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.
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.
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.
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!
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.
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.
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.
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!
Hello! 1. Yes, in most states underwriting would apply in this scenario 2. I have a video that explains just that ! Here-ruclips.net/video/txvHBbH2Nas/видео.htmlsi=bv2LZ9EXNt7VpInP
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.
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.
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.
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.
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!
Stephanie, very good and clear explanation video presentation! My wife turned 65 last April and took a “G” Plan Supplement. Question, can she switch over to a “N” plan now without going through underwriting? Thank you!
@@commshopctr in FL medical underwriting will be required if she wants to change from a Plan G to a Plan N, if she has been on Medicare more than 6 months.
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.
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
It's 9/11 and I'm seeing stories about all the trauma that day is still causing many people that are now Medicare age. I'd like to see a video discussing how the different plans cover mental illnesses, especially related to traumatic events.
I have plan N.... And I read about the excess charges that were discussed here that Plan N doesn't cover and they are more likely to be charged in the mental fields ... Even though only roughly 4% of doctors are likely to charge excess fees, 40% of those are usually in the mental health field... That's according to what I read.... Just an fyi
@@steves3688 yes, I've heard similar things - specially psychiatrists. Also, a lot of doctors at high-end facilities like Mayo Clinic collect excess charges.
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??
turning 65 on March...not sure how everyone in the world knows....staying on wife's insurance at least another year or two. Got HHS packet and accepted A and declined part B for now...My question is...about gap coverage. After watching your videos eventually I will start Plan B and G or N. I wan the best coverage and willing to pay whatever.. Since I am declining B, that 6 month window for G and N starts when? My wife has a family plan through her large company ( her 2 kids 24 and 22) that even if I go on MC her cost remains the same since it will be three not 4. So it's not a financial decision right now..SHe pays for it so there is no cost to me...Woo hooo. Bad news is that my doctor of 25 years only accepts KelseyCare advantage. But I don;t want an advantage plan
I'm in Michigan on a Medicare Advantage plan from BCBS and want to get back to traditional Medicare. I need vision and dental coverage as well. If you can help me reply and I will call 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
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!
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
Plan D does not have the same office visit copays as Plan N. Plan D is offered by fewer insurance companies too. I’ll be making a video all about plan D soon!
I'm 67 in Ca currently on G which recently went up to 150 a mon I'm very healthy, can you give me a quote for N with a A+ comp i'm currently with Blue Shield. Thanks Frank.
I have Medicare through disability and I have a plan N Medicare supplement. I have just been diagnosed with colon cancer. My question is can my Medicare supplement which is Cigna refuse to continue to cover me?? Second can I switch from plan N to Plan G
Question: if you purchase a plan G and then next year you decide to buy a plan N, is that allowed? My husband will be deciding on Medicare in 2024 and I want to make sure we get the best advantage for our money. He has many medical issues so I’m thinking for us an advantage plan would cost more in the long run. If someone could possibly answer my question, I would appreciate your time. Thanks!
I’m only 57 years old and I have part a and b Medicare because I’m totally disabled I have only had Medicare advantage plans do I still qualify for a plan g or n thank you 🙏
You can’t have both Medicare Advantage and Medigap at the same time. Additionally, Medigap plans are not as widely offered for folks under 65 on Medicare SSDI - it depends on your state.
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.
@@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 !
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?
WOW !! I just turned 65 and I signed up for a Medicare advantage plan with RX, but holy moly they made you pay co-pays, therapy co charges, uugghh. Luckily, I'm within the window to change plans without being penalized. So I found the Medicare plan G, from BCBS and I think this is just right for me. Thank you so much for this video, kudo's 2 U !!
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.
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.
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.
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.
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.
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 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!
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.
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.
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!!!
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.
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.
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.
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!!
@@CVenza Study the standardized chart of Medigap policies Venza. The ONLY differences between G and N are no excess charges with G and up to a $20 practitioner visit copay with N.
Good video. What services are charged for up to $20? Can you please provide more details. You mentioned some video for that. Can you please share the link of the video.
Most diagnostic office visits will be subject to the copay. This explains more - www.cms.gov/Medicare/Health-Plans/Medigap/downloads/Plan_N_Guidance2.pdf
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.
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.
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.
@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?
@@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.
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.
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.
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.
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.
