Excess charges depend on the state you are in as well I believe. RI and Massachusetts do not allow excess charges I was told. Thank you for your review of these two plans! My husband took G and I will take N! Nice to have a choice.
I have plan N, & I big reason I choose plan N is because I was informed Part B excess charges were not allowed in my home state of New York. I was surprised that New York, as well as a number of other states, are exempt from excess charges wasn't mentioned in the video, otherwise, great job.
@@sidwalker4194 in hindsight I should have mentioned that here. I do talk more about those states in my video about Excess Charges as well as my other Plan N videos!
@@AbtInsuranceAgency While it is tempting to think that the effect of disallowing excess charges would be to save patients money, I wonder whether it means in practice that fewer doctors accept Medicare.
@@sidwalker4194 This is true about NY, therefore this makes choosing plan N a no brainer..... Having said that the monthly charges however in NY are considerably more than in most other states.
I’m on Social Security and Medicare. The thing that happens is yes we got a three point whatever percent increase last year but my Medicare part B payment also went up by $60 a month more than my cola so I actually took a $60 a month cut. I literally made best decisions when i started working with an advisor
Totally agree. A good financial adviser is a game-changer. My portfolio is balanced for all market conditions, and it has returned 120% since early last year. My adviser and I are now working toward hitting a seven-figure goal, which could take another year.
My CFA Julianne Iwersen Niemann, a renowned figure in her line of work. I recommend researching her credentials further. She has many years of experience and is a valuable resource for anyone looking to navigate the financial market.
I hear you; it's tough when COLA increases barely keep up with rising costs, and with Medicare premiums possibly going up again, it could feel even tighter this year. Having an advisor on your side is a great call-they can help you navigate these changes and make the most of what you’re getting. Here’s hoping for some better adjustments soon!
Since I don't have to see the doctor all of the time, only once a year for my Medicare Wellness Visit I will be checking into Plan N because Plan G is getting too expensive for me. You did such a thorough job of explaining everything that even a lay person can understand and showing us a chart comparing Plans. I learned a lot.
This professional woman is very well versed in Medicare and presents the information in an understandable manner which is no easy feat! If I didn't already have my Medicare needs met through my former employer Ms Abt is the person I would be calling to assist me in making the right choice for me.
@@AbtInsuranceAgency You're welcome, I am simply a mirror reflecting that which is there, thank you for helping all of the people that need it, a win win !
WOW !! I just turned 65 and I signed up for a Medicare advantage plan with RX, but holy moly they made you pay co-pays, therapy co charges, uugghh. Luckily, I'm within the window to change plans without being penalized. So I found the Medicare plan G, from BCBS and I think this is just right for me. Thank you so much for this video, kudo's 2 U !!
Depending on what state you're in, there will be a pretty significant price difference that you will pay monthly for Plan G. I chose N because even If you pay office visit of $20 a month, that's only ~$240 for the year opposed to a possible $800 - $1k a year paying for the pricier G plan.
Finally! Someone who articulates the benefits of Plans G & N in an straight forward and understandable manner. Thank you for your honesty. I was under the impression that Plan G was my best option, but I am now seriously considering enrolling into Plan N. What is the earliest I can begin the enrollment process before my 65th birthday?
I’ve been watching a number of videos trying to understand the difference between plan G and N and have been shaking my head and shutting off the videos. They go round and round and digress forever. THANK YOU! Your explanation was straightforward and easy to understand! I know what I need to make a decision!!! Thank you!!!
One of the better explanations of the difference. I noticed several agents here push Plan G very heavily. My wife and I see a doctor twice a year, so co-pays don't bother us. We would have to have three doctor appointments a month to make up the difference in plan prices. Good job.
Don't the brokers make more money on the more expensive plans? Of course they do. That is why they are all pushing plan G. This nice person on the video is honest. It's appreciated.
I always enjoy listening to your explanations of this confusing insurance. Since the day I 1st went on Medicare 4 years ago you have consistently steered me in the correct direction. I thank you SO much for that! Stay blessed!
Plan N for me. I live in OH where excess charges are not allowed. Since I only see the doctor a few times a year the savings in monthly premium exceeds any co-pay by far.
we thought we would go to the plan N plan as well then both my husband and i were recently diagnosed with different cancers and then i needed PT for other issues. glad we stayed with plan G. we couldn't have made the copays.
Thank you Stephanie. That was very good information. I hope the listeners will stay to the end of your video. Because the most important cost information is at the end. Case in point, my supplemental premium jumped up 50% from one year to the next. Talk about sticker shock. Fortunately I was healthy enough to pass underwriting and switched to a better company. I think this is not the case for many subscribers. Bottom line: don’t get tricked by the “lowest” first year cost! It may turn into the highest cost within a few years.
Very well presented. I researched the plans carefully for a year before I started medicare, and I chose plan G for a year. After more consideration, I changed to plan N and have remained there with my wife ever since.
Thanks so much for making it so clear! I signed up through you a few years back and I felt you were honest out of the gate. Watching this video makes me feel I made the right choice. Plan N is where I am at these days.
My plan G has gone up 20% per year each year for the last 5. With todays economy being so poor, affordability is becoming an issue, however my medical need as I age will keep me on the plan as the co pays will erase any savings I might enjoy. Thanks for this video as I did not know to check until you presented this information. Owe you one.
Been awhile (about a year) since I’ve joined Medicare, having used your agency to help me make my decisions. And with annual enrollment underway I happen to watch your recent comparison of Plans G and N. Couple of thoughts…first, you’ve become much more comfortable in front of the camera from a year ago. And second, I found the content you shared comparing Plan G and N very helpful. I may reconsider 12:19 my enrollment in Plan G based on the information you shared and will be calling your office Monday!
Plan N for me here in NC. Excess charges not a concern here. Premium substantially lower than plan G. Plan G is now the guaranteed issue policy. That will most likely keep plan G premium rates rising more than plan N in the future.
