By no means at ALL is Plan G a *bad* choice for Medicare Supplement. Many of my clients love it! However, some agents will only ever talk about the benefits of this Plan, and never share the downsides, which are important to be aware of.
It's a money issue sort of like buying life insurance. Go plan G if you have existing medical conditions. But understand that plan G you are just paying per month what your bills will be. Let's talk about plan N. Why does plan N exist? Because plan G is too expensive for healthy people. It's all about the spreadsheet people. Do your math. My wife and I will both be retired in a few years, If we went with an N plan, within 1.5 years we will have the deductible in our account, not the insurance company's. I'm not giving this as any sort of advice, and I am not criticizing abt in any way. But only the government could screw up a system and make it this complicated.
Because politicians have Cadillac health coverage and don’t have to rely on Social Security, but they continue to direct both. Put them in these programs and guess what…….they would be great and fully funded.
I am a brand spanking new Medicare agent/ Broker still getting certified with carriers and preparing for my first educational presentation 9/17/24. Along with going through the carrier specific plan courses I’m following a few of what I’ve determined to be the best Medicare RUclips channels, which brought me to this first video on this channel. THANK YOU SO MUCH for showing that there are downsides to supplemental plans just as well as Advantage plans! The main takeaway I’ve gleaned from all this info is that we as Medicare Agents and Brokers need to act in a fiduciary manner for our clients and realize that the best type plan for an individual is the one that best suits that person’s specific individual needs! Period! I live my life by the edict of “treat people the way you want to be treated”! So again, thank you so much for this great video! I have just subscribed and look forward to learning more from you!
So glad you're taking the time to speak the truth about Plan G vs. the other plans out there. Thank you for all you do in speaking the truth about the Medicare options seniors have! You're awesome!
Plan G is fine, but the rates will increase on a faster track than Plan N. And if you are lucky enough to make it into your 80s or 90s, you also want to be able to absorb those rate increases as we age. Plan N is fine too - it's just a little more cost sharing under Part B, but your rate increases over time will be less which is good for most of us. Just my thoughts.
Thanks for boiling it down. I kind'a thought that's what the point of the video was, that rates may go up faster, but thought maybe I was missnig something.
I just finished watching your state specific video. I live in Missouri, every year our broker reviews plans from all companies that offer Plan G and finds the best value. We went on Medicare with Plan G 7 years ago and have had 4 providers and our rates have only increased a small amount. Very happy with Plan G, with the ability to change every year with no medical underwriting
@@Jan96106 Missouri allows you to switch form one plan G to any other during your anniversary month. Mine is June, and I just had a review from my broker and am staying with my current provider, they raised rates by 8%, but they are the lowest cost still
@@Jan96106Missouri has an anniversary rule that allows you to change companies on your part B supplement on your part b anniversary each year without medical underwriting.
@@arabicteacher1 Transamerica and the current is Elips Life insurance Co. I really like them all, no problems just who ever has the best price. The coverage is mandated by Medicare, so it is the same from one to the other.
I have been on plan G for 8 years I have heart problems and type II diabetis and I say Yes Plan G is the best option out there. If I was on an Advantage plan I would be dead.
I was watching many RUclips videos about Medicare when I came across Stephanie. She was far and away the easiest to understand and follow. So I bought my supplement through her company. This year when the supplement company raised my rates, the Abt agency worked hard to find another company for me. I wholeheartedly suggest everyone watching these videos to use them. You won’t regret it!
Cost effective? So I pay $161 for part B. $171 for plan G and $155 for Part D monthly. I also pay some costs for certain meds. And I pay additional costs when Medicare doesn't cover a specialist visit. And the costs go up every year. Fortunately I can afford this but most people who just received SSi can't.
I tried explaining Plan G to my sister before she retired. She went with another plan and now she regrets it, but the grace period has expired. I have it and love it.
The California Medigap Birthday Rule does have restrictions. You can only switch to a plan with equal or lesser benefits than the plan you are currently on, if you want to switch without going through underwriting.
There was another video put out by another broker who showed that 25 years out ( beyond age 65 to age 90); the additional cost in premiums of Plan G over Plan N might be $ 25,000 more over that 25 year period for a married couple. This is what people do not think about. They only look at the potential ( and unlikely) excess charges for Plan N or the up to $20 copays. But over many years after age 65.....the increase in premiums of Plan G far exceed those charges for plan N.
Luckily I in California. We have the birthday rule which we can change insurers from your current Plan or change to a lower Plan supplement without any Medical Care Underwriting. Unfortunately we are still under a very large international company medical plan where we pay a good premium for 2 of us it's a PPO however deductible is 6k and out of pocket max is 7500 individual. So last year with all included we paid 20k in medical, and this year between frozen shoulder physical therapy and kidney stone issues already went over deductible. Also our company sponsored insurance plan, which is like a ke an Advantage Plan came to just one day of not contracting with UCSF one of the best hospitals in our area. Hearing Hunana and UHC Advantage Plans are having problems like that too. Also, concierge services are now attracting 1 out of 10 doctors and if you are rich you can afford them. Medicare and health insurance companies won't pay the. Bottom line Healthcare in America is not run well
@@kathyhines8939 HDG stands for High-Deductible Plan G. It's a variation of Medicare Supplement Plan G. Key Features: Higher deductible: Typically ranges from $2,000 to $5,000 annually. Lower premiums: Compared to standard Plan G. Same benefits as Plan G: Except for the higher deductible. How HDG Works: You pay the deductible first. Once met, Plan G benefits kick in. You'll still pay Part B coinsurance (20% of Medicare-approved amounts). Pros: Lower premiums. Potential cost savings for healthy individuals. Cons: Higher out-of-pocket costs due to deductible. May not be suitable for those with frequent medical expenses. Eligibility: HDG is available to anyone eligible for Medicare Supplement Plan G.
I have a monoclonal antibody treatment fir metastatic endometrial cancer every four weeks. I see a podiatrist for calluses every 90 days and an orthopedic nurse practitioner for a steroid injection every four months as I can’t have a knee replacement due to the cancer treatment. I also have a CT scan every 4-6 months So, I’m looking at having to pay $20 copays monthly, etc on a Plan N, and Utah does allow excess charges, although, admittedly, they’re rarely charged. I chose a Plan G Supplement from AARP/United Healthcare, as it seemed to me the monthly treatment would negate the savings on Plan N, which is only about $15 less - I’m currently paying $128.60/mo for Plan G. I am dreading this coming July when my plan will be coming up for renewal - I expect some sticker shock
@@cgilleybsw Greetings - UHC raised my Plan G $20 on July 1, 2024. Now I’m paying : $174.70 for Medicare Part A and B $147.29 for AARP Plan G Supplement $0.50 for WellCare Drug Plan $49.47 for UHC Dental/Vision Plan $371.96 for Medical/Dental/Vision/Prescription This DOES NOT INCLUDE a $3310.89 copay I just paid for lenvatinib (Lenvima); my oncologist has changed my treatment from bevacizumab-maly (billed at $17,000 per infusion every three weeks) to pembrolizumab (Keytruda - billed at approximately $12,000 every three weeks) and Lenvima (a 60 day supply is billed at approximately $25,550) Well, I guess the Mazda3 stays in the garage instead of the Aston Martin DB12 😛
My Plan G went up $20 in July 2024, so I’m paying $148.60 My separate dental/vision is $50.40 WellCare informed me that my Part D prescription will be $0 in 2025 instead of the current $0.50. I did pay a $3,310.89 copay for levatinib (Lenvima), so I’m in the Medicare Catastrophic Drug Category now - in 2025, it will be a max of $2000 CANCER is a MAJOR factor in choosing a Medicare plan
My wife and I went with Plan N, glad we did now that we are seeing the increases on some Gs are much more than N. Also some companies are closing admittance to their G plans so this will cause increases to these plans due to no new younger retirees coming in.
With regard to closing plans, I think you have confused Plan G with Plan F. I would be very shocked if a company closed their Plan G. Can you say which companies are doing this?
@@barreloffun10 I got that info from another broker I follow, and the 2 or 3 he referenced were some I had never heard of before, one was fireman's something but something to be aware of that can happen.
