2025 Medicare Supplement Plan G High Deductible
2025 Medicare Part A Part A is Hospital Insurance for confinement in a hospital or skilled nursing facility per benefit period.
How Original Medicare works with a Medicare Supplement Plan
When you are Hospitalized* for: 1- 60 Days
Medicare Covers:
You Pay:
You Pay:
Most confinement costs after the required Medicare deductible All eligible expenses after patient pays a per-day co-payment All eligible expenses after patient pays a per-day co-payment (These are Lifetime Reserve Days that may never be used again)
$1,676 Applied toward deductible $419 A Day Co-payment as much as $12,570 $838 A Day Co-payment as much as $50,280 You Pay All Costs After 20 days $209.50 A Day Co-payment as much as $16,750
$0*
$0*
61- 90 Days
$0*
91- 150 Days
Nothing
365 Days or More *Skilled Nursing Confinement: Following an inpatient hospital stay of at least 3 days and enter a Medicare-approved skilled nursing facility within 30 days after hospital discharge and receive skilled nursing care Hospice Care: Must meet Medicare’s requirements, including a doctor’s certification of terminal illness Blood Must meet Medicare’s requirements, including a doctor’s certification of terminal illness
Plan provides 365 add’l days
All eligible expenses for the first 20 days; then all eligible expenses for days 21-100 after patient pays a per-day co-payment
First 20 Days: $0 21-100th Day: $0
101th Day and After:
All Costs
You may also pay: A copayment of up to $5 for each prescription drug and other similar products for pain relief and symptom control while you’re at home $0
Medicare Co-payment/Coinsurance
All but very limited co-payment/coinsurance for outpatient drugs and inpatient respite care
100% of approved amount after first 3 pints of blood
First 3 pints
First 3 Pints: $0 Additional Amounts: $0
* After $2,870 deductible you pay $0 This is not an up-front deductible. HDG option, you cover the Medicare out of pocket deductible and co-insurance until the total out-of-pocket of $2,870 is met, then the plan pays 100% of the covered services for the rest of the calender year.
Other Benefits not covered by Medicare Foreign Travel NOT COVERED BY MEDICARE Medically necessary emergency care services beginning during the first 60 days of each trip outside the USA.
Medicare Pays
Plan N Pays
You Pay
First $250 of each calendar year Remainder of changes
$0
$0
$250
80% to a lifetime maximum benefit of $50,000
20% and amounts over the $50,000 lifetime maximum
$0
*A benefit period begins on the first day you receive service as an inpatient and ends after you have been out of the hospital and have not received skilled care in any other facility for 60 days in a row.
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