High Deductible Medicare Plan G Vs The World

[@deinstaller]

Great explanation - everyone considering Medicare options should be watching your videos

[@MedigapSeminars]

Thank you, and I agree!

[@JamesIsHereRightNow]

Totally agree with you: If the premium difference is $2k a year and you’re in good health, choosing high-deductible Plan G is a no-brainer.

[@MedigapSeminars]

Thank you for replying

[@LouisLang-u8g]

No one knows after 65 how long your good health will last .

[@ChrisSadowski-pp1np]

Still better than an advantage plan. 51% of all people on Medicare choose Advantage and many of those limits are around $5 to $6,000. HDG allows you to have a pay-as-you-go system yet keep all the benefits of original Medicare. No annual plan changes (outside of part D), no networks, no pre-approvals, 100 days versus 20 for skilled nursing care and coverage that travels with you. Even with the limit going up every year, it'll still be better than many Advantage plans excluding of course the low quality HMO ones. Plan G and N are simply not affordable in New York, Minnesota, Connecticut, Maine and a lesser extent Florida. I truly believe that Plan G will go to the wayside like J and F before it so N maybe the only comprehensive plan to choose from in the future. If everything stays the same, I will choose between our N equivalent or HDG equivalent. I live in Wisconsin.

[@MedigapSeminars]

Thank you for the comments. Yes, a G-HD is still better than an Advantage plan. For 2025 Advantage plans can have maximum out of pocket limits up to >$9,000 in network and >$13,000 out of network.

[@anitaitisanita8549]

Hi Matthew, Oh how maddening, I'm considering this and likely phoning Monday morning.! Yes, I'm on your Plan N but got worried I ought not to have dropped my economic Plan G HD in Fla. Ah, there's more cons, and your ending comments brought me back to sense. I appreciate your advice, so glad I found you and got out of Advantage.

[@MedigapSeminars]

@@anitaitisanita8549 are you in Miami?

[@anitaitisanita8549]

@@MedigapSeminars I'm in Naples

[@MatthewClaassenCMT]

@@anitaitisanita8549Naples is totally different than Miami or south Palm Beach county. Florida is a huge state. Naples is fine for a Plan N

[@Sooner-im9qf]

I was looking for information on the HD plans. Great explanation. Thank you.

[@JH-wd7ul]

I am not considering a Plan GHD but watched your video to stay abreast of Medicare info (and for the YT algorithm). I am in Louisiana and recently enrolled in a regular Plan G through your company. I chose G instead of N because I don't want to deal with co-pays and the remote possibility of an excess charge. I'm comfortable with higher premiums for G and have budgeted for it. However, this year's debacle with Part D and the premiums now has me concerned with the volatility of where this will go in the future. I can only hope this will settle soon so we can more accurately plan our future budget expectations for Part D premiums/deductibles. Thank you for another informative video!

[@MatthewClaassenCMT]

I am concerned about Part D too. That is both Stan alone Part D plans and those bundled with Advantage Plans. In fact, the Part D debacle has negatively impacted advantage plans more than stand alone plans.

[@JH-wd7ul]

@@MatthewClaassenCMT I'm okay for now, since I'm not on any medication. Hopefully, for all our sakes, they will address this sooner rather than later. I feel sure things will settle down eventually, but in the interim, it's impacting lots of people.

[@KimberlySparks-wr6bh]

My husband and I live in Katy Texas. We have an appointment with your company On Tuesday, December 3, 3:30 I think they're supposed to call us. I've been watching your videos for a while. I'm just so confused, on all of it! I don't understand the difference between just the G. plan and the high deductible G. plan. And I don't think the N plan would work for me. Because I have to go to the pain doctor every month. My husband's the one that's got, I think it's 5 different specialist doctors. We just figured we both go with the G. plan??? The only other doctor I see is a PCP 4 times a year along with my husband. I guess we'll find out what we're going to do come Tuesday when we speak with your representative. I do wanna thank you for all of the videos. I'm still trying to figure out if they helped me or confused me more though. LOL All kidding aside I have learned more than I ever thought I needed to. It's just keeping it all in order and all of the ins and outs of the different plans.

[@MedigapSeminars]

It does sound like the Plan G is the right choice for your situation.