Thank you for clarifying so many confusing points! My husband will be enrolling for 1st time in a few months (turning 65). We're looking at Plan G High Deductible and comparing to Plan N. The monthly premium is less. What are we not seeing that we should consider? Thank you so much for very clear communication!
You may be stuck with Plan G in later years if you do not qualify with underwriting for plan N and plan G cost's will increase more having people with serious illnesses that are stuck there with you.
I would pick plan N. As I rarely see a Dr. When I’m ready to sign up. I’m definitely calling your agency. I’ve gone to several of those free dinners where the presenters are pushing a certain product. You definitely make things more understandable.
Maybe the GI (guaranteed issue) benefit should be a line on this chart. The presentation is excellent except for minimizing this as an issue. Just because you have no preexisting conditions now does not mean that you will never have any. At 65 I was fit with few medical visits and no prescription drugs. Two years later I have had melanoma and a heart diagnosis. Thankfully I have Plan G.
So.... The only difference between G & N plans is a max $20 deductible for an office visit.... The Excess charge is rare, so not a real concern. AND ... Plan G Risk of higher Principle cost raises is signifiicantly higher than than Plan N.... Did I get this right?
Note that with California's "Birthday Rule", for a 60-day period each year, if you already have a Medigap plan, you change to another plan from any company, but are only guaranteed to be able to change to one that has the same or fewer benefits than your current plan, and so if you have plan N, you may not be able to later switch to plan G, whereas you can always switch from G to N, if desired, during your annual 60-day birthday window.
@abtinsurance When initially signing up for a supplement plan can I choose any carrier and then switch to another carriers plan using the Ca Birthday rule?
@@brendareed5050 California: You have 60 days from the first day of your birth month to change to another Medigap plan with the same level or a lower level of benefits. You can also change insurance carriers during this time.
@@brendareed5050 California: You have 60 days from the first day of your birth month to change to another Medigap plan with the same level or a lower level of benefits. You can also change insurance carriers during this time.
Hi Stephanie, Your video is the clearest visual explanation that I have seen! Thank you for your expertise on Medicare! I've been looking at broker videos and have seen: 1) State of Wisconsin plans are different in that a Medicare recipient can purchase which parts of the Plan G they would like. How are these plans for rate increases over time? 2) United Healthcare Plan G with AARP, and UHC without AARP; could you explain the difference between the two plans? 3) It also stated that for Wisconsin, there is ALWAYS a co pay of up to $20 for an MD and $50 for ER that is waived upon hospital admission. Could you please comment on this or do you have another video for Wisconsin Medicare? 4) For something similar would the recipient pay all three; deductible, co-pay, & the monthly premium amount ? 5) Since Wisconsin is not exactly Plan G or Plan N, how does that affect the Guarantee of Rights?
Just curious: For Plan N, do I have to pay a Copay for a yearly “Wellness” visit and many other Medicare covered preventive services(like colorectal cancer screenings and mammograms)? Thank you very much for the quick answers to my previous question!! You are the Best!!
@@CVenza Study the standardized chart of Medigap policies Venza. The ONLY differences between G and N are no excess charges with G and up to a $20 practitioner visit copay with N.
I have a HD plan F that is very affordable. (It's now HD plan G) My husband has plan G as he's a cancer patient. It's good to know that we are not limited to a network and don't need referrals.
@@Slo-ryde My deductible is currently $2700/year. Medicare Part B still picks up the first 80% of my costs. I'm responsible for the remaining 20% until I reach the deductible. I pay $59/mo for the premium, plus a small amount for a Part D Rx plan. In my state, I've even been getting a $200 premium reimbursement from Blue Cross each year, because they don't have as many people on this plan and not so many claims as the regular Plan G, which has higher premiums but no deductible.
Cancer is a common illness. Would there be any co-pays for chemotherapy for a patient on plan N?? Just wondered since its not a doctor visit as explained in the video. Thanks for the videos!!!
Great question! The Plan N copays are for ER visits or doctors office visits - outpatient services like testing and treatments (chemo falls in this category) typically have NO copays.
If you live in Washington and are still healthly HD Plan G is the only way to go. $49 per month and you can switch to another medigap plan with no trouble, like regular Plan G at 4 times the premium which makes sense for a major medical issue. Less likely to get premium increases or at least much amaller ones with HG Plan G as well.
I liked your analysis of Plans G & N. However, for people in some states, Plan HDG can be their best option. I'd like to see a video that compares the Total Costs (Premiums + OOP) of all three of these plans, especially in states that have relatively higher G rates like FL or OR.
Good idea! However premiums + OOP will vary greatly from state to state, even county to county. In FL and OR HDG can be a great fit, while in others Plan N makes more sense, or Plan G. We help our clients with this in a way that is personalized for them. But a good concept for a future video, yes!
I'm in Texas on a Plan N. It should also be remembered that with the HD G plan, Medicare is still paying its 80% up-front, before you start paying down the deductible.
Right, and the 20% is of the Medicare-approved amount up to $20. I’ve heard it would take a long time to reach the high deductible by utilizing just co-insurance for doctor visits. However, if one was hospitalized, I think we’d need to pay the Part A deductible for the hospital stay. (I had made this specific point because the Part A deductible would be a lot larger than the coinsurance for doctor visits, but the Part A deductible is of course also applied to the high deductible unless the high deductible has already been met.)
@@dmulvany with HDG, it's just like only having Traditional Medicare Part A & B. You have to pay the Part A deductible, the Part B deductible and 20% copays until you have paid $2700 out of pocket.
My husband and I are on a Medicae Advantage plan utilizing MSA. It's worked great so far, but I could just kick myself for not researching all the options! With that said, we have been on MA for 2 years but are seriously considering G & N. How difficult is it to get approved with the underwriting? We consider ourselves in good health.
@theresemartin3625 We were informed that our MA plan that we have, will not be available/offered as of January 1. The independent agent stated that we ARE able to choose any supplemental plans without underwriting. What a blessing! And, we did choose plan G.
