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Here's how Plan G works alongside Original Medicare. This chart shows what Medicare pays, what your Medigap plan pays, and what you would owe out of pocket for Medicare-approved services.
Medigap Plan G Comparison
| Benefit Category | Medicare Pays | Plan G Pays | You Pay |
|---|---|---|---|
| Medicare Part A (Hospital Insurance) | |||
| Hospitalization - First 60 Days | All but $1,736 | $1,736 | $0 |
| Hospitalization - Days 61-90 | All but $434/day | $434/day | $0 |
| Hospitalization - Days 91-150 | All but $868/day | $868/day | $0 |
| Hospitalization - Beyond 150 Days | $0 | 100% for 365 days | $0 |
| Skilled Nursing Facility (Days 21-100) | All but $217/day | $217/day | $0 |
| Hospice Care | All but limited copays/coinsurance | 100% | $0 |
| Blood (First 3 Pints) | $0 | 100% | $0 |
| Medicare Part B (Medical Insurance) | |||
| Part B Deductible | $0 | $0 | $283 |
| Part B Coinsurance | 80% (after deductible) | 20% | $0 |
| Part B Excess Charges | $0 | 100% | $0 |
| Additional Benefits | |||
| Foreign Travel Emergency ($50,000 lifetime max) | $0 | 80% (after $250 deductible) | 20% + $250 deductible |
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Medicare Part A (Hospital Insurance)
Hospitalization - First 60 Days
Medicare PaysAll but $1,736
Plan G Pays$1,736
You Pay$0
Hospitalization - Days 61-90
Medicare PaysAll but $434/day
Plan G Pays$434/day
You Pay$0
Hospitalization - Days 91-150
Medicare PaysAll but $868/day
Plan G Pays$868/day
You Pay$0
Hospitalization - Beyond 150 Days
Medicare Pays$0
Plan G Pays100% for 365 days
You Pay$0
Skilled Nursing Facility (Days 21-100)
Medicare PaysAll but $217/day
Plan G Pays$217/day
You Pay$0
Hospice Care
Medicare PaysAll but limited copays/coinsurance
Plan G Pays100%
You Pay$0
Blood (First 3 Pints)
Medicare Pays$0
Plan G Pays100%
You Pay$0
Medicare Part B (Medical Insurance)
Part B Deductible
Medicare Pays$0
Plan G Pays$0
You Pay$283
Part B Coinsurance
Medicare Pays80% (after deductible)
Plan G Pays20%
You Pay$0
Part B Excess Charges
Medicare Pays$0
Plan G Pays100%
You Pay$0
Additional Benefits
Foreign Travel Emergency ($50,000 lifetime max)
Medicare Pays$0
Plan G Pays80% (after $250 deductible)
You Pay20% + $250 deductible
Side-by-Side Comparison
Compare Plan G's out-of-pocket costs directly against another plan.
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