Plan F is the one being discontinued. Participants in the group are still covered but they aren't accepting new enrollments. Plan G is going strong. So that people are NOT misinformed can you please share which companies are discontinuing their G plans? I do know many are closing their Advantage Plans because doctors and hospitals aren't getting paid by the companies, and there is legal action being taken against some of the Advantage Plans - I don't know which ones exactly. I know that private insurance is not offering plan G because they don't want to. For example, I can not find a Plan G for UPMC - the big and famous hospital in Pittsburgh PA, they have 10 different Advantage type plans, but I'm not seeing a Medigap plan for them. I am thinking the reason for this is UPMC is a regional hospital that provides insurance for their hospital. PLAN G is strong and not being discontinued.
Turning 65 in august, looking at plan G, my question after watching many of your videos, if you select a Medigap plan like G and you can not change companies after the grace period, what prevents an insurance company form increasing you premiums a lot, knowing that the person is somewhat locked into the choice they initially made? Seem like a person could be trapped.
My wife has had Alzheimer's since 2/21 and just became plan G eligible in Nov.2023. She was on a plan C from May 2023 - Nov 2023 and was fortunately able to get on a plan G with no medical underwriting . Our broker advised me to get her an AARP-UHC plan for the rate stabilization it has and so we did. Just got a letter from UHC advising a rate increase starting in Nov. 2024 which I calculated out to be 13.3%. Evidently in medicare world that's a normal increase. In my book that's a ridiculous rate increase percentage. Just sharing this as a beware before you buy a plan G. These so called and so touted by brokers "stable rate plans" may not be as stable as you the plan buyer may be led to believe !!! Due to my wife's Alzheimer's disease, she may very well be stuck with UHC due to needing to go thru medical underwriting to qualify for a cheaper plan. Just be ware folks before you commit to any Medicare or Medigap plan.
You can change companies, but if you're not in one of the "special rules" states, you have to go through medical underwriting. But - that's true of ANY medigap plan, not just plan G. One way you're not "trapped" is that if you started Medicare with a medigap plan, you can switch to an Advantage plan for up to 12 months. If you don't like it, you can switch back to the medigap plan you had. No medical underwriting required.
As part of the retirement package offered by the company I worked, my wife and I each receive $83.00 a month toward our Medicare supplement so Plan G was an easy choice for us.
I’m afraid that some folks may not be taking into consideration what their employment insurance costs were (OOP) prior to Medicare enrollment. For my wife and I, good health will result in less cost OOP than during our work years/COBRA coverage. Yes, premium costs will go up as you age because your risk level also increases, just as it does for auto/homeowner coverage. You get one chance to get this right so do your research!
Yep - I have the best HC at my work and I never realized what the premimums cost until I looked into COBRA - needless to say, I stayed working one more year. $850 a month was just out of my reach for HC.
This is really good to know. Plans C and F are no longer option choices for those new to Medicare if not 65 before Jan 2020. This leaves plan G as the only option that is the most comprehensive garenteed issue choice. So now all others requires underwriting if you want to get off G later with lesser benefits.... bummer. ...oh well
I have a plan G the only deductible I pay is from my plan it covers my Medicare deductible. I love my plan I have cancer that I’ve been dealing with for almost 3 years and in that time out of pocket has been only $300 I’m will never change my plan!
Turning 66 later this year in Texas and analyzing the options. The issue with Plan G is that it excludes prescriptions, dental and vision. The monthly premium for those three can be around $150 per month. Plan G averages $200 but increases to almost $400 by age 85, All in all, Medicare + Plan G +Part D+dental+ vision add up to around $550 per month, close to $6,800 per year. On the other hand. there are several Medicare Advantage plans with no premium, prescription, dental, and vision included and a MOOP of $6,000.
I will turn 66 in November. Last year i signed up for the Advantage HMO plan because my agent was pushing it and I thought it was an excellent plan. I was literally a healthy Individual that I only went to see doctor one or twice a year 😅 for flu or allergy syndrome. I only have one prescription that I don't take very often. This May I found out I have a Pancreatic cyst. I tried to make an appointment to see a GI doctor that took me 3 Months. Now I am looking for a supplement plan hopefully I can find a specialist and don't have to wait for 3 mos.
Plan G sounds like the best plan, so what are the down sides? I didn't catch those unless it is that the rates go up slightly higher than the others. Are there any other downsides? If so I didn't hear them. Thanks!
The more affluent you are, the more likely you may select Plan G as you move health care risk from you to the insurance company and it makes it easy to budget health care costs.
You're still better off with Plan G because it brings peace of mind. Plan N doesn't cover excess Part B charges, which can be a lot if your health suddenly declines. With Plan N, each ER visit and doctor visit requires a co-pay. With the nominally higher premium for Plan G, I plan to cut back on frivolous spending when I retire soon. Your health insurance is priority #1 because, let's face it, your health is everything.
My Dad has a G plain, he has had colon cancer prostrate cancer and some other small problems. His wife chose the Advantage she also had cancer, osteoporosis and a broken hip, if they both had a advantage plan the cost of there medical problems would have been finically devastating!! Seniors need good coverage that they can afford . When your OLD that’s when you get health problems. It should be against the law to sell advantage plans but so many find out to late. However G plans are getting to expensive ! However if something is wrong with you it can keep you out of the Poorhouse. It’s all a catch 22
A National PPO Advantage plan will cover much more than a free/low cost advantage plan, so it depends on which you choose. They are different, just like medigap plans are different.
I've been trying to figure out which one to use. Have been convinced AGAINST advantage. And leaning more towards plan N. I saw a side by side comparison with an expensive medical issue and the out of pocket cost was lower on N than G, I'm pretty sure. I think N had a copay, but there's a cap on it or something I'm so sorry about these major burdens. The elderly should not have to worry about this on top of everything else
@@stormyweather2807 My Dad’s wife has a really good ppo plain provided by the County she worked at compared to free plans it covers more on dental- Vision - Drugs - and some services lower copay However on the bad health care problems it’s business as usual. she has arthritis really bad in her Knees her DR. Wanted to burn the nerves he said that is the only way to really take cart of the problem. But managed care being what it is. They only approved the numbing shots, WHEN THAT DID NOT WORK- they only approved the Gel shots- when that did not work they approved the nerves surgery. That’s hard on a 85 year old woman. Shame on them . Also when she had cancer her ADVANTAGE plan did not approve the shots that keep you from getting sick from CEMO. We paid for them because she tried to do it without the shots but could not-- There is more ! Sorry i disagree!
My advantage plan has a cap on how much you pay out of pocket in any year. So even if you had to pay it, amounts to approx $250 a month broken down, which you would be paying on a supplemental anyway. I think I've maybe paid $400 total for the whole year I've been on it, plus I got OTC medicine, eyeglasses, etc.
Even if advantage plan can be made more affordable, which we know resets Jan 1 - there is a problem with manage care my dads wife who has Advantage Dr wanted to cut the nerves in her knees because of arthritis, her manage care only approved shots did not work long then Gel shots which did not work at all - then she had to wait to get the surgery because of the shots you and I both know with a gap plain she would not suffer like that SORRY ADVANTAGE is not the answer we need affordable gap plains
That's exactly why I went with a Plan G.... like I insurance, I hope I never need it for a catastrophic health event, but I'm comfortable knowing I have it should I need it.
@@cherylgood6478 based on my in-laws behavior I would argue that "covering everything" is just bad. They are in their mid 80s now, go to doctors CONSTANTLY get new devices CONSTANTLY and really don't give a hoot about the money they are spending because a) I paid into the plan and I deserve it and b) if I don't ever see a bill, I don't care. My FIL freely admits to having no idea what his health care costs are. You think the youngers act like they are entitled?
It's not an "advantage", it's a trade off. What makes me crazy about plan G zealots is they don't recognize the THOUSANDS of dollars they pour into the plan. Now, if you have that $$, knock yourself out.
meanwhile, it bleeds you at $200+/month. I don't like the fact that most presentations of this catastrophic example of government ineptitude fail to mention this fact. You either pay it now - like an appliance warranty - or you pay it later. TANSTAAFL.
