by Russell Noga | Updated January 14th, 2024
Finding the best Medicare Plan G in North Carolina can be a daunting task, especially with the myriad of choices available.
With so many options and factors to consider, it is crucial to have a clear understanding of the plans and compare them to make an informed decision.
This article will provide you with valuable insights and comparisons to help you navigate the world of Medicare Plan G North Carolina and find the best fit for your needs.
Short Summary
- Understand Medicare Plan G in North Carolina and its comprehensive coverage for medical expenses.
- Compare premiums from top providers, such as Mutual of Omaha, Blue Cross Blue Shield of NC, Aetna & Humana to save money.
- Evaluate healthcare needs & seek professional guidance when selecting a suitable plan that fits within the budget.
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What is Medicare Plan G in North Carolina?
Medicare Plan G has become increasingly popular in North Carolina due to the unavailability of Plan F for new Medicare beneficiaries.
More than half of Medicare beneficiaries in the state opt for Original Medicare and may choose a Medicare supplement policy like Plan G.
In 2023, Plan G is projected to provide comprehensive coverage, covering most costs except for the Medicare Part B deductible.
As a result, it is considered one of the best Medicare supplement plans available for North Carolina residents seeking Medicare supplement insurance, making it a top choice among Medicare supplement plans.
The average monthly premium for Blue Cross Blue Shield of North Carolina’s Medigap Plan G, for instance, is $107.50.
Some North Carolina Medicare Supplement carriers also offer incentives, such as discounts on non-Medicare-covered dental or vision services, gym memberships, and more.
Coverage Offered by Plan G
Medicare Plan G in North Carolina provides coverage for a wide range of medical expenses, including:
- Part A coinsurance and hospital costs
- Part B coinsurance or copayment
- The first three pints of blood
- Part A hospice care coinsurance or copayment
- Skilled nursing facility care coinsurance
- Part A deductible
- Part B excess charges
- Foreign travel emergency care.
While Medicare Advantage plans may initially seem more economical, most North Carolina Medicare Advantage plans have out-of-pocket expenses equivalent to or greater than those of Original Medicare.
In contrast, Medigap plans like Plan G establish an out-of-pocket limit for Original Medicare, providing greater financial security.
However, it’s essential to carefully consider the benefits and drawbacks of each Medicare Advantage plan before making a decision.
Differences Between Plan G and Other Plans
Plan F and Plan G are the two most popular Medigap plans in North Carolina. The only distinction between these two comprehensive plans is that Plan F covers the Medicare Part B deductible and is only accessible to those who became eligible for Medicare before 2020.
In addition to Plan F, various other Medigap plans are available in North Carolina, such as:
- Plan A
- Plan B
- Plan C
- Plan D
- Plan K
- Plan L
- Plan M
Each plan offers different levels of coverage, so it is essential to compare the available options to determine the best fit for your healthcare needs.
Top Providers of Medicare Plan G in North Carolina
Several prominent insurance providers offer Medicare Plan G in North Carolina, including:
- Mutual of Omaha
- Blue Cross Blue Shield
- Aetna
- Humana
- Allstate
- Manhattan Life
- Cigna
These providers differ in terms of reputation, customer satisfaction, and additional benefits offered.
It is crucial to thoroughly research and compare these providers to select the one that best suits your unique needs and preferences.
Blue Cross Blue Shield of North Carolina
Blue Cross Blue Shield of North Carolina (BCBSNC) offers a Medicare Plan G policy with an average cost of $96 per month.
Their Plan G provides a fitness membership and foreign travel emergency care, making it an attractive option for active individuals and frequent travelers.
Additionally, BCBSNC offers Blue-to-Blue, a feature that allows you to switch Medicare plans without further medical exams and health inquiries.
This flexibility can be particularly beneficial for those with changing healthcare needs over time.
Mutual of Omaha
Mutual of Omaha, an insurance company, is another leading provider of Medicare Plan G in North Carolina, with their policies representing 5% of all Medigap policies sold in the state.
They offer household discounts ranging from 7% to 12%, making their policies more affordable for families.
While they do not provide supplemental benefits such as dental or vision discounts for their Medigap plans in North Carolina, their notably higher customer service reputation makes them a popular choice among beneficiaries.