Yes people need to look at Plan G Plan N and HDG. Each states has prices all over the place. I chose HDG. Max OOP vs Plan G is only $466 difference in my state.
Thank you for the insights. I have a couple of questions for you, If I were to enroll in Medigap Plan N during my original enrollment, would I be able to each year during enrollment change Healthcare providers within Plan N? If so would this incur an underwrite event? Would I sometime down the road be able to change to Plan G? Assuming yearly enrollment including underwriting.
Yes and yes - underwriting is required to change Plan letters or to change to a new insurance company, unless you live in a state that has a special rule.
Glad to have found your videos and services! I turn 65 next year. Two questions. First, if a person begins Medicare at 65 with a Medigap plan with one company, if the person wants to stay with the same plan, but through a different company, would the person need to go through underwriting with the new company? Second, could you make a video explaining the differences and pros/cons of "attained age pricing," "community pricing," and "issue age pricing" - especially from the perspective of a new enrollee like myself? Thank you!
Hello! 1. Yes, in most states underwriting would apply in this scenario 2. I have a video that explains just that ! Here-ua-cam.com/video/txvHBbH2Nas/v-deo.htmlsi=bv2LZ9EXNt7VpInP
Plan G all the way. “N”o way to “N” Like people are going to check this N nonsense every time they go to a Dr. What I would like to know is which plan gives a higher commission to the agent? My guess is N. The insurance companies have done the math on it. Not being negative, just being realistic.
The open enrollment period of 6 months is critical. Advantage plans are an “Advantage” to insurance companies. They have done the math. G = Good, N = NOT GOOD. The reason the N plans have lower claims is because if coverage is “DENIED” , therefore no claim exists and does not count toward this nefarious statistic.
We have many doctor visits so G would probably be our choice. My wife is disabled, she had a treatment Medicare did not cover so we dropped Medicare in 2015. I regret we did not appeal the decision, big mistake. We are getting a second chance to get Medicare with no penalties through the new PSHB taking effect in 2025 with a SEP in April 2024. Out-of-pocket expenses have been running 7 to 8 thousand a year with BCBS Federal. Combining Medicare and BCBS Federal seems much better than Medigap but who can tell the future? I think my wife could still get Medigap under the SEP for Medicare. Any incite would be appreciated.
Most major Medicare insurance companies offer Plans G and N to folks 65+ in most states. Medicare Supplement plans are private insurance policies so they are not subsidized by the government. However, some low income folks may qualify for assistance in paying for Parts B or D of Medicare.
Thank you for the new information on these plans. Question for people that were in the military? How do these plans fit in with people that are military retirees and or those with VA benefits? Are these needed for the extra out of pocket annual expenses?
I have plan f love it , has covered 2 back surgeries hip replacement, 2 pacemakers cancer, dialysis most nolonger can get. But plan g is close .better than advantage plans
Thank you, Stephanie. Your videos have answered many of the questions I had regarding Medicare Supplements. Is it possible for you to comment on the average monthly premiums regarding Plan G vs Plan N? Just a ballpark would be fine. I need to get this figured out by next January. BTW, I love the way you handle yourself when the big "Advantage Plan" guys try to bully you. Go Stephanie!
In many parts of the country rates for a 65 year old are between $100-$150/month. Usually plan N is about $20-$40/month less than Plan G. This can vary though. Where do you live?
Thank you for providing such valuable information. Medicare is complicated but I get a better understanding by watching your videos. However, I am extremely confused as to how you manage to get more beautiful each year 😊
Thank you for making these videos! Question about the types of co-pays for Plan N. If, for example, I have a doctors appointment and they give me a prescription to have blood work done at a separate facility such as LabCorp, would that be two $20 co-pays? One for the Dr visit and one for LabCorp? Another example: mammogram appointment at the hospital, if they see something suspicious and want to do an ultrasound. Is that two more $20 copayments? If they want you to come back for an MRI or a needle biopsy how is that handled. In other words, is each procedure a separate co-pay? It would be great if there was a chart somewhere on the Medicare site that had every CPT code, and which ones trigger a co-pay for Plan N. Thank you for any guidance.
Thank you for the quick reply and clearing that up for me. I will be eligible for Medicare next year and I’m starting my research now.@@AbtInsuranceAgency
For Plan N, what about copays for diagnostic tests? For example, a comprehensive metabolic or lipids test has different diagnostic tests making up the whole test. Are each of those tests requiring separate $20.00 co pays? I tend to need alot of diagnostic testing to keep track of my test levels. Also, are those diagnostic tests covered only within a clinic with a person's preferred provider?
This was very interesting and clear; thank you! I am a little confused about my state's guarantee issue rights. I'm in WA state, and it has more flexible rights than are available at the federal level. On the state's website, under "when can i switch plans (medigap)", it states: "If you're already enrolled in a Medigap plan B through N, you can switch at any time to another Medigap plan B through N. If you have a Medigap plan A, you can switch to any other Medigap plan A. In either of these situations, you do not have to take a written health screening questionnaire." I am interpreting this to mean that I would have a guaranteed issue right to go from Plan N to Plan G, and vice versa. Did I interpret that correctly?
What states don't allow Medicare excess charges? The states that don't allow or limit excess charges are Connecticut, Massachusetts, Minnesota, New York, Ohio, Pennsylvania, Rhode Island, and Vermont.
This is the best video about Plan G and Plan N. After watched this video, I decide that I will buy Plan N. One question: If I ever move out of the state, can I keep the Plan N with current company? Thank you!
As I understand it... You need to contact abt or other broker to ensure your coverage when moving state to state... Different states have different Medicare laws and the carrier will bill accordingly....
@@AbtInsuranceAgency What I meant is the premium costs might change for the same plan...is that not true? And the insurer(even through a broker) needs to be notified of the move...right?