It's insurance. Period. If you are okay with paying 150-200/month for the remainder of your life, go for it. But don't ignore the $2k annual commitment as well as the on-going premium increases. My in-laws have a very good G plan. So much so that they simply don't care how many times they go to the doctor. My MIL is stage 5 dementia and legally blind due to a car accident. Doesn't keep her from going to the optometrist, ophthalmologist, neurologist, etc. as often as she demands just burning money.
The only problem I've had with my Plan G is the provider ALWAYS calling me back to tell me they're not in my Plan G company's "network." I have to explain to THEM that it's a Medicare Supplement plan, not a Medicare Advantage plan, and that it piggybacks on the Medicare A and B plans, regardless of location. They usually straighten it out after a second call to the Plan G company. I get that medical coding and billing is a complicated field, but c'mon.
May I ask…what if you want to move to another state and your current Plan G provider does not offer coverage in the state you are moving to? You would have to change to an insurance company that provides coverage in that state, so would that depend on your health and subject you to approval?
Moved from plan F to G a little over a year ago. Plan F covered everything with no deductible. Wish I had not moved now, but the cost was getting prohibitive. The sad thing is once you leave plan F, you can never go back again.
@AbtInsuranceAgency That's news to me. My insurance advisor told me you only had a short period of time to be a ble to do that and after that small grace period was over that we could not go back. The fact was they are trying to eliminate that group by aging them out and not offering to newcomers.
CMS considers Plan G to be a GI plan, and not plan N. However, the carriers that sell these policies can be more lenient and allow GI business into Plan N. In fact, at least a few of the carriers I sell allow GI business in Plan N. I actually wish they didn't do that so that the Plan N risk pool would benefit.
Most people can't afford a supplement. Yet, they will get health care. Does the clinic absorb the 20% portion of Part B? If so, why are we paying more each year for a "supplement"? Thanks.
N in my opinion is a hidden gem. It covers what G does minus excess expenses which rare and it doesn’t increase in premiums like G does. On average G increase 4.75% per year. N is much lower.
Yes, but as healthcare costs rise and insurance minimizes reimbursements to doctors, excess fees could become much more frequent and common in the years to come.
@@marthahicks8569 Correct, yet if your usage of healthcare is low, Plan N is the way to go. Plan G on average is 40 dollars more a month, with rate increases in premiums on average 5%. That could mean a savings of close to $50 dollars a month $600 a month.
It sounds like the only downside mentioned in this video is that it costs money (of course) and the price goes up every year (of course), and the benefits might offset all that.
Question: In an internet search the results stated that there is no cap on out-of-pocket costs for Medigap plans. Unlike Medicare Advantage plans, Medigap plans “do not have a cap on out-of-pocket expenses, which can lead to significant financial burdens for individuals with chronic conditions or frequent medical needs.” Can you comment on situations where there can be significant out of pocket for Medigap Part G that is not seen with Medicare Advantage? Thank you in advance.
I am already receiving social security. I turn 65 in November 2025. When do I start the process and do I face any underwriting in the process for Medicare Part G?
You can start now. 3 months before your birthday month to 3 months after your birthday month, e.g, August is already almost gone. Start sooner than later. Go to the social security website and sign-up to get the ball rolling.
I am 80 and I have been with Plan F since getting Medicare, my cost is 391 $ this is getting expensive! I don’t know what to do! My guy says to go on Advantage Plan with AARP and United Healthcare, this concerns me! I have numerous things wrong with me, Kidney and Liver disease , high blood pressure, diabetes any other issues! I don’t want to fret the change but not sure which one to get!
You can sign up for a Medigap plan at *any* time, as long as your have Parts A and B. But yes, it may cost more, and you may or may not be eligible based upon your health or the state you live in.
The Agent working with me isn't pushing Plan G, but compared it to Plan N and here in NJ, we could be charged "Excess Charges", which is covered by Plan G, NOT by Plan N. So I have to call my doctors (all 9 of them) and ask them about Medicare Excess Charges.
I too live in NJ. Before making my decision I asked my Doc about excess charges. His response was not to worry and independent Docs are getting bought by hospital systems and CPT codes don't have excess charges. I also looked at various Docs around me that had different specialties and most took the Medicare assignment, which meant no excess charges. Out of all the Docs I looked at on the Medicare website, about 20, only maybe 2 or 3 didn't take the Medicare assignment and they were Docs I wouldn't see frequently if at all. My sister has been on Plan N for 10 years and just recently had a Doc charge an excess charge. She didn't think to ask the Doc about it. I think the Doc charged her an extra $65 for a couple of visits ... yes it's can add up. But if there's no excess charges Plan N is almost the same as Plan G. My wife and I chose Plan N because of this
@@AbtInsuranceAgency Since my comment, I not only checked Medicare.gov, but also called my doctors and nobody charges excess charges. Signing my Plan N paperwork in November!
I am looking to have several joint replace surgeries over the next several years. I will be 65 in Oct. What plan would be best for me- plan G or plan N?
When selecting a plan at age 65, in January, yet we will most likely move to another area in the same state (different city and zip code) in June. Would i stay in the same plan?
I asked my supplement insurance agent to find a better Medicine plan. She switched me to a Advantage Aetna plan without explaining anything to me. Now I have both. How do I get off the Advantage Plan and go back to Regular Medicare Plan and a supplement plan?
Uh oh. You should NOT have both. If you have been continuing to pay your Medicare Supplement plan payments then your policy is still active (but not usable until you cancel your Advantage plan). Feel free to email us at stephanie@abtinsuranceagency.com or call 1-800-MEDICARE for more guidance!
I found about the switch in Wisconsin, trying to fill a prescription and the Walgreens said my insurance would not pay because they did not have a agreement with Wisconsin. I live in Illinois.
Does it matter what supplement plan you pick. Or do they all pay the same. There is a large price difference between the cheapest and most expensive>. Thak you.
If I purchase a Plan G supplement in AZ, is it the same coverage in all states if I move, or travel, etc? Also, is AARP Humana healthcare Plan G a good choice?
I have a supplemental plan G from AARP/United Healthcare in Texas and for a few dollars more premium, you can get the plan with free gym membership called RenewActive. There is a Lifetime Health/Fitness Luxury Resort Style Club near where I live which I joined for FREE! Regular monthly dues at this Health Club are $135 to $165 per month. This Plan G plan from AARP/UHC with the RenewActive program was a no brainer for me, and I can start working out to stay healthy as possible again!
My wife and I are moving from Long Island NY to Delaware in Spring of 2025 We are both on "N" but even that in NY is a big nut. Will we have to stay on the NY Plan after we move until Open enrollment in October 2025?
Moving to a new state is not a “special enrollment period” for Medigap insurance. You will be able to keep your NY plan N forever, no matter where you move. However once you move to DE you may want to shop your Plan N options for a lower rate, as long as you can medically qualify. Call us for help or with questions! 888-465-9728
My wife and I are both on Plan G. We are satisfied with it, and Plan G is the most cost effective for us, unless we want to take risks. I feel this video was too critical of Plan G during the first part of the video. Stephanie did not get to the advantages of Plan G until the end of the video. I have always through her videos were fair and balanced. Not so sure now. Be sure and watch all of the video, not just the first part.
Thanks for the feedback. We have many many clients that continue to choose Plan G and are very happy with it. I'm glad that you have a plan that is working well for you too!
Plan G is the best option in terms of benefits, however it is often NOT the most cost effective. It does have the most predictable costs for coverage, but premiums will continue to increase in the years going forward. It clearly is a good plan for those requiring a lot of services. My wife went with HD-G and I’m likely going with the same, but will look at Plan N. We are both physicians in good health, and in our area Plan G is not cost effective for us, meaning it is expensive. We are happy accepting slightly more risk.
@@sarahkiernan139 Will not pay the extra fee a Specialist can charge at his discretion. This can be enormous these days as some have no shame and are so greedy.
@@sarahkiernan139 plan N can require up to a $20 copay for an office visit, and $50 for an ER visit, with no limits. So if you get seen a bunch in a medical office, you will have a bunch of copays. If not you won’t.
Traditional Medicare pays 80% and Medigap covers remaining 20% after the deductible has been met. Yet, monthly premium for Medigap is more than that for Medicare. Logic and common sense imply Medigap monthly premium should be less.
