How Does Medigap Plan GHD Actually Work?

[@DavidBeede]

It's so good to see someone is giving an accurate overview of Plan GHD. My wife and I have been on it in Florida and have saved over $4000 in two years. I ran the numbers and since our premiums are around $50 and Plan G around $200 even in a maxed out year the "risk" amounts to us paying an extra $40 or $50 for that year. I know those lower premiums mean less in your pocket Keith, so kudos to you for prioritizing the best interest of your clients. I liked and subscribed!

[@kim.in.nature.]

Thank you! I am 63.5 and doing research on this ridiculously difficult and overwhelming, mandatory insurance. I am healthy and avoid the Dr as much as I can. G HD is a no brainer for me. That solves this research project! Phew!

[@bobm5242]

Every person shopping for a supplemental medigap plan in New York, Connecticut & Washington needs to watch this video!!

[@MedicareonVideo]

Thank you for your comment! We're glad you found the video helpful, especially for those searching for a supplemental medigap plan in New York, Connecticut, and Washington. We strive to provide valuable information about Medicare choices and appreciate your support in recommending our channel. Make sure to subscribe and activate the notification bell to stay updated on our future videos. Feel free to reach out if you have any further questions or need assistance with Medicare decisions. #MedicareonVideo

[@robertmiller2872]

Keith, excellent video covering HD G plans. Not many agents even mention HD G because of the much lower commission. That's why I chose your organization with the help of Henri to enroll me in a plan N ( good price in PA). I must say that HD G plan is a sensible option in the states you mention and for people in reasonably good health and Plan G is $150 or more. Also, their's a lot of sick people in Plan G so expect your premium increases to be 8 to 12 percent per year versus 3 to 6 for Plan HD G or Plan N . And the killer is the compounding effect over the years of that premium.

[@kennethwest2973]

From what i found through my research is on ghd the part b deductible of 226 dollars does count towards your ghd 2700 dollar out of pocket maximum.

[@brooksboyd1959]

You are correct…

[@m.a.dasilva1583]

Thank you Henri and Keith for leading me in the right direction! It only took 2 dozen videos from various authors to realize not only did I need a knowledge partner in helping me choose the right plan but I also wanted someone who was in the same state that I was and understood what I needed. Plan GHD is the one for me! Thanks so much guys we'll talk again I'm sure in the future👍

[@miguelberrios19]

"Getting hit by a bus does seems to be what it seems", very painful if you survive! But in all honesty, it seems like a no brainer for just about anyone. Although I can get plan N here in Texas for under $90, I chose HDG for under $40. 👌

[@Retiredmco]

Keith excellent 👍 breakdown of HDG!! When it's my time to get on Medicare I'll be most likely getting HDG.

[@cindkmac]

Henri is so helpful and all the team working hard for us. In the world we live in today, it’s a big blessing to have them always giving best customer service

[@peterhunt135]

Thanks again! I'm paying $320 per month for plan G. This is the only channel anyone should watch for medicare information.

[@MedicareonVideo]

Thanks Peter! Hopefully we can save you some money on your Plan G!

[@johnbeeck2540]

If you elect for the high deductible this year can you change it back to a low deductible plan the following year or must you go through medical underwriting?

[@suzieque5187]

I have same question

[@barreloffun10]

In most states you must pass medical underwriting.

[@randolphh8005]

We figured this out for my wife, and she is on 2nd year of HDG. So far so good. Premium savings are about $130/mo=$1560. So net out of pocket is $2700-1560=$1140 compared to regular G. If healthy this is great.

[@bernardberry3824]

"The Part B deductible is included within the High Deductible plan’s deductible. Therefore, the enrollee would pay the first $226, then Medicare will pay 80% of Part B services, and the enrollee would pay the 20% until the remaining deductible amount is satisfied. However, there is one rare situation. If an enrollee satisfies the $2,700 deductible using only Part A services, they would still pay the $226 in full in addition to the $2,700 deductible. Medicare Part B would not pay their 80% cost-sharing until the $226 is satisfied." I read this from another site. Is this correct?