The data I showed her is national data showing that 4% of doctors in the US accept Medicare patients but are NOT Medicare participating providers. I don't have state specific data, but this info should help: www.kff.org/medicare/issue-brief/how-many-physicians-have-opted-out-of-the-medicare-program/
According to Google AI as of today: Minnesota, Massachusetts, New York, Ohio, Rhode Island, Pennsylvania, & New York. However, do your own research in case there are changes so you can be 100% satisfied in your own mind!!!! 😃
Stephanie, very good and clear explanation video presentation! My wife turned 65 last April and took a “G” Plan Supplement. Question, can she switch over to a “N” plan now without going through underwriting? Thank you!
@@commshopctr in FL medical underwriting will be required if she wants to change from a Plan G to a Plan N, if she has been on Medicare more than 6 months.
You can buy a separate dental and vision plan- what we’ve seen in our search is they range from $20 to $50. We have a dental school very close to our home and that might be an option if you have one near you.
Good video. What services are charged for up to $20? Can you please provide more details. You mentioned some video for that. Can you please share the link of the video.
Most diagnostic office visits will be subject to the copay. This explains more - www.cms.gov/Medicare/Health-Plans/Medigap/downloads/Plan_N_Guidance2.pdf
Hi there, we are in California, we choose Medicare Advantage from the beginning, what if few years later we want to change to traditional Medicare. Do we need to go through Medical underwriting or not? Thanks
With Plan F, the only difference is that it DOES cover the Part B deductible, and that benefit will never change. I'll be putting out another Medigap video soon! Thanks for watching!
I'm 65 and not planning to retire, yet! I also plan to not start drawing SS until I retire. I have health insurance. Do I need to sign up for Medicare & a supplement now or can I wait till I retire?
Excess charges depend on the state you are in as well I believe. RI and Massachusetts do not allow excess charges I was told. Thank you for your review of these two plans! My husband took G and I will take N! Nice to have a choice.
Yes! I talk all about the specifics of excess charges in this video as well -- ua-cam.com/video/Ac3s-AL93TQ/v-deo.htmlsi=nOMqRCpzD81ekgMU
I have plan N, & I big reason I choose plan N is because I was informed Part B excess charges were not allowed in my home state of New York. I was surprised that New York, as well as a number of other states, are exempt from excess charges wasn't mentioned in the video, otherwise, great job.
@@sidwalker4194 in hindsight I should have mentioned that here. I do talk more about those states in my video about Excess Charges as well as my other Plan N videos!
@@AbtInsuranceAgency While it is tempting to think that the effect of disallowing excess charges would be to save patients money, I wonder whether it means in practice that fewer doctors accept Medicare.
@@sidwalker4194 This is true about NY, therefore this makes choosing plan N a no brainer..... Having said that the monthly charges however in NY are considerably more than in most other states.
I’m on Social Security and Medicare. The thing that happens is yes we got a three point whatever percent increase last year but my Medicare part B payment also went up by $60 a month more than my cola so I actually took a $60 a month cut. I literally made best decisions when i started working with an advisor
Totally agree. A good financial adviser is a game-changer. My portfolio is balanced for all market conditions, and it has returned 120% since early last year. My adviser and I are now working toward hitting a seven-figure goal, which could take another year.
That sounds interesting! Could you share the details of your adviser? I'm urgently in need of one.
My CFA Julianne Iwersen Niemann, a renowned figure in her line of work. I recommend researching her credentials further. She has many years of experience and is a valuable resource for anyone looking to navigate the financial market.
I just looked her up, and her credentials are impressive! I've already reached out and scheduled a call for some guidance. Thank you!
I hear you; it's tough when COLA increases barely keep up with rising costs, and with Medicare premiums possibly going up again, it could feel even tighter this year. Having an advisor on your side is a great call-they can help you navigate these changes and make the most of what you’re getting. Here’s hoping for some better adjustments soon!
Since I don't have to see the doctor all of the time, only once a year for my Medicare Wellness Visit I will be checking into Plan N because Plan G is getting too expensive for me. You did such a thorough job of explaining everything that even a lay person can understand and showing us a chart comparing Plans. I learned a lot.
This professional woman is very well versed in Medicare and presents the information in an understandable manner which is no easy feat! If I didn't already have my Medicare needs met through my former employer Ms Abt is the person I would be calling to assist me in making the right choice for me.
Thank you so much!
@@AbtInsuranceAgency You're welcome, I am simply a mirror reflecting that which is there, thank you for helping all of the people that need it, a win win !
She has been very helpful for me for about 5 years 👍👍
WOW !!
I just turned 65 and I signed up for a Medicare advantage plan with RX, but holy moly they made you pay co-pays, therapy co charges, uugghh.
Luckily, I'm within the window to change plans without being penalized.
So I found the Medicare plan G, from BCBS and I think this is just right for me.
Thank you so much for this video, kudo's 2 U !!
Depending on what state you're in, there will be a pretty significant price difference that you will pay monthly for Plan G. I chose N because even If you pay office visit of $20 a month, that's only ~$240 for the year opposed to a possible $800 - $1k a year paying for the pricier G plan.
Great point!
Those with cancer or MI will pay a lot as they are frequently seen by Doctors. That does add up. All depends on one's health and mind.
Do you mean you will not pay the monthly premium in addition to the copays? I thought we had to.
I have a question on this I asked today!
Good day are you license in New York
Finally! Someone who articulates the benefits of Plans G & N in an straight forward and understandable manner. Thank you for your honesty. I was under the impression that Plan G was my best option, but I am now seriously considering enrolling into Plan N. What is the earliest I can begin the enrollment process before my 65th birthday?
Thank you! 😊
And you can usually enroll with us up to 6 months prior to turning 65!
I’ve been watching a number of videos trying to understand the difference between plan G and N and have been shaking my head and shutting off the videos. They go round and round and digress forever. THANK YOU! Your explanation was straightforward and easy to understand! I know what I need to make a decision!!! Thank you!!!