Supplemental G policy is guaranteed by federal law and insurance companies have to comply everything in your policy. Advantage n is not, insurance companies can deny whatever your doctor or Hospital wants you to have
What would the underwriters find that would prevent you from changing to it? Mother-in-law, 85yo with Dementia (other then that, healthy as an Ox) We live with and take care of her. So I am curious what their reason could be to not insure her? She's on Plan J and an RX plan now. They've jacked the RX plan from $11 to $48 to now almost $100/mo starting Jan. J plan went from like $250 a few years ago to almost $320. So for a fixed income of SS, that comprised of almost 30% of her income. I plan on moving her to Plan G but was curious if you knew what the RX plan cost? Even with the deductible, this will save her money every year. I hope she doesn't get denied.
Plan G definitely cost,But it also is the Rolls Royce of medicare supplement plans. Even in Mt Sinai Manhattan you'll get a single bed room where other's wont pay for it.
In CA anyway, I hear that Delta Dental is one of the bigger dental insurance companies. I'm pretty sure that's what my ex's union had. 2 free teeth cleaning per year. And I think they pd 80% of cavities and stuff
If you move to another state with a lower premium does it change with your move? For expample, Florida is much higher than TX. If i relocate to TX does my premium change? Thanks
@@buffalo_wings8224 I pay $70/ month for G-HD. Regular G is something like $300/month. So I'm saving $2,760/year. If I have major healthcare expenses, the most I can pay in a calendar year is something like $2,800. You would have to have $14,000+/- in medical expenses to reach that $2,800 (20% deductible). Like I said, a no-brainer.
@@AbtInsuranceAgency I was under impression that a person who turned 65 must take Part A even if he/she is still working. It is Part B you can delay until you retire. Isn't this how it works? What am I missing?
Nothing in this video would change my decision to choose plan G. The rate increase would have to be 10x before it would get close to my out of pocket cost for high deductible health insurance before getting on Medicare, and my health was good. It’s funny how all you Medicare Experts are putting out plan G bashing videos right now.
I am by no means bashing Plan G! I think it's a great option for many, and a very large percentage of my clients choose Plan G. I only aim to educate about the potential downsides of this Plan, since some brokers will only ever sell Plan G.
Cigna recently announced they were exiting the Medicare business, selling it to Health Care Service Corporation. This could be bad news for existing Cigna Medicare Supplement enrollees, as they could become "trapped" in their existing Cigna Supplement with what would become a closed risk pool, if they are unable to pass underwriting to switch to a different Supplement. Closed risk pools will often result in major premium increases in ensuing years. You may want to consider switching to a different Supplement, if you can pass underwriting now.
Since Covid, rates have gone up much higher on Supplemental plans and it depends on the carrier and state- but I would say 6% to 10% is a good average now.
It's not the best value though. You'll have higher increases over time versus plan N. HDG is a great value. The $2,800 limit is half of what many advantage plans are a year.
Hi Could you help me to get the direct Contact number of representative for BCBS IL PPO , as I am from providers offices and it is hard to connect to representatives for the CLM status or Clarification on denial also for appeal. And if you can guide me. So it will really helpful.❤
Good details about plan g however you are missing the big picture and real advantage of plan g. You barely covered the ability to pick your provider. This is critically important now more than the ever. Many newer medical technologies are disrupting cancer treatment. It happens all the time in other industries. The ability to make an informed treatment decision and pick a competent provider can make a life or death decision. Plan g allows the individual to use one therapy over another based on patient choice rather than plan administrator. Some other administrators may not approve gene therapy treatment and force you into chemo. No thanks! Additionally they could deny coverage for proton therapy. The patient must have the right to determine treatment options, not the plan administrator. Plan g provides this option.
By no means at ALL is Plan G a *bad* choice for Medicare Supplement. Many of my clients love it! However, some agents will only ever talk about the benefits of this Plan, and never share the downsides, which are important to be aware of.
It's a money issue sort of like buying life insurance. Go plan G if you have existing medical conditions. But understand that plan G you are just paying per month what your bills will be.
Let's talk about plan N. Why does plan N exist? Because plan G is too expensive for healthy people. It's all about the spreadsheet people. Do your math. My wife and I will both be retired in a few years, If we went with an N plan, within 1.5 years we will have the deductible in our account, not the insurance company's. I'm not giving this as any sort of advice, and I am not criticizing abt in any way. But only the government could screw up a system and make it this complicated.
Because politicians have Cadillac health coverage and don’t have to rely on Social Security, but they continue to direct both. Put them in these programs and guess what…….they would be great and fully funded.
Right ? It’s very confusing it sucks
I am a brand spanking new Medicare agent/ Broker still getting certified with carriers and preparing for my first educational presentation 9/17/24. Along with going through the carrier specific plan courses I’m following a few of what I’ve determined to be the best Medicare RUclips channels, which brought me to this first video on this channel. THANK YOU SO MUCH for showing that there are downsides to supplemental plans just as well as Advantage plans! The main takeaway I’ve gleaned from all this info is that we as Medicare Agents and Brokers need to act in a fiduciary manner for our clients and realize that the best type plan for an individual is the one that best suits that person’s specific individual needs! Period! I live my life by the edict of “treat people the way you want to be treated”!
So again, thank you so much for this great video! I have just subscribed and look forward to learning more from you!
Just like any other kind of Ponzi scheme……..err……….insurance plan.
So glad you're taking the time to speak the truth about Plan G vs. the other plans out there.
Thank you for all you do in speaking the truth about the Medicare options seniors have! You're awesome!
So are you! 😁
Plan G is fine, but the rates will increase on a faster track than Plan N. And if you are lucky enough to make it into your 80s or 90s, you also want to be able to absorb those rate increases as we age. Plan N is fine too - it's just a little more cost sharing under Part B, but your rate increases over time will be less which is good for most of us. Just my thoughts.
Thanks for boiling it down. I kind'a thought that's what the point of the video was, that rates may go up faster, but thought maybe I was missnig something.
I just finished watching your state specific video. I live in Missouri, every year our broker reviews plans from all companies that offer Plan G and finds the best value. We went on Medicare with Plan G 7 years ago and have had 4 providers and our rates have only increased a small amount. Very happy with Plan G, with the ability to change every year with no medical underwriting
You must be extremely healthy to be able to switch. Most people are stuck in with the company they originally pick.
@@Jan96106 Missouri allows you to switch form one plan G to any other during your anniversary month. Mine is June, and I just had a review from my broker and am staying with my current provider, they raised rates by 8%, but they are the lowest cost still
@@Jan96106Missouri has an anniversary rule that allows you to change companies on your part B supplement on your part b anniversary each year without medical underwriting.
Which providers have you used and which is your favorite?
@@arabicteacher1 Transamerica and the current is Elips Life insurance Co.
I really like them all, no problems just who ever has the best price. The coverage is mandated by Medicare, so it is the same from one to the other.
I have been on plan G for 8 years I have heart problems and type II diabetis and I say Yes Plan G is the best option out there. If I was on an Advantage plan I would be dead.
I was watching many RUclips videos about Medicare when I came across Stephanie. She was far and away the easiest to understand and follow. So I bought my supplement through her company. This year when the supplement company raised my rates, the Abt agency worked hard to find another company for me. I wholeheartedly suggest everyone watching these videos to use them. You won’t regret it!
We are delighted to be working with you!
Yes,I was lucky to get her too.
Cost effective? So I pay $161 for part B. $171 for plan G and $155 for Part D monthly. I also pay some costs for certain meds. And I pay additional costs when Medicare doesn't cover a specialist visit. And the costs go up every year. Fortunately I can afford this but most people who just received SSi can't.
Amen to that - my plan F alone has gone from $130mo to $300mo from age 65 to 73 i.e. 8 yrs.. They have paid out very little so far,,,,,,rip-off
$155.00 for D! My D is .50 a month!
@@gbmwazSee if you can switch from Plan F to a G or N.
Yet the USA can send $100+ billion to Ukraine, Israel, and Taiwan. Nice.
F is no longer offered
With no low cost new enrollees the cost will go up
Recommend if your healthy to switch
I tried explaining Plan G to my sister before she retired. She went with another plan and now she regrets it, but the grace period has expired. I have it and love it.