Aetna
Aetna offers a Medicare Supplement Plan G with an average cost of $76 per month, making it one of the most affordable options in North Carolina.
They provide coverage for numerous out-of-pocket expenses, ensuring comprehensive protection for enrollees.
With a customer satisfaction rating of 4.5 out of 5 stars, as reported by independent reviewers, Aetna has consistently demonstrated its commitment to delivering quality service and support to its policyholders.
Costs of Medicare Plan G in North Carolina
The typical cost of Medicare Plan G in North Carolina is approximately $101.30 per month, but several factors can influence premiums, such as:
- the provider
- age
- discounts
- medical underwriting
For example, Aetna offers the most economical Plan G Medigap policy in the state at an average of $76 per month, while Cigna has the lowest monthly premium for a 65-year-old seeking Plan G with an average monthly cost of $85.70.
Comparing these monthly premiums can help you make an informed decision.
By comparing the various options available, you can find a plan that fits your budget and healthcare needs.
Comparing Plan G Rates for North Carolina
When comparing Medicare Plan G premiums in North Carolina, it is important to consider the differences in cost between various insurance providers.
Aetna, for example, offers the most affordable Plan G policy with an average monthly premium of $76, while UnitedHealthcare has a higher average monthly premium of $101.10.
By thoroughly researching and comparing the rates offered by different providers, you can potentially save up to $15.40 per month on your Plan G premium.
Discounts and Savings Opportunities
Medicare Plan G enrollees in North Carolina may be eligible for discounts on premiums, copayments, and deductibles, depending on the provider and specific circumstances.
To access these Medicare benefits and savings opportunities, contact your insurance provider or consult the Medicare website.
Available discounts may include prescription drug, vision care, and hearing aid discounts, among others.
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Enrollment Process for Medicare Plan G in North Carolina
Enrolling in Medicare Plan G in North Carolina requires the following steps:
- Be enrolled in both Medicare Part A and Part B.
- Seek the assistance of a licensed insurance agent.
- Be aware of important deadlines, such as the Open Enrollment Period and Special Enrollment Periods, to ensure a smooth enrollment process.
It is also important to understand the eligibility requirements for each.
Open Enrollment Period
The Open Enrollment Period is a six-month time frame. It begins on the day you turn 65 and enroll in both Parts A and B of Medicare.
During this period, insurance companies cannot use medical underwriting to decide whether to accept an application or alter the price, making it the ideal time to enroll in a Medicare Supplement plan or explore other Medicare supplements.
Missing the Open Enrollment Period can result in higher premiums, limited coverage options, and potential waiting periods before coverage begins.
Special Enrollment Periods
Special Enrollment Periods may apply to certain individuals who experience a qualifying life event, such as losing employer-sponsored coverage or moving to a new state.
These periods allow enrollees to sign up for a Medigap policy outside of the Open Enrollment Period without undergoing underwriting, ensuring they have access to the coverage they need.
To determine your eligibility for a Special Enrollment Period, contact your insurance provider or the Social Security Administration.
Alternatives to Medicare Plan G in North Carolina
While Medicare Plan G is a popular choice in North Carolina, it is essential to consider alternatives, such as Plan F and Plan N, before making a decision.
Each plan offers different levels of coverage and costs, so it is crucial to compare them to find the best fit for your healthcare needs and financial circumstances.
When comparing plans, consider the premiums, deductibles, copayments, and coinsurance.
Comparing Plan G with Plan F
Plan F is only available to individuals who were eligible for Medicare before 2020 and offers coverage for all gaps in Original Medicare. Plan G has good coverage.
It covers all gaps except for the Part B deductible. Plan F has a higher average monthly cost of $198.32 compared to Plan G’s average cost of approximately $101.30.
It is essential to weigh the coverage and costs of both plans to determine which option best suits your needs.
Comparing Plan G with Plan N
Plan N provides comprehensive inpatient coverage for hospital stays and covers the majority of medical care expenses, making it another viable alternative to Plan G.
However, Plan N does not cover the Part B deductible or Part B excess charges and entails a slight copay when visiting a physician or utilizing the emergency room.
By comparing the coverage, costs, and availability of Plans G and N, you can make an informed decision on the best plan for your healthcare needs.