Amazing - I am so glad it was helpful! Call us anytime, we’d love to help - 888-465-9728
One of the better explanations of the difference. I noticed several agents here push Plan G very heavily. My wife and I see a doctor twice a year, so co-pays don't bother us. We would have to have three doctor appointments a month to make up the difference in plan prices. Good job.
Thank you! And yes, some brokers right here on UA-cam won’t even sell or discuss other options besides Plan G.
@AbtInsuranceAgency I have sle lupus I have medicare and united health care what are plans n and g for
Don't the brokers make more money on the more expensive plans? Of course they do. That is why they are all pushing plan G. This nice person on the video is honest. It's appreciated.
@@gianmatt1930 thank you! 🙂
I always enjoy listening to your explanations of this confusing insurance. Since the day I 1st went on Medicare 4 years ago you have consistently steered me in the correct direction. I thank you SO much for that! Stay blessed!
Thank you so much for this comment! 🙏
Thank you for explaining this. I have not heard anyone explain plan N coverage before
Excellent Video explaining the differences! Stephanie Thank you very much! 👍 I'll be calling you.
Plan N for me. I live in OH where excess charges are not allowed. Since I only see the doctor a few times a year the savings in monthly premium exceeds any co-pay by far.
Excellent choice. 🙂
we thought we would go to the plan N plan as well then both my husband and i were recently diagnosed with different cancers and then i needed PT for other issues. glad we stayed with plan G. we couldn't have made the copays.
Thank you Stephanie. That was very good information. I hope the listeners will stay to the end of your video. Because the most important cost information is at the end. Case in point, my supplemental premium jumped up 50% from one year to the next. Talk about sticker shock. Fortunately I was healthy enough to pass underwriting and switched to a better company. I think this is not the case for many subscribers. Bottom line: don’t get tricked by the “lowest” first year cost! It may turn into the highest cost within a few years.
So absolutely true!
Very well presented. I researched the plans carefully for a year before I started medicare, and I chose plan G for a year. After more consideration, I changed to plan N and have remained there with my wife ever since.
Wow!! You are so clear and concise. Medicare has always been so unnecessarily confusing and you made it so clear. Thank you sooo much!!
Thank you so much!
Thanks so much for making it so clear! I signed up through you a few years back and I felt you were honest out of the gate. Watching this video makes me feel I made the right choice. Plan N is where I am at these days.
I love to hear that Tom!😁
Thank you for the simplified explanation between Plan G and N, Stephanie. Will be calling you today.
Simply the best Advisors on Medicare.
My plan G has gone up 20% per year each year for the last 5. With todays economy being so poor, affordability is becoming an issue, however my medical need as I age will keep me on the plan as the co pays will erase any savings I might enjoy. Thanks for this video as I did not know to check until you presented this information. Owe you one.
Thank you for watching!
Very well-detailed , articulated and simplified.
Thank you!
Been awhile (about a year) since I’ve joined Medicare, having used your agency to help me make my decisions. And with annual enrollment underway I happen to watch your recent comparison of Plans G and N. Couple of thoughts…first, you’ve become much more comfortable in front of the camera from a year ago. And second, I found the content you shared comparing Plan G and N very helpful. I may reconsider
12:19 my enrollment in Plan G based on the information you shared and will be calling your office Monday!
Thank you for the comment, and we look forward to hearing from you!
Plan N for me here in NC. Excess charges not a concern here. Premium substantially lower than plan G. Plan G is now the guaranteed issue policy. That will most likely keep plan G premium rates rising more than plan N in the future.
Thank you for clarifying so many confusing points! My husband will be enrolling for 1st time in a few months (turning 65). We're looking at Plan G High Deductible and comparing to Plan N. The monthly premium is less. What are we not seeing that we should consider? Thank you so much for very clear communication!
A lot of it depends on your area, and your medical needs and health history. We would be happy to assist! Call us anytime- 888-465-9728
You may be stuck with Plan G in later years if you do not qualify with underwriting for plan N and plan G cost's will increase more having people with serious illnesses that are stuck there with you.
I would pick plan N. As I rarely see a Dr. When I’m ready to sign up. I’m definitely calling your agency. I’ve gone to several of those free dinners where the presenters are pushing a certain product. You definitely make things more understandable.
What a compliment- thanks and I look forward to hearing from you!
Maybe the GI (guaranteed issue) benefit should be a line on this chart. The presentation is excellent except for minimizing this as an issue. Just because you have no preexisting conditions now does not mean that you will never have any. At 65 I was fit with few medical visits and no prescription drugs. Two years later I have had melanoma and a heart diagnosis. Thankfully I have Plan G.
😊 Watch you every year Ms. Abt. love how clearly you explain these benefits
Wow, thank you!
Thank you. This was the best overview of G vs N I've found.
Thank you!
Thanks for the information Stephanie! As always "Spot On" Thanks for the help in the past.
You are so welcome!
So.... The only difference between G & N plans is a max $20 deductible for an office visit.... The Excess charge is rare, so not a real concern. AND ... Plan G Risk of higher Principle cost raises is signifiicantly higher than than Plan N.... Did I get this right?
@@colemant6845 yes, that summarizes it! 😀
Thank you... Does your agency carry a Plan N in SE MI... area code 48462 ?
Thanks Stephanie! Have a great week.
Same to you! 🙂
Thanks for the new video! I’m looking forward to seeing what other content you post. Always good to learn as much as possible!
Note that with California's "Birthday Rule", for a 60-day period each year, if you already have a Medigap plan, you change to another plan from any company, but are only guaranteed to be able to change to one that has the same or fewer benefits than your current plan, and so if you have plan N, you may not be able to later switch to plan G, whereas you can always switch from G to N, if desired, during your annual 60-day birthday window.
That’s correct!
@abtinsurance When initially signing up for a supplement plan can I choose any carrier and then switch to another carriers plan using the Ca Birthday rule?