Stephanie staff helped me and they are absolutely honorable they have integrity and they are the best people I've ever found to work with.
Thank you!!!
This is exactly why I chose Plan N instead of Plan G. Thanks for confirming my thoughts process on this.
What was the difference in your premium?
@@Newlinjim$70.00 a month in Mn. BCBS.
@@Newlinjim $45/month now, but that difference will grow each year as Plan G rate increases will be higher than Plan N rate increases.
@@retiredandroaming thank you!
It all depends on how healthy you are and how unhealthy you might become
CA has supplement open enrollment on your birthday with out any medical under writring
The California Medigap Birthday Rule does have restrictions. You can only switch to a plan with equal or lesser benefits than the plan you are currently on, if you want to switch without going through underwriting.
My sister has plan N and it went up a lot this year on her. I pay less on G then she does on Plan N
Does she live in the same area?
Appreciate the information and efforts to steer folks toward the best plan providers. Feels like it’s a gamble no matter how much research one does!!
I hope you found it helpful!
There was another video put out by another broker who showed that 25 years out ( beyond age 65 to age 90); the additional cost in premiums of Plan G over Plan N might be $ 25,000 more over that 25 year period for a married couple. This is what people do not think about. They only look at the potential ( and unlikely) excess charges for Plan N or the up to $20 copays. But over many years after age 65.....the increase in premiums of Plan G far exceed those charges for plan N.
Luckily I in California. We have the birthday rule which we can change insurers from your current Plan or change to a lower Plan supplement without any Medical Care Underwriting. Unfortunately we are still under a very large international company medical plan where we pay a good premium for 2 of us it's a PPO however deductible is 6k and out of pocket max is 7500 individual. So last year with all included we paid 20k in medical, and this year between frozen shoulder physical therapy and kidney stone issues already went over deductible. Also our company sponsored insurance plan, which is like a ke an Advantage Plan came to just one day of not contracting with UCSF one of the best hospitals in our area. Hearing Hunana and UHC Advantage Plans are having problems like that too. Also, concierge services are now attracting 1 out of 10 doctors and if you are rich you can afford them. Medicare and health insurance companies won't pay the. Bottom line Healthcare in America is not run well
I like my HDG plan ($34 in SoCal) for max incentive to stay healthy to avoid the medical industry.
What is HDG?
@@kathyhines8939
HDG stands for High-Deductible Plan G. It's a variation of Medicare Supplement Plan G.
Key Features:
Higher deductible: Typically ranges from $2,000 to $5,000 annually.
Lower premiums: Compared to standard Plan G.
Same benefits as Plan G: Except for the higher deductible.
How HDG Works:
You pay the deductible first.
Once met, Plan G benefits kick in.
You'll still pay Part B coinsurance (20% of Medicare-approved amounts).
Pros:
Lower premiums.
Potential cost savings for healthy individuals.
Cons:
Higher out-of-pocket costs due to deductible.
May not be suitable for those with frequent medical expenses.
Eligibility:
HDG is available to anyone eligible for Medicare Supplement Plan G.
@@kathyhines8939High deductible plan G
@@kathyhines8939High Deductible Plan G
High deductible plan G
@@kathyhines8939
turning 65 this november. i will choose the N plan in my state.
i just don’t know what the cost
will be each month.
We can help! 888-465-9728 😊
I have a monoclonal antibody treatment fir metastatic endometrial cancer every four weeks. I see a podiatrist for calluses every 90 days and an orthopedic nurse practitioner for a steroid injection every four months as I can’t have a knee replacement due to the cancer treatment. I also have a CT scan every 4-6 months
So, I’m looking at having to pay $20 copays monthly, etc on a Plan N, and Utah does allow excess charges, although, admittedly, they’re rarely charged. I chose a Plan G Supplement from AARP/United Healthcare, as it seemed to me the monthly treatment would negate the savings on Plan N, which is only about $15 less - I’m currently paying $128.60/mo for Plan G. I am dreading this coming July when my plan will be coming up for renewal - I expect some sticker shock
Please come back and let us know what happened this month. I'm in the middle of picking all of this stuff.
@@cgilleybsw
Greetings - UHC raised my Plan G $20 on July 1, 2024. Now I’m paying :
$174.70 for Medicare Part A and B
$147.29 for AARP Plan G Supplement
$0.50 for WellCare Drug Plan
$49.47 for UHC Dental/Vision Plan
$371.96 for Medical/Dental/Vision/Prescription
This DOES NOT INCLUDE a $3310.89 copay I just paid for lenvatinib (Lenvima); my oncologist has changed my treatment from bevacizumab-maly (billed at $17,000 per infusion every three weeks) to pembrolizumab (Keytruda - billed at approximately $12,000 every three weeks) and Lenvima (a 60 day supply is billed at approximately $25,550)
Well, I guess the Mazda3 stays in the garage instead of the Aston Martin DB12 😛
My Plan G went up $20 in July 2024, so I’m paying $148.60
My separate dental/vision is $50.40
WellCare informed me that my Part D prescription will be $0 in 2025 instead of the current $0.50.
I did pay a $3,310.89 copay for levatinib (Lenvima), so I’m in the Medicare Catastrophic Drug Category now - in 2025, it will be a max of $2000
CANCER is a MAJOR factor in choosing a Medicare plan
My wife and I went with Plan N, glad we did now that we are seeing the increases on some Gs are much more than N. Also some companies are closing admittance to their G plans so this will cause increases to these plans due to no new younger retirees coming in.
With regard to closing plans, I think you have confused Plan G with Plan F. I would be very shocked if a company closed their Plan G. Can you say which companies are doing this?
@@barreloffun10 Nope, not confused, there are G plans that are no longer taking new customers, it's true. Google it.
@@barreloffun10 I got that info from another broker I follow, and the 2 or 3 he referenced were some I had never heard of before, one was fireman's something but something to be aware of that can happen.
Plan F is the one being discontinued. Participants in the group are still covered but they aren't accepting new enrollments. Plan G is going strong. So that people are NOT misinformed can you please share which companies are discontinuing their G plans? I do know many are closing their Advantage Plans because doctors and hospitals aren't getting paid by the companies, and there is legal action being taken against some of the Advantage Plans - I don't know which ones exactly. I know that private insurance is not offering plan G because they don't want to. For example, I can not find a Plan G for UPMC - the big and famous hospital in Pittsburgh PA, they have 10 different Advantage type plans, but I'm not seeing a Medigap plan for them. I am thinking the reason for this is UPMC is a regional hospital that provides insurance for their hospital. PLAN G is strong and not being discontinued.
Thank you for this update, Stephanie! And thank you for helping Grace & I with our supplemental plans…they’re working great!
Wonderful!
Turning 65 in august, looking at plan G, my question after watching many of your videos, if you select a Medigap plan like G and you can not change companies after the grace period, what prevents an insurance company form increasing you premiums a lot, knowing that the person is somewhat locked into the choice they initially made? Seem like a person could be trapped.
They could be. But rate increases are never on a per-person basis and must be approved by the state department of insurance.
My wife has had Alzheimer's since 2/21 and just became plan G eligible in Nov.2023. She was on a plan C from May 2023 - Nov 2023 and was fortunately able to get on a plan G with no medical underwriting . Our broker advised me to get her an AARP-UHC plan for the rate stabilization it has and so we did. Just got a letter from UHC advising a rate increase starting in Nov. 2024 which I calculated out to be 13.3%. Evidently in medicare world that's a normal increase. In my book that's a ridiculous rate increase percentage. Just sharing this as a beware before you buy a plan G. These so called and so touted by brokers "stable rate plans" may not be as stable as you the plan buyer may be led to believe !!! Due to my wife's Alzheimer's disease, she may very well be stuck with UHC due to needing to go thru medical underwriting to qualify for a cheaper plan. Just be ware folks before you commit to any Medicare or Medigap plan.
You can change companies, but if you're not in one of the "special rules" states, you have to go through medical underwriting. But - that's true of ANY medigap plan, not just plan G.
One way you're not "trapped" is that if you started Medicare with a medigap plan, you can switch to an Advantage plan for up to 12 months. If you don't like it, you can switch back to the medigap plan you had. No medical underwriting required.
