same thing. This is the best Rx Plan D the program could find. Then a friend suggested asking at my pharmacy how much the prescription would be if I said I had no insurance. When I asked, the price for 90 days was suddenly only $249. The pharmacy also said since I wasn't restricted by any insurance company rules, I could buy the entire year's-worth the doctor had written for, all at one time, and the per tablet price would be even less. (Unfortunately I could only afford a half year's supply at one time.) Later on, it occurred to me to ask at a different pharmacy, and their price was only $183 for the 90 day supply, so then I was kicking myself for cognitive impairment issues! I also got a "Good Rx" discount coupon, but the best price was just using no insurance whatsoever, and asking at different pharmacies.
I wish you good luck and stamina for navigating the system, and thank you for your comment!
@@varonadee6980 Thanks, I wish the same for you! One thing I can tell you I learned the hard was all of the “Advantage Plans” rarely cover much of higher tiered drugs. Basically, the drugs you might need as a senior citizen are often Tier 3 or Tier 4 drugs and they offer no coverage at all, and tell you you have to use an older, less effective drug, which could endanger your life. It happened to me. At age 65 you can sign up for full Medicare. It’s always 80%/20%, but there’s no limit on treatment or drug types. That’s what I’m getting.
@@cherylmcnutt9905 Thank you for responding, Cheryl. Just to clarify, I am already on traditional Medicare Part B, with a Plan D for meds, and a supplemental Plan G. But Medicare doesn't "approve" of the tablets my M.D. prescribed, no matter if they're brand name or generic, and there is nothing else to substitute. I can go to the pharmacy and show my Medicare prescription Plan D card, and get to pay $600 out of pocket for a 90-day supply. The only thing Medicare covers is for the remaining three 90-day supplies in a year, I will only be charged $400 each. My Plan G pays nothing because it does not cover prescription meds. That's why I go to the pharmacy and get the tablets with no insurance, without ever mentioning Medicare. With NO insurance, I can pay $732 a year, but with Medicare I would pay $1800 a year.
On the plus side, Medicare only charges me $3.00 for a 90 day supply of Metformin!
Stephanie,
Love your videos.
I turn 65 October of 2022 so this is great stuff.
Have you talked about plan G HD in any of your videos?
I'm intrigued about this plan but would love to hear your opinion.
Thanks
I found it.
Thanks
@@kenberry9256 I was just about to link it - glad you found it 🙂
You make it easy to understand! 👍🏼
I have had plan g for 2 years
I heard that travel out of country is not covered by any of these plans. What options do retired people whom want to vacation out of country have?
Great to read your articles. You also add beautiful graphics and videos. Which programs do you use to add these graphics and infographics?
Hi Stephanie, husband went on Medicare in 2018. Can he still get F? He has plan G right now. Thank you for the video, wish I had found you when he first turned 65!! Teresa
Hi. If I could choose any organization to help me in making right choices regarding medical insurance it would be Abt. I started on Plan F three years ago. The coverage is great, but the monthly premiums are monumental. At the time I was very naive and I didn’t do the research I should have done. I’d like to explore options with Abt. Please get in touch with me. Incidentally, I love your videos… instructive, very accessible and enjoyable to watch.
Please give us a call at 888-465-9728! 🙂
@@AbtInsuranceAgency A thought. Three years ago (maybe it was four) I jumped onto Plan F not knowing what the future held. Now I’m wondering if I could stay with Plan F, but change companies if we can find one with even modestly lower premiums? I’m currently paying $269 monthly. Having watched virtually all of your videos I feel like an idiot. I probably made every mistake possible:
- I didn’t work with an independent agent, I purchased directly from the company;
- I didn’t even really shop companies, I just went with one that was very highly rated and had great brochures;
- I didn’t even KNOW about the 6-month open window enrollment period that side-steps medical underwriting. The list goes on. I can imagine how busy you must be right now, but I really need your help. You actually make it seem almost easy. 😁
@@stevecampo1618 : Keep plan F - they don’t offer it anymore but you can keep it if U have it . It is the BEST of the BEST - I have it .