Is it 30 days before and after the birthday? eg birthday is 4/16, so is the window 3/16 to 5/16? if not, what dates would it be? TY.
@@brendareed5050 California: You have 60 days from the first day of your birth month to change to another Medigap plan with the same level or a lower level of benefits. You can also change insurance carriers during this time.
@@brendareed5050 California: You have 60 days from the first day of your birth month to change to another Medigap plan with the same level or a lower level of benefits. You can also change insurance carriers during this time.
Great Video! Clearly explained information! Bravo!
Why thank you!
Thanks for your help in the past with my Medigap policy and sharing this information.
You are so welcome!
Thank you for an honest assessment!
Thank You. All of your videos are very enlightening.
You are very welcome!
Good stuff. I am now subscribed. I figure the more the merrier when it comes to learning these things.
Thank you!
Hi Stephanie, Your video is the clearest visual explanation that I have seen! Thank you for your expertise on Medicare! I've been looking at broker videos and have seen:
1) State of Wisconsin plans are different in that a Medicare recipient can purchase which parts of the Plan G they would like. How are these plans for rate increases over time?
2) United Healthcare Plan G with AARP, and UHC without AARP; could you explain the difference between the two plans?
3) It also stated that for Wisconsin, there is ALWAYS a co pay of up to $20 for an MD and $50 for ER that is waived upon hospital admission. Could you please comment on this or do you have another video for Wisconsin Medicare?
4) For something similar would the recipient pay all three; deductible, co-pay, & the monthly premium amount ?
5) Since Wisconsin is not exactly Plan G or Plan N, how does that affect the Guarantee of Rights?
Thank you so much for this wonderful information. It’s really eliminates a lot of my confusion😊
Well done! Thanks for the straight talk on a complex decision many of us have to deal with for medical insurance.
Just curious: For Plan N, do I have to pay a Copay for a yearly “Wellness” visit and many other Medicare covered preventive services(like colorectal cancer screenings and mammograms)? Thank you very much for the quick answers to my previous question!! You are the Best!!
No co-pays for routine preventative services!
@@AbtInsuranceAgency; Wait a minute; are you saying that N plan has wellness appointment mandatory? and G plan does not?
@@CVenza
Study the standardized chart of Medigap policies Venza. The ONLY differences between G and N are no excess charges with G and up to a $20 practitioner visit copay with N.
@AbtInsuranceAgency Thanks for all you do : )
I have a HD plan F that is very affordable. (It's now HD plan G) My husband has plan G as he's a cancer patient. It's good to know that we are not limited to a network and don't need referrals.
How much are you responsible for until HD plan G…. Starts covering the costs?
@@Slo-ryde My deductible is currently $2700/year. Medicare Part B still picks up the first 80% of my costs. I'm responsible for the remaining 20% until I reach the deductible. I pay $59/mo for the premium, plus a small amount for a Part D Rx plan. In my state, I've even been getting a $200 premium reimbursement from Blue Cross each year, because they don't have as many people on this plan and not so many claims as the regular Plan G, which has higher premiums but no deductible.
Very informative and well explained.
Glad it was helpful!
Cancer is a common illness. Would there be any co-pays for chemotherapy for a patient on plan N?? Just wondered since its not a doctor visit as explained in the video. Thanks for the videos!!!
Great question! The Plan N copays are for ER visits or doctors office visits - outpatient services like testing and treatments (chemo falls in this category) typically have NO copays.
@@AbtInsuranceAgencyin my medical clinic ( we have only this one around) they charge $20 for doctor who read test and make report
If you live in Washington and are still healthly HD Plan G is the only way to go. $49 per month and you can switch to another medigap plan with no trouble, like regular Plan G at 4 times the premium which makes sense for a major medical issue. Less likely to get premium increases or at least much amaller ones with HG Plan G as well.
So, which plan would be the lowest long term out of pockets costs for Disabled older women on SSDI wirh multiple health issues in MI?
Reach out to us and we can assist! stephanie@abtinsuranceagency.com
I liked your analysis of Plans G & N. However, for people in some states, Plan HDG can be their best option. I'd like to see a video that compares the Total Costs (Premiums + OOP) of all three of these plans, especially in states that have relatively higher G rates like FL or OR.
Good idea! However premiums + OOP will vary greatly from state to state, even county to county. In FL and OR HDG can be a great fit, while in others Plan N makes more sense, or Plan G. We help our clients with this in a way that is personalized for them. But a good concept for a future video, yes!
I'm in Texas on a Plan N. It should also be remembered that with the HD G plan, Medicare is still paying its 80% up-front, before you start paying down the deductible.
Right, and the 20% is of the Medicare-approved amount up to $20. I’ve heard it would take a long time to reach the high deductible by utilizing just co-insurance for doctor visits. However, if one was hospitalized, I think we’d need to pay the Part A deductible for the hospital stay.
(I had made this specific point because the Part A deductible would be a lot larger than the coinsurance for doctor visits, but the Part A deductible is of course also applied to the high deductible unless the high deductible has already been met.)
@@dmulvany with HDG, it's just like only having Traditional Medicare Part A & B. You have to pay the Part A deductible, the Part B deductible and 20% copays until you have paid $2700 out of pocket.
@@dennislaplant95 that’s correct!
Thank you for presenting this so clearly! I’ve been confused by this whole Medicare thing and I have a masters degree!
They certainly don't make it simple! ☺
My husband and I are on a Medicae Advantage plan utilizing MSA. It's worked great so far, but I could just kick myself for not researching all the options! With that said, we have been on MA for 2 years but are seriously considering G & N. How difficult is it to get approved with the underwriting? We consider ourselves in good health.
Email me at stephanie@abtinsuranceagency.com and I can send you a sample of the health questions!
It also depends on your state. Indiana does not allow switching to reg Medicare from MA if you’ve been on MA for over a year.
@theresemartin3625 We were informed that our MA plan that we have, will not be available/offered as of January 1. The independent agent stated that we ARE able to choose any supplemental plans without underwriting. What a blessing! And, we did choose plan G.
