Medigap Plan G: What Is a Medicare Supplement?
Many Medicare-eligible individuals find that even the most comprehensive of Medicare Advantage plans may not adequately cover their health care costs. Medicare supplement, or "Medigap", plans exist to give Medicare recipients the extra coverage they need. These types of supplement plans help with out-of-pocket costs that patients struggle with, such as coinsurances, copayments, and deductibles. Some requirements to qualify for a Medigap plan in New Jersey include:
- You must be enrolled in Medicare Part A or Part B.
- Medigap covers only one patient; if a spouse wants Medigap coverage, he or she must purchase their own policy.
- Medigap does not cover long-term care, vision, dental care, hearing aids, or private nursing.
- The private insurance company must be legally licensed in the state of New Jersey.
It is also important to remember that Medigap and Medicare Advantage plans are different and you can not be enrolled in both types of policies.
How Do I Select a Medicare Supplement Plan?
Medicare Supplement G covers all out of pocket expenses after an annual Medicare Part B deductible ($257 in 2025). When in doubt, it’s best to ask an insurance broker for advice.
Information About Medigap Supplement G
Medigap Plan G is the most comprehensive Medicare Supplement plan offered for individuals eligible for Medicare after 1/1/2020. Covered expenses include:
- Part A hospice coinsurance or copayment;
- Part A deductible;
- Part A hospital coinsurance after original benefits have been exhausted;
- Part B coinsurance or copayment;
- Part B preventative care coinsurance; and
- Part B excess charges (such as skilled nursing facility coverage and foreign travel insurance).