As part of the retirement package offered by the company I worked, my wife and I each receive $83.00 a month toward our Medicare supplement so Plan G was an easy choice for us.
I’m afraid that some folks may not be taking into consideration what their employment insurance costs were (OOP) prior to Medicare enrollment. For my wife and I, good health will result in less cost OOP than during our work years/COBRA coverage. Yes, premium costs will go up as you age because your risk level also increases, just as it does for auto/homeowner coverage. You get one chance to get this right so do your research!
Yep - I have the best HC at my work and I never realized what the premimums cost until I looked into COBRA - needless to say, I stayed working one more year. $850 a month was just out of my reach for HC.
This is really good to know. Plans C and F are no longer option choices for those new to Medicare if not 65 before Jan 2020. This leaves plan G as the only option that is the most comprehensive garenteed issue choice. So now all others requires underwriting if you want to get off G later with lesser benefits.... bummer. ...oh well
Your point 3 is true for any agent, health care, financial, etc.
I have a plan G the only deductible I pay is from my plan it covers my Medicare deductible. I love my plan I have cancer that I’ve been dealing with for almost 3 years and in that time out of pocket has been only $300 I’m will never change my plan!
Turning 66 later this year in Texas and analyzing the options. The issue with Plan G is that it excludes prescriptions, dental and vision. The monthly premium for those three can be around $150 per month. Plan G averages $200 but increases to almost $400 by age 85, All in all, Medicare + Plan G +Part D+dental+ vision add up to around $550 per month, close to $6,800 per year. On the other hand. there are several Medicare Advantage plans with no premium, prescription, dental, and vision included and a MOOP of $6,000.
There is a lot to consider!
I will turn 66 in November. Last year i signed up for the Advantage HMO plan because my agent was pushing it and I thought it was an excellent plan. I was literally a healthy Individual that I only went to see doctor one or twice a year 😅 for flu or allergy syndrome. I only have one prescription that I don't take very often. This May I found out I have a Pancreatic cyst. I tried to make an appointment to see a GI doctor that took me 3 Months. Now I am looking for a supplement plan hopefully I can find a specialist and don't have to wait for 3 mos.
I've had Plan G for a number of years now. Every year, I research costs for Plan G among companies that offer it to find the best price.
Great video Stephanie. I am very pleased with my plan G. Mark H
Plan G sounds like the best plan, so what are the down sides? I didn't catch those unless it is that the rates go up slightly higher than the others. Are there any other downsides? If so I didn't hear them. Thanks!
The more affluent you are, the more likely you may select Plan G as you move health care risk from you to the insurance company and it makes it easy to budget health care costs.
You're still better off with Plan G because it brings peace of mind. Plan N doesn't cover excess Part B charges, which can be a lot if your health suddenly declines. With Plan N, each ER visit and doctor visit requires a co-pay. With the nominally higher premium for Plan G, I plan to cut back on frivolous spending when I retire soon. Your health insurance is priority #1 because, let's face it, your health is everything.
My Dad has a G plain, he has had colon cancer prostrate cancer and some other small problems. His wife chose the Advantage she also had cancer, osteoporosis and a broken hip, if they both had a advantage plan the cost of there medical problems would have been finically devastating!! Seniors need good coverage that they can afford . When your OLD that’s when you get health problems. It should be against the law to sell advantage plans but so many find out to late. However G plans are getting to expensive ! However if something is wrong with you it can keep you out of the Poorhouse. It’s all a catch 22
A National PPO Advantage plan will cover much more than a free/low cost advantage plan, so it depends on which you choose. They are different, just like medigap plans are different.
I've been trying to figure out which one to use. Have been convinced AGAINST advantage. And leaning more towards plan N. I saw a side by side comparison with an expensive medical issue and the out of pocket cost was lower on N than G, I'm pretty sure. I think N had a copay, but there's a cap on it or something
I'm so sorry about these major burdens. The elderly should not have to worry about this on top of everything else
@@stormyweather2807 My Dad’s wife has a really good ppo plain provided by the County she worked at compared to free plans it covers more on dental- Vision - Drugs - and some services lower copay However on the bad health care problems it’s business as usual. she has arthritis really bad in her Knees her DR. Wanted to burn the nerves he said that is the only way to really take cart of the problem. But managed care being what it is. They only approved the numbing shots, WHEN THAT DID NOT WORK- they only approved the Gel shots- when that did not work they approved the nerves surgery. That’s hard on a 85 year old woman. Shame on them . Also when she had cancer her ADVANTAGE plan did not approve the shots that keep you from getting sick from CEMO. We paid for them because she tried to do it without the shots but could not-- There is more ! Sorry i disagree!
My advantage plan has a cap on how much you pay out of pocket in any year. So even if you had to pay it, amounts to approx $250 a month broken down, which you would be paying on a supplemental anyway. I think I've maybe paid $400 total for the whole year I've been on it, plus I got OTC medicine, eyeglasses, etc.
Even if advantage plan can be made more affordable, which we know resets Jan 1 - there is a problem with manage care my dads wife who has Advantage Dr wanted to cut the nerves in her knees because of arthritis, her manage care only approved shots did not work long then Gel shots which did not work at all - then she had to wait to get the surgery because of the shots you and I both know with a gap plain she would not suffer like that SORRY ADVANTAGE is not the answer we need affordable gap plains
The biggest advantage to having plan G is that you're covered financially if you experience a catastrophic health event.
That's exactly why I went with a Plan G.... like I insurance, I hope I never need it for a catastrophic health event, but I'm comfortable knowing I have it should I need it.
@@cherylgood6478 based on my in-laws behavior I would argue that "covering everything" is just bad. They are in their mid 80s now, go to doctors CONSTANTLY get new devices CONSTANTLY and really don't give a hoot about the money they are spending because a) I paid into the plan and I deserve it and b) if I don't ever see a bill, I don't care. My FIL freely admits to having no idea what his health care costs are. You think the youngers act like they are entitled?
It's not an "advantage", it's a trade off. What makes me crazy about plan G zealots is they don't recognize the THOUSANDS of dollars they pour into the plan. Now, if you have that $$, knock yourself out.
meanwhile, it bleeds you at $200+/month. I don't like the fact that most presentations of this catastrophic example of government ineptitude fail to mention this fact. You either pay it now - like an appliance warranty - or you pay it later. TANSTAAFL.
It's insurance. Period. If you are okay with paying 150-200/month for the remainder of your life, go for it. But don't ignore the $2k annual commitment as well as the on-going premium increases. My in-laws have a very good G plan. So much so that they simply don't care how many times they go to the doctor. My MIL is stage 5 dementia and legally blind due to a car accident. Doesn't keep her from going to the optometrist, ophthalmologist, neurologist, etc. as often as she demands just burning money.
The only problem I've had with my Plan G is the provider ALWAYS calling me back to tell me they're not in my Plan G company's "network." I have to explain to THEM that it's a Medicare Supplement plan, not a Medicare Advantage plan, and that it piggybacks on the Medicare A and B plans, regardless of location. They usually straighten it out after a second call to the Plan G company. I get that medical coding and billing is a complicated field, but c'mon.
Yep, if the provider accepts Medicare assignment, they have to accept a supplement plan, G or N.
Thank you Stephanie, great channel!
Thank you!
May I ask…what if you want to move to another state and your current Plan G provider does not offer coverage in the state you are moving to? You would have to change to an insurance company that provides coverage in that state, so would that depend on your health and subject you to approval?
Moved from plan F to G a little over a year ago. Plan F covered everything with no deductible. Wish I had not moved now, but the cost was getting prohibitive. The sad thing is once you leave plan F, you can never go back again.
You can, if you can medically qualify.
@AbtInsuranceAgency That's news to me. My insurance advisor told me you only had a short period of time to be a ble to do that and after that small grace period was over that we could not go back. The fact was they are trying to eliminate that group by aging them out and not offering to newcomers.
@@dheller777 anyone who was on Medicare before 2020 still has Plan F available to them! Lots of agents are not fully informed on this.
@@AbtInsuranceAgency Thank you. I will look into it.