Yes, that is one example of a Guaranteed Issue Right situation! @@immasher2139
Thank you for this clear explanation.
Thanks for the great info. I'm convinced plan N is what I want. Unfortunately, I live in Wisconsin. Can I get a plan with similar coverage?
Stephanie hope you've doing well? Yes on point of excess charge's the majority of those charging them are in the mental health areas.
I glad I found you ..your absolutely amazing
Why thank you!! I’m glad you’re here
VERY GOOD JOB THANKS LOL 🌹 👍 😃 💘....
Yes people need to look at Plan G Plan N and HDG. Each states has prices all over the place. I chose HDG. Max OOP vs Plan G is only $466 difference in my state.
Can't thank you enough. Great information
Thank you for the insights. I have a couple of questions for you, If I were to enroll in Medigap Plan N during my original enrollment, would I be able to each year during enrollment change Healthcare providers within Plan N? If so would this incur an underwrite event? Would I sometime down the road be able to change to Plan G? Assuming yearly enrollment including underwriting.
Yes and yes - underwriting is required to change Plan letters or to change to a new insurance company, unless you live in a state that has a special rule.
Also Very Few Drs charge Excess Charges - to be sure before going forward with care, all you have to do is ask.
Glad to have found your videos and services! I turn 65 next year. Two questions. First, if a person begins Medicare at 65 with a Medigap plan with one company, if the person wants to stay with the same plan, but through a different company, would the person need to go through underwriting with the new company? Second, could you make a video explaining the differences and pros/cons of "attained age pricing," "community pricing," and "issue age pricing" - especially from the perspective of a new enrollee like myself? Thank you!
I found some information about the second question, but I'd still appreciate your take on the differences. www.medicare.gov/costs-of-medigap-policies
Hello!
1. Yes, in most states underwriting would apply in this scenario
2. I have a video that explains just that ! Here-ua-cam.com/video/txvHBbH2Nas/v-deo.htmlsi=bv2LZ9EXNt7VpInP
@@AbtInsuranceAgency Thank you!
Plan G all the way. “N”o way to “N”
Like people are going to check this N nonsense every time they go to a Dr. What I would like to know is which plan gives a higher commission to the agent? My guess is N. The insurance companies have done the math on it. Not being negative, just being realistic.
The open enrollment period of 6 months is critical. Advantage plans are an “Advantage” to insurance companies. They have done the math. G = Good, N = NOT GOOD. The reason the N plans have lower claims is because if coverage is “DENIED” , therefore no claim exists and does not count toward this nefarious statistic.
Wonderful video! So helpful! Thank you❤
Plan N sounds best for my situation. I rarely go to the doctor and am on no major drugs.
Thank you so much for the excellent explanation!
Thanks for the great content. Your videos are spot on!
Thank you!
@@AbtInsuranceAgency My pleasure, indeed!
What are your thoughts on Plan N versus Plan G? Share below!
We have many doctor visits so G would probably be our choice. My wife is disabled, she had a treatment Medicare did not cover so we dropped Medicare in 2015. I regret we did not appeal the decision, big mistake. We are getting a second chance to get Medicare with no penalties through the new PSHB taking effect in 2025 with a SEP in April 2024. Out-of-pocket expenses have been running 7 to 8 thousand a year with BCBS Federal. Combining Medicare and BCBS Federal seems much better than Medigap but who can tell the future? I think my wife could still get Medigap under the SEP for Medicare. Any incite would be appreciated.
Very informative, thank you
Glad it was helpful!
Does everyone carry these medigap plans G &N. Also, is there to help pay for these medicare supplements plans
Most major Medicare insurance companies offer Plans G and N to folks 65+ in most states. Medicare Supplement plans are private insurance policies so they are not subsidized by the government. However, some low income folks may qualify for assistance in paying for Parts B or D of Medicare.
Thank you for the new information on these plans. Question for people that were in the military?
How do these plans fit in with people that are military retirees and or those with VA benefits? Are these needed for the extra out of pocket annual expenses?
I have plan f love it , has covered 2 back surgeries hip replacement, 2 pacemakers cancer, dialysis most nolonger can get. But plan g is close .better than advantage plans
Thank you, Stephanie. Your videos have answered many of the questions I had regarding Medicare Supplements. Is it possible for you to comment on the average monthly premiums regarding Plan G vs Plan N? Just a ballpark would be fine. I need to get this figured out by next January. BTW, I love the way you handle yourself when the big "Advantage Plan" guys try to bully you. Go Stephanie!
In many parts of the country rates for a 65 year old are between $100-$150/month. Usually plan N is about $20-$40/month less than Plan G. This can vary though. Where do you live?
@@AbtInsuranceAgency Arizona.
Some states do not allow excess charges like Ohio.
Have you done a vidio on which is the best part D carrier for someone with alot of different meds.
Yes! ua-cam.com/video/xf0aVQbgu3c/v-deo.htmlsi=-7GzTh6SvchBh7S_
@@AbtInsuranceAgency thank you
Very insightful, thk you!!!
Glad it was helpful!
Great coverage
Thank you for providing such valuable information. Medicare is complicated but I get a better understanding by watching your videos. However, I am extremely confused as to how you manage to get more beautiful each year 😊
😂 thank you!
Thank you for making these videos! Question about the types of co-pays for Plan N. If, for example, I have a doctors appointment and they give me a prescription to have blood work done at a separate facility such as LabCorp, would that be two $20 co-pays? One for the Dr visit and one for LabCorp? Another example: mammogram appointment at the hospital, if they see something suspicious and want to do an ultrasound. Is that two more $20 copayments? If they want you to come back for an MRI or a needle biopsy how is that handled. In other words, is each procedure a separate co-pay? It would be great if there was a chart somewhere on the Medicare site that had every CPT code, and which ones trigger a co-pay for Plan N. Thank you for any guidance.