I have plan f love it , has covered 2 back surgeries hip replacement, 2 pacemakers cancer, dialysis most nolonger can get. But plan g is close .better than advantage plans
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.
@@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.
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.
@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.
Thank you, Stephanie. Your videos have answered many of the questions I had regarding Medicare Supplements. Is it possible for you to comment on the average monthly premiums regarding Plan G vs Plan N? Just a ballpark would be fine. I need to get this figured out by next January. BTW, I love the way you handle yourself when the big "Advantage Plan" guys try to bully you. Go Stephanie!
In many parts of the country rates for a 65 year old are between $100-$150/month. Usually plan N is about $20-$40/month less than Plan G. This can vary though. Where do you live?
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.
No, but most Medigap plans include foreign travel emergency benefits. More on Medicare and travel here - ruclips.net/video/c7EYb9lj3X8/видео.htmlsi=8A6_DWkXG_aJnk1k
You can buy a separate dental and vision plan- what we’ve seen in our search is they range from $20 to $50. We have a dental school very close to our home and that might be an option if you have one near you.
Thank you for providing such valuable information. Medicare is complicated but I get a better understanding by watching your videos. However, I am extremely confused as to how you manage to get more beautiful each year 😊
I have United healthcare for dental/vision. My vision can be done with Kaiser, but I would like a better dental plan. Can you tell me about those type of plans?
As usual, very good Stephanie!………For those that aren’t very computer literate, they need to ask any new physician they are seeing if they accept “ Medicare Assignment”. If the answer is “yes”, no excess charges will be charged. People need to know that although there are people like you on this network that claim only 90% of physicians accept Medicare Assignment, that is misleading. Most of the doctors that don’t accept assignment, and leave you open to excess charges, are psychiatrists or podiatrists. In reality, 95-97% of doctors don’t bill excess charges.
my husband will be turning 65 this year. I am still employed for the next 3 years and cover him under my employer insurance. He has health issues. when I eventually retire I would like him to sign up for Plan N as his supplement. Since he is not signing up for B when he turns 65, will he be subject to health questions with his Plan N?
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/
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 -- ruclips.net/video/Ac3s-AL93TQ/видео.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.
Thank you for explaining this. I have not heard anyone explain plan N coverage before
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!
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!
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.
Thank you so much for this wonderful information. It’s really eliminates a lot of my confusion😊
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?
@AbtInsuranceAgency Thanks for all you do : )
Good stuff. I am now subscribed. I figure the more the merrier when it comes to learning these things.
Thank you!
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-ruclips.net/video/txvHBbH2Nas/видео.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.
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.
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.
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.
Great coverage
Very insightful, thk you!!!
Glad it was helpful!
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
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!
Plan N sounds best for my situation. I rarely go to the doctor and am on no major drugs.
Stephanie, very good and clear explanation video presentation! My wife turned 65 last April and took a “G” Plan Supplement. Question, can she switch over to a “N” plan now without going through underwriting? Thank you!
What state does she live in?
@@AbtInsuranceAgency Good morning… Florida, Thx!
@@commshopctr in FL medical underwriting will be required if she wants to change from a Plan G to a Plan N, if she has been on Medicare more than 6 months.
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
Plan G is rapidly growing in price, and there's no reason that trend won't continue.
It's 9/11 and I'm seeing stories about all the trauma that day is still causing many people that are now Medicare age. I'd like to see a video discussing how the different plans cover mental illnesses, especially related to traumatic events.
Great idea!
I have plan N.... And I read about the excess charges that were discussed here that Plan N doesn't cover and they are more likely to be charged in the mental fields ... Even though only roughly 4% of doctors are likely to charge excess fees, 40% of those are usually in the mental health field... That's according to what I read.... Just an fyi
@@steves3688 yes, I've heard similar things - specially psychiatrists. Also, a lot of doctors at high-end facilities like Mayo Clinic collect excess charges.
I'm in NJ we have Dr. excess charges, how will I be protected by Plan N for these excess charges.Thanks
Plan N does not cover Excess Charges - plan G does.
Very good information
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!
turning 65 on March...not sure how everyone in the world knows....staying on wife's insurance at least another year or two. Got HHS packet and accepted A and declined part B for now...My question is...about gap coverage. After watching your videos eventually I will start Plan B and G or N. I wan the best coverage and willing to pay whatever.. Since I am declining B, that 6 month window for G and N starts when? My wife has a family plan through her large company ( her 2 kids 24 and 22) that even if I go on MC her cost remains the same since it will be three not 4. So it's not a financial decision right now..SHe pays for it so there is no cost to me...Woo hooo. Bad news is that my doctor of 25 years only accepts KelseyCare advantage. But I don;t want an advantage plan
Your Medigap open enrollment period is triggered by your Part B effective date. So if you delay Part B, it will start when you enroll in Part B.