[@dennislaplant95]

That's exactly what I have found out in my research. Keith can you please verify this?

[@BangNguyen-ux4ie]

So basically GHD is like just having Original Medicare Parts A&B, but with a Maximum Out of Pocket ceiling capped at $2700 a year in case you have a bad year that needs hospitalization. Otherwise in the good years, you'd just pay a low monthly premium.

[@MedicareonVideo]

Yes! It gives a stop to out of pocket cost.

[@kingnole7540]

Keith, please give your subscribers an updated video on the best supplement plan in Florida.

[@RC206]

To my knowledge, according to the Washington State Insurance Commission's list/pdf of approved Medigap policies, there's only ONE Medigap policy that has a guaranteed issue (doesn't require a health screening) policy. It's by the Health Care Authority through Blue Cross or Blue Shield (I can't remember which one it is off the top of my head). If a Washington State resident is rejected by an insurer for a Medigap policy, they can get a Supplement Medicare Policy through WSHIP (Washington State Health Insurance Pool). If someone has a doctor that they receive regular care from (within 12 months) that isn't part of a private Medicare Advantage Plan, then they can sign up for WSHIP's "Medical Supplement Plan" and not have to sign up for a Medicare Advantage Plan. The great thing about the WSHIP plan is that it also covers medically necessary things that Medicare doesn't cover on an 80% 20% split, like regular private insurance does. That opens the door to see other doctors that don't take Medicare. It's great coverage for anyone exceptionally medically needy.

[@MedicareonVideo]

Thank you for sharing your knowledge about Medigap policies in Washington State! It's good to know that there is a guaranteed issue Medigap policy offered by the Health Care Authority through Blue Cross or Blue Shield. And it's great that Washington State residents have another option through WSHIP if they are rejected by an insurer. The WSHIP plan sounds like it provides comprehensive coverage, especially for those who have specific medical needs and want the flexibility to see doctors who don't accept Medicare. It's important to explore all available options when it comes to Medicare choices, and your comment provides valuable information. Thank you for adding to the discussion!

[@larryhartman6831]

Are you sure that a person who is on a high deductible plan G is required to pay a $240/year deductible in addition to a $2800/year deductible? Most other agents are not explaining it that way.

[@rubygreta1]

A no-brainer for a healthy person living in NY.

[@skydancerforever]

If you take the GHD plan with A & B what about drugs? Do you still take RX or D? I am in Michigan and will be going on Medicare May of 2025. I want to get a head start on all this.

[@MedicareonVideo]

Medicare Part D is always a separate plan from your supplement. You can typically get a Part D plan as low as $0 per month.

[@jeffs3627]

Since the Part A benefit period is 60 days, what would happen if you had say 3 hospital admissions during a calendar year with 3 months between them? Could you wind up owing more than $2700 out of pocket for the year or is the $2700 an absolute max oop no matter what?

[@MedicareonVideo]

$2700 max a year. 100% coverage after that.

[@zigmondlockman2491]

I was on my wifes work medical from her company which has over 20 employees on their plan. I thought she was quitting so I went on Medicare Plan B and then cancelled b/c she continued working. Can I go back to original plan B medicare with out any problems

[@MedicareonVideo]

Hi there! Thanks for watching our video on Medicare options. If you canceled your Medicare Plan B coverage because your wife continued working and you were still eligible for her employer's insurance plan, you may be able to go back to your original Medicare Plan B without any problems. However, it's always best to reach out to your local Social Security office or Medicare to verify specific details and ensure a smooth transition. They can provide you with personalized guidance based on your unique situation. Hope this helps! If you have any further questions, feel free to ask.

[@km-bo3zx]

I just had over $900 in blood work performed. Medicare approved amount was $83. That is where the huge savings is realized, when you have an insurance plan.

[@micheleyoungblood]

Why would medicare not cover blood work? That's frightening. What was the coding problem with the doctor and did you have them recoded it?