CMS considers Plan G to be a GI plan, and not plan N. However, the carriers that sell these policies can be more lenient and allow GI business into Plan N. In fact, at least a few of the carriers I sell allow GI business in Plan N. I actually wish they didn't do that so that the Plan N risk pool would benefit.
Most people can't afford a supplement. Yet, they will get health care. Does the clinic absorb the 20% portion of Part B? If so, why are we paying more each year for a "supplement"? Thanks.
Also!!! If you drop high deductible Plan G next year for standard Plan G...do you have to be underwritten? Thanks
If a person has serious health issues prior to going on medicare, is it a better choice for G or an advantage plan?
Plan G, if it’s in their budget.
N in my opinion is a hidden gem. It covers what G does minus excess expenses which rare and it doesn’t increase in premiums like G does. On average G increase 4.75% per year. N is much lower.
how much has N increased?
@@busygal1959 On average its about 3% compared to G which jumps about 5-8% depending carrier and state. Some gap plans have jumped 12%
Yes, but as healthcare costs rise and insurance minimizes reimbursements to doctors, excess fees could become much more frequent and common in the years to come.
@@marthahicks8569 Correct, yet if your usage of healthcare is low, Plan N is the way to go. Plan G on average is 40 dollars more a month, with rate increases in premiums on average 5%. That could mean a savings of close to $50 dollars a month $600 a month.
It sounds like the only downside mentioned in this video is that it costs money (of course) and the price goes up every year (of course), and the benefits might offset all that.
Question: In an internet search the results stated that there is no cap on out-of-pocket costs for Medigap plans. Unlike Medicare Advantage plans, Medigap plans “do not have a cap on out-of-pocket expenses, which can lead to significant financial burdens for individuals with chronic conditions or frequent medical needs.”
Can you comment on situations where there can be significant out of pocket for Medigap Part G that is not seen with Medicare Advantage? Thank you in advance.
Is Plan G HD still a good value overall compared to Plan G and N? For 2024
For NY residents PlanG HD is a no brainer. $243 for Plan N vs $72 for G HD
In some parts of the country it is a good value, while in others Plan N is a much better option.
@@AbtInsuranceAgencyif you move after enrolled how is the premium affected?
Plan G is the best.
I am already receiving social security. I turn 65 in November 2025. When do I start the process and do I face any underwriting in the process for Medicare Part G?
You can start now. 3 months before your birthday month to 3 months after your birthday month, e.g, August is already almost gone. Start sooner than later. Go to the social security website and sign-up to get the ball rolling.
@@eeeee3031 I turn 65 in 2025 not 2024.
Thank you for such a detailed explanation of Plan G!
Been on plan G 10yrs through United Health Care. Cost for 2025 is $200 per month, crazy price. It does not cover any vision or dental.
I am 80 and I have been with Plan F since getting Medicare, my cost is 391 $ this is getting expensive! I don’t know what to do! My guy says to go on Advantage Plan with AARP and United Healthcare, this concerns me! I have numerous things wrong with me, Kidney and Liver disease , high blood pressure, diabetes any other issues! I don’t want to fret the change but not sure which one to get!
What about Plan F and Fx in California?
Are these not better than G. Please comment.
If you have A and B currently. Can you sign up for a G or N at age 67, will it cost more that at age 65?
In most states, Rates go up every year based on your age- a few states have community based pricing
You can sign up for a Medigap plan at *any* time, as long as your have Parts A and B. But yes, it may cost more, and you may or may not be eligible based upon your health or the state you live in.
@@AbtInsuranceAgency 08054 NJ Good Health\Plant based. Need focus on good long term provider for this area.
I am losing United Dual & need to know what will be the best plan for me now.
The Agent working with me isn't pushing Plan G, but compared it to Plan N and here in NJ, we could be charged "Excess Charges", which is covered by Plan G, NOT by Plan N. So I have to call my doctors (all 9 of them) and ask them about Medicare Excess Charges.
You can also check on Medicare.gov to see if those doctors could bill excess charges. It’s very rare.
I too live in NJ. Before making my decision I asked my Doc about excess charges. His response was not to worry and independent Docs are getting bought by hospital systems and CPT codes don't have excess charges. I also looked at various Docs around me that had different specialties and most took the Medicare assignment, which meant no excess charges. Out of all the Docs I looked at on the Medicare website, about 20, only maybe 2 or 3 didn't take the Medicare assignment and they were Docs I wouldn't see frequently if at all.
My sister has been on Plan N for 10 years and just recently had a Doc charge an excess charge. She didn't think to ask the Doc about it. I think the Doc charged her an extra $65 for a couple of visits ... yes it's can add up. But if there's no excess charges Plan N is almost the same as Plan G. My wife and I chose Plan N because of this
Check which state you are in on list of excess drs. Charges. Some states drs. Are not allowed to bill you.
@@AbtInsuranceAgency Since my comment, I not only checked Medicare.gov, but also called my doctors and nobody charges excess charges. Signing my Plan N paperwork in November!
Would my plan G premiums go up based on my specific health issues? Or because of general costs of care for the whole group? Thnx
The cost of the whole group - not your specific medical claims.
Does your company work with USAA in North Carolina?
I am looking to have several joint replace surgeries over the next several years. I will be 65 in Oct.
What plan would be best for me- plan G or plan N?
Depends on a few factors - call us at 888-465-9728 for a personalized review!
Are you available to call to compare ChampVA to Supplement Plan F? I want to cancel F but am very cautious above coverage's. Thanks
When selecting a plan at age 65, in January, yet we will most likely move to another area in the same state (different city and zip code) in June. Would i stay in the same plan?
Stephanie what Plan would you recommend A 76 Old Senior? I fool you and I like your videos
It depends on where you live, your health and your budget! Call us for free assistance- 888-465-9728 🙂
Thanks Stephanie, this is very good info to know!
You are so welcome!
How good is Globe Life for a supplement plan?
We would be happy to chat with you about this! 888-465-9728 or email stephanie@abtinsuranceagency.com
How do I get plan g? Or any plan? Do I go on like Aetna or united website?
Call us!!! 888-465-9728. We help people everyday, shop all the major companies for you and our services are free 🎉
I get mixed information. I heard somewhere that someone on plan N cannot flip flop to plan G without medical underwriting - or some kind of penalty.
Due, to Kidney transplant two years ago. I had to go to plan F
Plan G wouldn’t cover your kidney problems?
I asked my supplement insurance agent to find a better Medicine plan. She switched me to a Advantage Aetna plan without explaining anything to me. Now I have both. How do I get off the Advantage Plan and go back to Regular Medicare Plan and a supplement plan?
Uh oh. You should NOT have both. If you have been continuing to pay your Medicare Supplement plan payments then your policy is still active (but not usable until you cancel your Advantage plan). Feel free to email us at stephanie@abtinsuranceagency.com or call 1-800-MEDICARE for more guidance!
You’ve been taken
@@AbtInsuranceAgency My agent did not explain that she was putting me in an Advantage Plan.
@@williamhickstein685 wow. Thats disheartening and infuriating
I found about the switch in Wisconsin, trying to fill a prescription and the Walgreens said my insurance would not pay because they did not have a agreement with Wisconsin. I live in Illinois.
Does it matter what supplement plan you pick. Or do they all pay the same. There is a large price difference between the cheapest and most expensive>. Thak you.
@@terrybrennan8582 even thought benefits are the same by plan letter, some companies are much more likely to raise rates higher than others!
If I purchase a Plan G supplement in AZ, is it the same coverage in all states if I move, or travel, etc? Also, is AARP Humana healthcare Plan G a good choice?
Yes, coverage is the same across the states! Are you asking about Humana or AARP?
@@AbtInsuranceAgency Primarily about Humana, but yeah, is AARP good to be in that mix, or is there a better path?
I have a supplemental plan G from AARP/United Healthcare in Texas and for a few dollars more premium, you can get the plan with free gym membership called RenewActive. There is a Lifetime Health/Fitness Luxury Resort Style Club near where I live which I joined for FREE! Regular monthly dues at this Health Club are $135 to $165 per month. This Plan G plan from AARP/UHC with the RenewActive program was a no brainer for me, and I can start working out to stay healthy as possible again!
@@felixgomez9362 Another sales pitch.
The most comprehensive, but not best value. Choose N or HDG and don't even consider managed care.