I'm in Michigan on a Medicare Advantage plan from BCBS and want to get back to traditional Medicare. I need vision and dental coverage as well. If you can help me reply and I will call you.
Give us a call! We can help. 888-465-9728.
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
Great video thanks 😊😊
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.
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
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.
I am a healthy person, so I bought a Plan N from Abt Insurance. It should be overall cheaper for me.
Great choice! 😁
Can someone on plan N flip flop to plan G without medical underwriting - or some kind of penalty?
In most states no, medical underwriting is required to switch from N to G or vice versa.
Why do Plan N and Plan D benefits look the same on the Medicare benefits graph? What is the difference, and is Plan D better than Plan N?
Plan D does not have the same office visit copays as Plan N. Plan D is offered by fewer insurance companies too. I’ll be making a video all about plan D soon!
Right now I am on plan N Aetna. Is there any difficulty to change Aetna to another company or to get into planG?
Depends on where you live, and possibly your health.
I'm 67 in Ca currently on G which recently went up to 150 a mon I'm very healthy, can you give me a quote for N with a A+ comp i'm currently with Blue Shield. Thanks Frank.
Yes! Call me at 888-465-9728
If you start with a plan G can you switch to a different plan the following year?
In most states you will have to pass through medical underwriting to make that switch.
I have Medicare through disability and I have a plan N Medicare supplement. I have just been diagnosed with colon cancer. My question is can my Medicare supplement which is Cigna refuse to continue to cover me?? Second can I switch from plan N to Plan G
No, you are guaranteed coverage as long as you keep paying your monthly premiums.
Why is plan L no good in Florida?
Please reach out to us directly and we would be happy to review Plan L in your area to see how to compares! 888-465-9728
Question: if you purchase a plan G and then next year you decide to buy a plan N, is that allowed? My husband will be deciding on Medicare in 2024 and I want to make sure we get the best advantage for our money. He has many medical issues so I’m thinking for us an advantage plan would cost more in the long run. If someone could possibly answer my question, I would appreciate your time. Thanks!
Where do you live? In most states you would have to pass through medical underwriting to change your Medigap plan from year to year
@@AbtInsuranceAgency we are in Illinois. And thank you so much for the reply!
I am covered under plan F. How does plan F and G compare?
Plan F pays the $226 deductible. Plan G does not. That’s the only difference!
But doesn't the savings in premiums more than make up for the amount of the deductible?
I’m only 57 years old and I have part a and b Medicare because I’m totally disabled I have only had Medicare advantage plans do I still qualify for a plan g or n thank you 🙏
You can’t have both Medicare Advantage and Medigap at the same time. Additionally, Medigap plans are not as widely offered for folks under 65 on Medicare SSDI - it depends on your state.
@@AbtInsuranceAgency thanks 🙏
HOW CAN I JOIN PLAN G AND WHEN CAN I JOIN IF I AM 70 YEARS OLD AND HAVE HEALTH ISSUES AND HOW MUCH DO I HAVE TO PAY A MONTH?????LOL 🌹 👍 😃 💘
It depends - give us a call! 888-465-9728
Unfortunately none of the plans covers ALL-CAPS DISEASE 🤕
the charts shows Plan D covers Part B deductible - is the new for 2024?
That is an error that I caught after posting this! I’ll be putting out a Plan D specific video soon.
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 👍👍
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!
WOW !!
I just turned 65 and I signed up for a Medicare advantage plan with RX, but holy moly they made you pay co-pays, therapy co charges, uugghh.
Luckily, I'm within the window to change plans without being penalized.
So I found the Medicare plan G, from BCBS and I think this is just right for me.
Thank you so much for this video, kudo's 2 U !!
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
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.
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. 🙂
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!
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 RUclips 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! 🙂
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 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.
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.
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
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!
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.
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!😁
Thank you for the simplified explanation between Plan G and N, Stephanie. Will be calling you today.
Excellent Video explaining the differences! Stephanie Thank you very much! 👍 I'll be calling you.