[@km-bo3zx]

@@micheleyoungblood You didn’t understand. The lab charged $900. Medicare paid the lab $83. The $83 was the agreed upon amount between Medicare and the lab. I paid nothing.

[@micheleyoungblood]

@@km-bo3zx oh thank you for clarifying that. I know they always overcharge and then the eligible charge is much lower, but I never thought it would be that different. I can get $1,200 worth of blood work and my insurance company decreases it down to an eligible charge of sround $360 or $400 typically. So I thought they said no to some of them. Good to know. I'm still learning and not on medicare yet but I know there are problems with preventative care in used to not being covered by medicare. Or you accidently talk about something with your doctor and a wellness visit changes and not covered etc. Seems more difficult along with a coder making errors which I already deal with all the time.

[@tomw7026]

Are colonoscopies, mamograms and routine bloodwork considered preventative and paid 100% no matter what supplement plan you have?

[@MedicareonVideo]

Medicare.gov will list what preventative services that Part B covers at 100%. It must be a preventive service, not diagnostic.

[@BangNguyen-ux4ie]

Does Plan GHD qualify for HSA? Thx

[@MedicareonVideo]

I would imagine they are older with a more expensive plan, like Plan F. If they are in good health, it would benefit them greatly to shop their plan.

[@garyrhode3755]

In the future can you review the benefits of Plan K and L mediigap insurance plans?

[@theeardrafter]

Bravo Sir ....Bless you

[@MedicareonVideo]

Thank you so much for your kind words! We truly appreciate your support and encouragement. Our mission is to help individuals like yourself make informed decisions about Medicare, so it means a lot to us to receive such positive feedback. If you have any questions or need assistance, please don't hesitate to reach out. Thank you for being a part of our community!

[@theeardrafter]

@@MedicareonVideo I am so interested in this earned benefit for seniors. I have been on original medicare and plan N for a couple of years now. and I just retired about 5 months ago. I've been doing research on Medicare.gov and informational videos. Learned so much and what to be careful of because of folks like you. I'm considering a move from NY to DE and I do wonder if the rule about Changing supplemental plans anytime I want would still apply in Delaware?

[@dalie95327]

Does the premium hdg go up every year

[@MedicareonVideo]

Almost all Medigap premiums will go up as you age, but GHD typically has very low increases thanks to the deductible

[@brooksboyd1959]

Yes, and so does the deductible

[@ambarpurohit8935]

very helpful sir

[@MedicareonVideo]

Happy to help!

[@snakesnarroz]

2:42 WRONG INFORMATION! high deductible plan G DOES count your payment of the Medicare Part B deductible toward meeting the plan deductible.

[@MedicareonVideo]

Thanks for sharing your feedback about the video! We appreciate your perspective and want to ensure accuracy in our content. We'll review the information provided and make any necessary corrections or clarifications. If you have any further questions or concerns, please let us know. Thank you for your engagement with our channel!

[@perugino25]

the downsize is how fast the deductible amount will be increased the next 15 or 20 years

[@tomm7505]

Keith, can that $2,700 deductible amount go up over time? What controls that, if anything?

[@randolphh8005]

COLA adjusted up every year

[@tomm7505]

@@randolphh8005 Thanks. I wasn't aware that it was tied to COLA. I'll stick with Plan N when I start Medicare in April '24.

[@randolphh8005]

@@tomm7505 a lot depends on what numbers look like in your County. Here in FL wife on HDG at $46 per month. She is healthy. The premiums for her plan have historically had minimal increases compared to regular G, so that counters some of the deductible increases. I only briefly looked into N, looks ok but hard to tell whether better. We were in healthcare, and at least for now healthy. In that scenario HDG is hard to beat as it is still $90/mo cheaper than N here, and N guarantees some out of pocket every year. Clearly we are playing the odds, but the downside risk is at most $1700 per year after the premium savings, and that would require a major health event. On average would expect one “major” health event every 5 years or less.