[@eleonorabartoli2225]

Thank you for your great videos: I would have never known about HDG, the agent did not mention it and when I asked about it, said it was bad. My premium is 42$.

[@danhilsdorf23]

It’s bad for his commission 😂

[@MedigapSeminars]

When he said "bad" he forgot to say "Bad for him". Commissions are based on a % of the premium. Most agents will not even discuss the high deductible plan because they want a higher commission per sale.

[@eleonorabartoli2225]

@ Yes, very dishonest, and especially because I specifically told her that I wished there was something like a high deductible plan, so I could afford the premium... Well, she lost a client...

[@lizp5098]

I live in Minnesota and both my husband and I have a Plan F HD Medigap plan. It has worked great for us so far as we haven’t even come close to the deductible max. Also, our plan is with BCBS and since we joined we get 4 months of premiums returned to us the next year due to a regulation regarding the amount they reimbursed us having to be over a certain percentage. Not sure if that is just a MN thing. Thanks for making these videos to keep us informed.

[@bonniehonchell9963]

Sadly, no one tells you that when you reach a certain age & have worked hard, done everything right, that you're supposed to be punished. I still don't see the benefits of the Hi deductible plans that don't pay for particular drugs, nor deliver them. Or, no 120 day supply. That's one of my top of list priorities. I was almost homeless because of my hsb's care. Nursing Home, meds, hospital stays. I got him on Medi-Medi. So, that load has saved me for now. Of course I will lose no matter what. We had bought a Long Term Care Insurance (just in case). It was good until I was paying the Nursing Home more than the LTC was. Punishment again. When he passes, I will lose my home paying Medicaid back. Punishment again. I just shake my head.

[@MedigapSeminars]

Bonnie - no Medicare supplement or Medicare Advantage Plan has the prescription drug benefit you describe. That is the realm of Part D. Some Advantage plans have a Part D plan bundled with them, but it is still seperate coverage with seperate costs, deductibles and out of pocket max. With a supplement, you can get any Part D plan avaiable to you and have all that coverage.

[@micheleyoungblood]

I think you need to speak with someone understanding your rights to your owner occupied home. From what I've heard, as long as the spouse lives, they can live in their home without the need to repay Medicaid.

[@mf-xo7sv]

One thing about HD plans is. You have to pay the bills,up until the max OOP. Fine when 65 gets more difficult as you get older. Plus hosp billing is a big mess,3 years ago they put me into collection for a $30 bill they never sent.

[@MedigapSeminars]

G-HD is certainly not for everyone.

[@Guest-at-the-Asylum]

Hi Matthew, here's a subject I haven't heard covered. I'm in California and was enrolled in Medicare with a Medigap plan in January 2024. I was then placed on Medi-Cal based on my income. I continued paying my medigap premiums until November 2024 when I learned that there was no need for a medigap plan as Medi-Cal essentially takes its place. This cost me nearly $1500 for a medigap plan I didn't need. Have you ever run into this situation?

[@MedigapSeminars]

Yes, I have seen this before. Especially in California. MediCal is Medicaid. You cannot have a supplement and Medicaid at the same time.

[@Dadinator273]

Do any Excess Charges incurred count toward the $2,870 maximum out-of-pocket?

[@gingermolina8356]

Can you help someone in Missouri?

[@MedigapSeminars]

Yes, of course. medigapseminars.org/request-a-quote/

[@laurac56]

Not on Medicare yet (A only). My husband and I live in NY. I figure Advantage or HD-G will be our only options. My husband uses ostomy supplies that we pay a part of with employer insurance now. Will those go toward the yearly MOP for HD-G? I understand that Part B pays toward them, not part D.

[@MedigapSeminars]

If it is covered by Part B it will be included in your Medigap deductible.

[@danhilsdorf23]

Fellow NY resident…….Part B pays 80% after your Part B deductible. Part B deductible counts toward your $2870 Plan G HD deductible. It takes about $14K of Medicare Approved expenses (where you’re paying 20%) to meet the deductible. The hardest part for me is establishing the Medicare Approved Amounts for insulin pump supplies and CGM. Anyone can tell me I’ll pay 20% but no one yet knows 20% of what 🤦‍♂️ I ran numbers using my current plan, and come out about $50 more for the HD plan G if I get close. Starting March 1, I’ll do HD for 2025 because in NY I can change SUPPLEMENTAL plans anytime without underwriting.