Copays are for the office visits only, not subsequent outpatient testing.
Thank you for the quick reply and clearing that up for me. I will be eligible for Medicare next year and I’m starting my research now.@@AbtInsuranceAgency
For Plan N, what about copays for diagnostic tests? For example, a comprehensive metabolic or lipids test has different diagnostic tests making up the whole test. Are each of those tests requiring separate $20.00 co pays? I tend to need alot of diagnostic testing to keep track of my test levels. Also, are those diagnostic tests covered only within a clinic with a person's preferred provider?
The diagnostic test is for the office visit that is intended to diagnose or evaluate a condition. Not for testing.
Stephanie..can excess charges apply to say an anesthesiologist that you have no control over in a hospital setting?
I need one of these plans But also drug coverage so I enroll in plan G and plan D ?
Give us a call to help you determine which plan will be best for your needs!
This was very interesting and clear; thank you! I am a little confused about my state's guarantee issue rights. I'm in WA state, and it has more flexible rights than are available at the federal level. On the state's website, under "when can i switch plans (medigap)", it states: "If you're already enrolled in a Medigap plan B through N, you can switch at any time to another Medigap plan B through N. If you have a Medigap plan A, you can switch to any other Medigap plan A. In either of these situations, you do not have to take a written health screening questionnaire."
I am interpreting this to mean that I would have a guaranteed issue right to go from Plan N to Plan G, and vice versa. Did I interpret that correctly?
Yes, that’s correct!
Thank you!! @@AbtInsuranceAgency
This was a wonderful presentation. Are you familiar with NY plans?
Yes! Call us anytime. 888-465-9728
What states don't allow Medicare excess charges?
The states that don't allow or limit excess charges are Connecticut, Massachusetts, Minnesota, New York, Ohio, Pennsylvania, Rhode Island, and Vermont.
This is the best video about Plan G and Plan N. After watched this video, I decide that I will buy Plan N. One question: If I ever move out of the state, can I keep the Plan N with current company? Thank you!
Yes! And please call us anytime, we’re happy to help.
As I understand it... You need to contact abt or other broker to ensure your coverage when moving state to state... Different states have different Medicare laws and the carrier will bill accordingly....
@@steves3688 not when it comes to Medicare supplement plans - they travel with you and you do not need to change your plan if you move out of state.
@@AbtInsuranceAgency What I meant is the premium costs might change for the same plan...is that not true? And the insurer(even through a broker) needs to be notified of the move...right?
@@steves3688 Yes, correct
Does percent of non participating providers vary by state? If so, do you have that data?
The data I showed her is national data showing that 4% of doctors in the US accept Medicare patients but are NOT Medicare participating providers. I don't have state specific data, but this info should help: www.kff.org/medicare/issue-brief/how-many-physicians-have-opted-out-of-the-medicare-program/
excess charges are prohibited in Ohio. would be great to have a list of states where excess charges are prohibited.
According to Google AI as of today: Minnesota, Massachusetts, New York, Ohio, Rhode Island, Pennsylvania, & New York. However, do your own research in case there are changes so you can be 100% satisfied in your own mind!!!! 😃
You’re great!! Thank you!!
Can I get plan N still if I’ve been on my husbands group plan since I turned 65? I don’t have health issues at this time.
Then likely, yes! Please reach out to me at 888-465-9728 or email stephanie@abtinsuranceagency.com for more information on your situation!
Stephanie, very good and clear explanation video presentation! My wife turned 65 last April and took a “G” Plan Supplement. Question, can she switch over to a “N” plan now without going through underwriting? Thank you!
What state does she live in?
@@AbtInsuranceAgency Good morning… Florida, Thx!
@@commshopctr in FL medical underwriting will be required if she wants to change from a Plan G to a Plan N, if she has been on Medicare more than 6 months.
Very helpful video. Could you do a similar video comparing plans G and HDG?
Good idea!
Is there a supplemental plan that includes dental? Or does one have to go the advantage route to include dental?
You can buy a separate dental and vision plan- what we’ve seen in our search is they range from $20 to $50. We have a dental school very close to our home and that might be an option if you have one near you.
Humana offers a ‘HG’ supplemental plan.
Good video.
What services are charged for up to $20? Can you please provide more details. You mentioned some video for that. Can you please share the link of the video.
Most diagnostic office visits will be subject to the copay. This explains more - www.cms.gov/Medicare/Health-Plans/Medigap/downloads/Plan_N_Guidance2.pdf
I'm in NJ we have Dr. excess charges, how will I be protected by Plan N for these excess charges.Thanks
Plan N does not cover Excess Charges - plan G does.
You said we can sign up with your agency 6 months before our 65th birthday. But does it kick in on my birthday, or when I sign up?
The first day of your birth month!
Hi there, we are in California, we choose Medicare Advantage from the beginning, what if few years later we want to change to traditional Medicare. Do we need to go through Medical underwriting or not? Thanks
It depends. In California, the rules can be a bit different. Let us know if you need assistance! 888-465-9728
thanks very help full info
So glad to hear that!
interesting summary. I'm on a MA plan and want to understand when I should jump to a supplemental plan and how best to do that.
That’s exactly what we can help with! Call us anytime - 888-465-9728
Am I need to pay co-pay for blood tests or sono or mri if I choose plan N?
Copays are only for office and emergency room visits, not tests.
Do you have a more current comparison of Plan F and G and N. We have learned sooooo much from watching your videos
With Plan F, the only difference is that it DOES cover the Part B deductible, and that benefit will never change. I'll be putting out another Medigap video soon! Thanks for watching!
I'm 65 and not planning to retire, yet! I also plan to not start drawing SS until I retire. I have health insurance. Do I need to sign up for Medicare & a supplement now or can I wait till I retire?
As long as your employer has 20 + employees, you can delay Medicare until you retire without penalty.
@AbtInsuranceAgency yes ma'am, I work for a school system. Thank you so much