It is worth that extra money to have all that coverage . When you need it you NEED it . That is my 2 cents worth . God Bless
I’m turning 65 in November and am on Medicare and MediCal. Thinking of going with a medigap policy guaranteed issue due to health issues and to broaden my coverage, but I will then lose MediCal payment of my part b premium which will hurt me. I would like to speak with you about the details please. Thank you.
@@maryisabell8760 seems plan G is equal coverage. I think paying just under $300 for one time deductible vs plan F paying $7-80 more a month give plan G the win. Yes they removed plan F for new enrollees just cause the laws changed for plans including deductibles
Thank you for the information. You are by far the least biased person I have heard speak on this topic. Many folks let their opinions skew peoples judgement or choices. I understand much more now that I have listened to some of your videos. I am fairly intelligent and work in the legal field and this is one complicated topic even for me. Once again thank you.
Wow, what a compliment! Thanks
I've had Plan F for 6 years. No deductible, no copay. Never had 1 cent billed to me. Everybody takes Medicare around here (San Diego County) and I go where I wish, no pre-authorization required
So great to have that peace of mind!
Great video thanks for the great information and well delivered. This is exactly what I was looking for.
Glad it was helpful!
You explained Medicare supplement and Plan G very well including the potential for relatively large yearly rate increases. I think you explained this in another video but if one decides to change plans, even with the same insurer, one still must go through medical underwriting. So choose wisely initially.
Another point that you might emphasize is that Medicare supplements do not cover what Medicare does not cover or what Medicare DENIES FOR LACK OF MEDICAL NECESSITY. This is an important point because if Medicare denies on medical necessity grounds the service or procedure provider can bill you not at the Medicare rate but at their full rate. For example, where Medicare might pay $5.00 for a lab test, the lab will bill you $200.00 which is the full list price for the test. This is based on your knowing or should know that the service or procedure is not covered. Be careful not to sign any waiver forms!
While this is certainly possible, I haven't seen it yet with original Medicare (and G). Normally, if your doctor says it's medically necessary, Medicare pays it. This is opposed to Advantage Plans, where everything must be preapproved.
So Im glad I chose a Plan G! BUT recently i had an emergency room visit via ambulance (after much testing i was cleared to go home). The ambulance charges appear to have been covered but Im getting billed by Mayo for hospital services they say are not covered AND more importantly Mayo is billing for “Clinic/Professional Services” they claim are not covered. What the heck???? At least these should be excess charges? What should I do?
Very informative, I love the sweater! Where did you get it if you didn’t not mind me asking? Thank you
Wonderful video! Very informative. Do you have one explaining part D? And it's cost.
Yes! th-cam.com/video/HLZnOcxQbXc/w-d-xo.html
@@AbtInsuranceAgency Thank you much.
Good explanation! Question, Can I enroll in a supplement plan under 65 with disability? I have original medicare A & B.
It depends on where you live. Feel free to send us an email at stephanie@abtinsuranceagency.com and we can let you know!
Thanks for the info.
Hi Stephanie, what’s the percentage of people choosing Medigap vs Advantage
More details on the ‘Window’ of time to sign up… please.
6 months from your Part B effective date is the Medigap open enrollment period.
In my area, the best Medicare is to join Kaiser's Advantage. You get good quality care in an integrated system with no fee-for-service physicians or surgeons and no monthly fees apart from Part B.
The only fly in the ointment is accident or illness is when you travel.
@@gdpope52. I was hospitalized in England as an emergency. Kaiser paid the whole bill.
Stephanie does plan G has drugs coverage and what is the out of pocket limit.
Very good explanation.
Can you provide info on high deductible g plans. Ty
I am 64 and in the initial enrollment period for Medicare. If I were to select a supplement plan other than G (e.g., N or HD-G), could I change that later without concern of underwriting?
Hello Stephanie - Really helpful video. Briefly, I'm 69 and have been enrolled in a Medicare Advantage plan but now relocating to NC and it's been raised that this might be a good time to transition to Plan G. Looks good so far, but does relocation create a "window" that would allow me to bypass the medical underwriting? I'm in good health but seems it would simplify the process. Thank you.