[@laurac56]

@ Thank you so much!

[@Dadinator273]

For the high-deductible plans, is the international emergency medical coverage totally separate from the Plan’s $2,870 maximum out-of-pocket? In other words, do you have to pay international emergency medical costs out-of-pocket until you reach the Plan’s $2,870 maximum out-of-pocket?

[@lilshaz8378]

If you could afford Plans N or G but elect a high deductible plan to save money, wouldn’t it be wise to take the difference and invest it somewhere earning money? That way should a major event occurs you have the ready cash.

[@MedigapSeminars]

It would be wise to have a savings account dedicated to healthcare costs. Unfortunatly, interests rates are lower than the inflation rate.

[@RG-hf4et]

When are you going to tell us the company you picked?

[@MedigapSeminars]

Probably in January

[@johnhigbie3011]

Mathew, I am a client of your agency, and I usually easily follow your presentations. This one lost me in the last few minutes. It seemed like all of a sudden you went from 30 MPH to 90 MPH. I suggest more visual aids or something - just talking about the subject is not nearly as effective. If no visual aids, then slow down, way down.

[@MedigapSeminars]

@@johnhigbie3011 I do think more visual aids would’ve helped. Thank you.

[@kellymitchell617]

I am so confused. I’m 60 years old and just started in disability and will be on Medicare starting February 1st. I will be on plan G with anthem blue cross. It will cost me about $470. + $245. A month And my part D is around $57. I was told that I will have a $240. Deductible then I won’t have to pay anything including doctors visits, bloodwork etc. I am living in NH but all my doctors are in Ma. I’m confused about what a high deductible means

[@MedigapSeminars]

Plan G has two options, the regular version and the high deductible option. You are paying for the full version. you are paying $5,640 / year! Plus the Part B deductible. That is insane. Let us see if a G-HD will save you money: medigapseminars.org/request-a-quote/

[@SGary-ow8kj]

Wow, I’m 61, on SSDI, and my plan G premium would be $1700. My hi-G plan will be $505.

[@MedigapSeminars]

@ insurance companies don’t want under 65 business. So unless a state has a law otherwise they price under 65 plans to unreasonable levels. Fortunately, when you turn 65 you have a new initial enrollment. But we advise when your high deductible plan is as much as you stated that a Medicare advantage plan would be better until you turn 65. 800-847-9680

[@midasgoldmail]

Please correct me if I'm wrong about this. In the rare circumstance that someone on G-HD reaches the $2,870 maximum with their Part A deductible, and with none or only part of their Part B deductible... Then would they still owe whatever remains of their Part B deductible (in other words up to $257 more than $2,870) before Part B starts paying 80%?

[@ChrisSadowski-pp1np]

@@midasgoldmail correct

[@MedigapSeminars]

The $2, 870 is your maximum out of pocket regardless of how it is earned. Good question though. Technically, what would happen is you end up paying the Part B deductible and previous Part A charges are rebilled and reversed.

[@ChrisSadowski-pp1np]

@MedigapSeminars I thought your total cost was what you paid in premiums plus the 2870 plus the part B deductible if the limit was hit with part A expenses first?

[@MedigapSeminars]

@@ChrisSadowski-pp1np Premiums are not part of the equation. Max out-of-pocket refers to medial bills for Medicare expenses.

[@ChrisSadowski-pp1np]

@MedigapSeminars that's true but I'm talking about total cost to the consumer. Isn't the worst case situation is 2870 plus Part B deductible if the limit is first reached with Part A expenses first? You are liable for that Part B deductible no matter what.

[@patriciafailor7894]

The rep talks too fast for me to comprehend what he is saying.

[@MedigapSeminars]

My apologies

[@TheLookingOne]

Hey MS, You said the amount you pay for Part B premiums is credited toward the High G yearly deductible Does this mean that with High G, your annual MOOP amount is actually $2870 MINUS ~$2100 (12 x $174.70) ? If so, is your annual MOOP is actually ~$770 ? If not, how are Part B premiums credited to the High G deductible?

[@MedigapSeminars]

NO - What you pay toward Medicare medical bills is credited to your deductible. no where is this video does it say what you pay for Medicare premiums is credited toward your deductible.

[@TheLookingOne]

@@MedigapSeminars Ah. Thank you.