My wife and I are moving from Long Island NY to Delaware in Spring of 2025 We are both on "N" but even that in NY is a big nut. Will we have to stay on the NY Plan after we move until Open enrollment in October 2025?
Moving to a new state is not a “special enrollment period” for Medigap insurance. You will be able to keep your NY plan N forever, no matter where you move. However once you move to DE you may want to shop your Plan N options for a lower rate, as long as you can medically qualify. Call us for help or with questions! 888-465-9728
@@AbtInsuranceAgency Are you saying we would have to go to underwriting even if its open enrollment in Delaware? oct 2025?
@@theeardrafter the annual Fall open enrollment period is for Part D and Part C plans only, not Medigap plans.
@@AbtInsuranceAgency Thank you for the education. Great Help. I will contact you when we are ready.
Ihave dialysis I just got madicare this month Please advise me what plant I choose?
My wife and I are both on Plan G. We are satisfied with it, and Plan G is the most cost effective for us, unless we want to take risks. I feel this video was too critical of Plan G during the first part of the video. Stephanie did not get to the advantages of Plan G until the end of the video. I have always through her videos were fair and balanced. Not so sure now. Be sure and watch all of the video, not just the first part.
Thanks for the feedback. We have many many clients that continue to choose Plan G and are very happy with it. I'm glad that you have a plan that is working well for you too!
Plan G is the best option in terms of benefits, however it is often NOT the most cost effective. It does have the most predictable costs for coverage, but premiums will continue to increase in the years going forward. It clearly is a good plan for those requiring a lot of services.
My wife went with HD-G and I’m likely going with the same, but will look at Plan N. We are both physicians in good health, and in our area Plan G is not cost effective for us, meaning it is expensive. We are happy accepting slightly more risk.
Is plan N has no downside ?
@@sarahkiernan139 Will not pay the extra fee a Specialist can charge at his discretion. This can be enormous these days as some have no shame and are so greedy.
@@sarahkiernan139 plan N can require up to a $20 copay for an office visit, and $50 for an ER visit, with no limits. So if you get seen a bunch in a medical office, you will have a bunch of copays. If not you won’t.
What if i already paid my 240$ medicare part B deductable for the year before enrolling in plan g. Do i have to pay plan g deductable again?
No! If you paid the part B deductible already then that carries over.
Do the premiums for plan G come out of your SS payment?
Thank you.
Traditional Medicare pays 80% and Medigap covers remaining 20% after the deductible has been met. Yet, monthly premium for Medigap is more than that for Medicare. Logic and common sense imply Medigap monthly premium should be less.
Supplemental G policy is guaranteed by federal law and insurance companies have to comply everything in your policy. Advantage n is not, insurance companies can deny whatever your doctor or Hospital wants you to have
What would the underwriters find that would prevent you from changing to it? Mother-in-law, 85yo with Dementia (other then that, healthy as an Ox) We live with and take care of her. So I am curious what their reason could be to not insure her? She's on Plan J and an RX plan now. They've jacked the RX plan from $11 to $48 to now almost $100/mo starting Jan. J plan went from like $250 a few years ago to almost $320. So for a fixed income of SS, that comprised of almost 30% of her income. I plan on moving her to Plan G but was curious if you knew what the RX plan cost? Even with the deductible, this will save her money every year. I hope she doesn't get denied.
Dementia is going to be a decline in medical underwriting.
@@AbtInsuranceAgency Thank you. Sounds about right for an insurance company to once again deny coverage. I appreciate your reply !
Plan G definitely cost,But it also is the Rolls Royce of medicare supplement plans.
Even in Mt Sinai Manhattan you'll get a single bed room where other's wont pay for it.
Love it! So true!
As long as you don't get sick, all plans are the same, except for the cost.
Plan G sounds like a winner🎉🎉why not thrown it in with basic A and B BUT first dental /vision!!!
In CA anyway, I hear that Delta Dental is one of the bigger dental insurance companies. I'm pretty sure that's what my ex's union had.
2 free teeth cleaning per year. And I think they pd 80% of cavities and stuff
Where are you located?
Are people with Medicare parts A,B and D required to purchase a medigap plan such as N or G if they can't afford the monthly premiums?
No, Medigap is not required!
Plan G is the best!
I live in MA is it one of two available.
If you move to another state with a lower premium does it change with your move? For expample, Florida is much higher than TX. If i relocate to TX does my premium change? Thanks
This is dependent upon the company you choose and the plan subsidiaries they offer in the new state!
Plan G High Deductible in New York is an absolute no-brainer.
Agreed!
Could you please expand on why this is true in NY?
@@buffalo_wings8224 I pay $70/ month for G-HD.
Regular G is something like $300/month. So I'm saving $2,760/year.
If I have major healthcare expenses, the most I can pay in a calendar year is something like $2,800. You would have to have $14,000+/- in medical expenses to reach that $2,800 (20% deductible).
Like I said, a no-brainer.
Such a shame that medicare eliminated plan F for new people. It was and is the very best of supplement plans,
I believe the only difference between F and G is that F pays the part B $240 deductible. You pay much more than $240 per year for the plan.
I'm 64, a federal employee. Will work past 65, probably to 68. I have FEHB. Should enroll in Medicare Part A next year even though I'm working?
You can delay as long as you are still working with creditable employer health coverage!
@@AbtInsuranceAgency Thank you
@@AbtInsuranceAgency I was under impression that a person who turned 65 must take Part A even if he/she is still working. It is Part B you can delay until you retire. Isn't this how it works? What am I missing?
Nothing in this video would change my decision to choose plan G. The rate increase would have to be 10x before it would get close to my out of pocket cost for high deductible health insurance before getting on Medicare, and my health was good. It’s funny how all you Medicare Experts are putting out plan G bashing videos right now.
I am by no means bashing Plan G! I think it's a great option for many, and a very large percentage of my clients choose Plan G. I only aim to educate about the potential downsides of this Plan, since some brokers will only ever sell Plan G.
I have noticed that also. For some reason, lots of brokers are now downing Plan G. Must be a financial incentive for them somehow.
Do you have an idea of how much Plan G rates for say Cigna, have gone up over say the last 10 years?
Cigna recently announced they were exiting the Medicare business, selling it to Health Care Service Corporation. This could be bad news for existing Cigna Medicare Supplement enrollees, as they could become "trapped" in their existing Cigna Supplement with what would become a closed risk pool, if they are unable to pass underwriting to switch to a different Supplement. Closed risk pools will often result in major premium increases in ensuing years. You may want to consider switching to a different Supplement, if you can pass underwriting now.
Since Covid, rates have gone up much higher on Supplemental plans and it depends on the carrier and state- but I would say 6% to 10% is a good average now.
We would be happy to share more specific information on this data -- please call or email us! (888) 465-9728 or stephanie@abtinsuranceagency.com
Are you licensed in Oregon?
yes!
Thank you
Tricare will be my supp.
If you make any change in Medicare, you could go through a physical and strict scrutiny. It’s not just for plan G
Yes, Plan G is the best plan. There is no other plan that offers more.
It's not the best value though. You'll have higher increases over time versus plan N. HDG is a great value. The $2,800 limit is half of what many advantage plans are a year.
You need to do a video on the downsides of Medicare Advantage plan.That's not scary it's horrifying.
I have done several!
Hi Could you help me to get the direct Contact number of representative for BCBS IL PPO , as I am from providers offices and it is hard to connect to representatives for the CLM status or Clarification on denial also for appeal. And if you can guide me. So it will really helpful.❤
And just how much more secret fees will this cost the American public?
Good details about plan g however you are missing the big picture and real advantage of plan g. You barely covered the ability to pick your provider. This is critically important now more than the ever. Many newer medical technologies are disrupting cancer treatment. It happens all the time in other industries. The ability to make an informed treatment decision and pick a competent provider can make a life or death decision. Plan g allows the individual to use one therapy over another based on patient choice rather than plan administrator. Some other administrators may not approve gene therapy treatment and force you into chemo. No thanks! Additionally they could deny coverage for proton therapy. The patient must have the right to determine treatment options, not the plan administrator. Plan g provides this option.
Yes, it does! And so does any other Medigap/Medicare Supplement plan.