Yes, you would have 63 days from the day you leave your Advantage Plan's service area to enroll in certain Medigap Plans without medical underwriting. If you were eligible for Medicare prior to 2020, then Plan F (not G or N) is your "Guaranteed Issue" option. If eligible in 2020 or later, Plan G is a "Guarantee Issue" option for you.
@@AbtInsuranceAgency Belated thanks for your input. Through this and several of your other videos I've gotten a much better understanding of the Medicare landscape. I'm moving forward with a Plan G selection (with medical underwriting) but know and understand my fall-back options if I am denied, which would be a surprise based on early exploration. Yes, have elected a Plan D too. Again, thank you.
@@AbtInsuranceAgency my husband is on Medicare plan G since 2018, temporarily tried advantage for 1 year, went back to G. I thought F was not available anymore?
Great videos - If an individual has an existing G plan supplement and then moves to another state will the issue of "guaranteed issue rights" become pertinent if their existing insurer doesn't offer a plan at the new location?
No, it wouldn't. Medigap Plans work nationwide, and if you move your plan travels with you.
@@AbtInsuranceAgency sent you request on LinkedIn please accept Rahul singh.
Hi Stephanie, I'm a little confused about your chart with the MediGap plans, at the bottom it has "** Out of Pocket Limit". Does that apply to ALL of the plans? Thanks
No, only to the plans in the corresponding columns.
I have Medicare medigap plan J. I am grandfathered in as it is no longer offered. Originally, it included prescription drugs, but after Plan D came out it changed. It seems to me that I have the same benefits as plan F. Why do they still list me with plan J? I am currently 88.
Medicare for all now. We shouldn’t have to wait until our 60s. It isn’t socialism, it’s care.
Im in Miami Florida and plan G is 268.50 for me at 67 year old male and I went with Humana ppo and it comes out of my ss at 148.50
You are paying for part b and your ppi is usually 0 premium with covpays. If you want need suop plan you have to purchase that plus buy a drug okan
Excellent video
I have loved an appreciated every one of your videos. My most valuable piece of education that I was not made aware of by my Insurance provider was that I get one chance in the first 6 months after turning 65 to sign up for a Medigap plan without underwriting. To me this is VERY important.
Very important, and not widely know. Thank you for watching, call us anytime!
Not all states underwrite.
Thank you for your videos...so helpful to me. Are your services available to persons living in the US Virgin Islands?
Thank you Stephanie, for your very informative medigap videos.
I've been enrolled with original Medicare, since age 65, with a Blue cross Medicare related coverage, supplement plan, (that my former employer provides).
We retirees, were just notified, that our former employer, is not only stopping this plan, but is auto-enrolling us into a horrible Medicare disadvantage plan, within a few months.
(However we still have our Medicare part D drug plan, still provided by our former employer).
I just turned 70, and pretty much fairly ok health wise.
I absolutely want to stay in original Medicare, but now need a medigap plan, such as plan G, that seems to parallel my old Blue Cross Medicare related coverage plan.
I live in New Jersey.
What would I expect I'd need to do, in order to keep my original Medicare, while trying to obtain perhaps a G plan?
Would I have to go through an agent?
(I hear many are corrupt and would rather enroll people into Medicare advantage plans without telling them, and take the commission, rather than enroll the customer into an original medigap plan).
Where do I start, and how do I proceed with this process?
Thank you so much.
Please give us a call! We are licensed in NJ and can definitely help you. You would be able to apply for certain Medigap plans “guaranteed issue” without health questions or other Medigap plan by answering health questions. We can help you determine which plans are best for your needs and your situation! 888-465-9728.
Stephanie. I turned 65 in March 2021. I enrolled in Medicare Part A but was still working so did not enroll in Part B or a supplemental. I am now outside the window . I plan
to retire at my full retirement age of 66 and 4 months. Will I not qualify for Medicare Part G since I did not enroll in Medicare Part B in time?