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?
@@CVenza
Study the standardized chart of Medigap policies Venza. The ONLY differences between G and N are no excess charges with G and up to a $20 practitioner visit copay with N.
Good video.
What services are charged for up to $20? Can you please provide more details. You mentioned some video for that. Can you please share the link of the video.
Most diagnostic office visits will be subject to the copay. This explains more - www.cms.gov/Medicare/Health-Plans/Medigap/downloads/Plan_N_Guidance2.pdf
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!
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.
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.
Great Video! Clearly explained information! Bravo!
Why thank you!
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
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.
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.
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.
Can I get plan N still if I’ve been on my husbands group plan since I turned 65? I don’t have health issues at this time.
Then likely, yes! Please reach out to me at 888-465-9728 or email stephanie@abtinsuranceagency.com for more information on your situation!
I have plan f love it , has covered 2 back surgeries hip replacement, 2 pacemakers cancer, dialysis most nolonger can get. But plan g is close .better than advantage plans
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.
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
Thank you, Stephanie. Your videos have answered many of the questions I had regarding Medicare Supplements. Is it possible for you to comment on the average monthly premiums regarding Plan G vs Plan N? Just a ballpark would be fine. I need to get this figured out by next January. BTW, I love the way you handle yourself when the big "Advantage Plan" guys try to bully you. Go Stephanie!
In many parts of the country rates for a 65 year old are between $100-$150/month. Usually plan N is about $20-$40/month less than Plan G. This can vary though. Where do you live?
@@AbtInsuranceAgency Arizona.
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!
Thanks for the information Stephanie! As always "Spot On" Thanks for the help in the past.
You are so welcome!
Do we need to pay premiums for Part-B as well for Part-G/Part-N
Yes, Medigap plans like Plan G or Plan N premiums are on top of your Part B premium
😊 Watch you every year Ms. Abt. love how clearly you explain these benefits
Wow, thank you!
Very helpful video. Could you do a similar video comparing plans G and HDG?
Good idea!
You said we can sign up with your agency 6 months before our 65th birthday. But does it kick in on my birthday, or when I sign up?
The first day of your birth month!
VERY GOOD JOB THANKS LOL 🌹 👍 😃 💘....
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?
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 - ruclips.net/video/c7EYb9lj3X8/видео.htmlsi=8A6_DWkXG_aJnk1k
Stupid. It should be Medicare PERIOD. Once again the more money you have the better off you’ll be.
Better to contact agent annually to determine better (superlative) plans annually as health can change, premiums can change and my wallet can change 😂
can you apply your plan n co-payments and or excess charges towards your annual deductible ?
No, these are separate.
Is there a supplemental plan that includes dental? Or does one have to go the advantage route to include dental?
You can buy a separate dental and vision plan- what we’ve seen in our search is they range from $20 to $50. We have a dental school very close to our home and that might be an option if you have one near you.
Thank you for providing such valuable information. Medicare is complicated but I get a better understanding by watching your videos. However, I am extremely confused as to how you manage to get more beautiful each year 😊
😂 thank you!
I have United healthcare for dental/vision. My vision can be done with Kaiser, but I would like a better dental plan. Can you tell me about those type of plans?
As usual, very good Stephanie!………For those that aren’t very computer literate, they need to ask any new physician they are seeing if they accept “ Medicare Assignment”. If the answer is “yes”, no excess charges will be charged. People need to know that although there are people like you on this network that claim only 90% of physicians accept Medicare Assignment, that is misleading. Most of the doctors that don’t accept assignment, and leave you open to excess charges, are psychiatrists or podiatrists. In reality, 95-97% of doctors don’t bill excess charges.
Wonderful video! So helpful! Thank you❤
my husband will be turning 65 this year. I am still employed for the next 3 years and cover him under my employer insurance. He has health issues. when I eventually retire I would like him to sign up for Plan N as his supplement. Since he is not signing up for B when he turns 65, will he be subject to health questions with his Plan N?
No, he can get plan N within 6 months of his part B effective date, no health questions!
Well done! Thanks for the straight talk on a complex decision many of us have to deal with for medical insurance.
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/
I will turn 65 in 2024. I have 2 different types of cancer. Am I the typical patient best served by plan G?
Are you licensed in Michigan?
Yes and yes! Call anytime - 888-465-9728.
Use that white board behind you! Many visual learners out there.