Medigap decision between plan G and G+

[shotgunner]

Quote:

Originally Posted by MBSC You are correct. It would need to be an extremely serious medical condition. It's $13,768 in Part B allowed amounts ($2940 - $233 Part B deductible=$2707/.20) excluding preventive and lab which are exempt from cost sharing. Allowed amounts are a fraction of the billed charges. Choose a company you are comfortable with and lets you sleep well. The premium difference between G/G+ is $1200 but the OOP difference is $2707 resulting in a $1507 worst case deficit. I missed that in the OP.

Thank you again. Another way to look at it. I would need to have more than $6000 in allowed charges before the G HD costs me more out of pocket ($1200/.20 = $6000) then the full G plan. Given what you said about allowed costs being a fraction of billed charges I do believe it would take an significant event to exceed that.

The United American plan has an even lower premium $44 a month ($18 less than the Humana I looked at) which changes things more in favor of the G HD. That medical annuity account is attractive if it is still offered. I will discuss this with my agent in the near future.

[MBSC]

Quote:

Originally Posted by shotgunner The G+ plan has an annual deductible of $2940 and then it would cover things the same as plan G.

It's been a rough year for all of us. Let's try this again. The G+ deductible is $2490. The OOP difference between G/G+ is $2257 ($2490-$233). The $1200 premium savings leaves a potential $1057 deficit.

Below is a post where Plan G paid $700 the whole year, which included two Mohs skin cancer surgeries. You would still be $500 to the good with your premium savings.

Quote:

Originally Posted by Happyras I live in Redmond WA....two Mohs cancer surgeries and cardio doc visits...My plan G this year only paid out $700 that Medicare did not, but my premiums were $1950/yr, so I did the math and risk and decided to go with the HD Premera Plan G for $564/yr.

[shotgunner]

Quote:

Originally Posted by MBSC It's been a rough year for all of us. Let's try this again. The G+ deductible is $2490. The OOP difference between G/G+ is $2257 ($2490-$233). The $1200 premium savings leaves a potential $1057 deficit. Below is a post where Plan G paid $700 the whole year, which included two Mohs skin cancer surgeries. You would still be $500 to the good with your premium savings.

I very much appreciate all your help in this matter. I believe you made a typo, The $1200 premium savings leaves a potential $1507 deficit.

My financial planner agrees with me that given my situation the plan G+ is the way I should go (lacking a crystal ball). So G+ it is.

[MBSC]

Quote:

Originally Posted by shotgunner I very much appreciate all your help in this matter. I believe you made a typo, The $1200 premium savings leaves a potential $1507 deficit.

$2490-$233-$1200=$1057.

The G+ deductible is $2490 (Two-FOUR-Nine-Zero).

Quote:

Effective January 1, 2022, the annual deductible amount for these three plans is $2,490. Source: https://www.cms.gov/Medicare/Health-Plans/Medigap/FandJ

[shotgunner]

Quote:

Originally Posted by MBSC $2490-$233-$1200=$1057. The G+ deductible is $2490 (Two-FOUR-Nine-Zero).

So I transposed two numbers but for once in a blue moon the correction is in my favor. Yay!

[teej1985]

I'm confused. Ya'll are talking about G + as if it's G HD. In CA, A "G Plus" or "G Extra" is just a G plan with additional benefits..

[shotgunner]

Quote:

Originally Posted by teej1985 I'm confused. Ya'll are talking about G + as if it's G HD. In CA, A "G Plus" or "G Extra" is just a G plan with additional benefits..

I don't know about other states but the NH Insurance Department classifies the high deductible Plan G as G+.

https://www.nh.gov/insurance/consume...-suppguide.pdf