Tips for Choosing the Right Medicare Plan G in North Carolina
Selecting the best Medicare Plan G in North Carolina can be a complex process, but by considering your healthcare needs, budget, and preferences, you can make an informed choice.
It is important to compare costs, evaluate customer service, assess coverage, investigate stability, and seek professional guidance to find the plan that best meets your requirements.
Comparing costs is essential to ensure that you are getting the best value for your money.
Evaluating Your Healthcare Needs
Assessing your personal healthcare needs is crucial when choosing a Medicare Plan G in North Carolina.
Consider the following factors to ensure that the plan you choose accommodates your needs:
- Network of healthcare providers
- Prescription drug coverage
- Travel coverage
- Cost
Make sure the traveling andyour preferred physicians, covers your medications, provides coverage when traveling, and fits your budget.
Taking the time to evaluate your healthcare needs will help you find a plan that offers the right coverage and cost for your unique situation.
Seeking Professional Assistance
Consulting with a licensed insurance agent or Medicare expert can be invaluable when selecting a Medicare Plan G in North Carolina.
These professionals can provide you with up-to-date information on various plans, guide you through the enrollment process, and help you determine the best option for your needs.
By seeking professional assistance, you can ensure that you have access to the latest information and make a well-informed decision.
Summary
Finding the best Medicare Plan G in North Carolina can be a challenging task, but with the right information and guidance, you can make an informed decision that suits your healthcare needs and financial circumstances.
By understanding the coverage options, comparing providers, and considering alternatives, you can confidently choose the plan that offers the best protection and value for your unique situation.
Remember, your healthcare needs are paramount, and selecting the right plan is crucial to ensuring you have access to the care you need and deserve.
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Frequently Asked Questions
How much is Plan G in North Carolina?
The average cost of Plan G in North Carolina is $134 per month for a 65-year-old female non-smoker. This plan offers 80% coverage on foreign travel exchange, which is the highest on Medicare.
What does Plan G pay for in Medicare?
Medicare Supplement Plan G covers 100% of the co-pays and coinsurance from Medicare Part A and B, as well as Skilled Nursing, rehab facility stays, and Hospice care. It also covers the first three pints of blood needed for a procedure but doesn’t cover the Medicare Part B deductible.
Is Medicare Plan G any good?
Medicare Supplement Plan G is a great option for seniors and Medicare enrollees, providing comprehensive coverage at an affordable cost. It covers almost everything except the Medicare Part B deductible, giving you peace of mind when it comes to your medical expenses.
Is Medicare Plan G accepted everywhere?
Medigap Plan G is accepted at any provider’s office or facility that takes Medicare, regardless of the insurance carrier.
What are the main differences between Medicare Plan G and Plan F?
Plan F offers more comprehensive coverage than Plan G, but is only available to those who were eligible for Medicare prior to 2020.
Plan F covers all gaps in Original Medicare while Plan G covers all gaps except for the Part B deductible.
Can I Switch to Medicare Plan G from Another Plan?
Yes, you can switch to Medicare Plan G in North Carolina from another Medigap plan. However, it’s crucial to consider any waiting periods or pre-existing condition limitations that might apply.
How Does Medicare Plan G Compare to Medicare Advantage?
Medicare Plan G and Medicare Advantage are two distinct types of coverage. Plan G works alongside Original Medicare and offers standardized benefits, while Medicare Advantage replaces Original Medicare and often includes additional benefits like dental and vision coverage.
How Can I Enroll in Medicare Plan G in North Carolina?
To enroll in Medicare Plan G in North Carolina, contact insurance providers offering the plan. It’s advisable to enroll during your Medigap Open Enrollment Period to ensure you have guaranteed-issue rights.
Are There Reviews of Medicare Plan G in North Carolina?
Yes, you can find reviews of Medicare Plan G from beneficiaries in North Carolina. Reviews can provide insights into how the plan works in practice and help you make an informed decision.
Is Medicare Plan G Worth the Premiums?
The value of Medicare Plan G in North Carolina depends on your healthcare needs and budget. If you prefer comprehensive coverage and are willing to pay a higher monthly premium, Plan G could be worth it.
Where Can I Get More Information About Medicare Plan G in North Carolina?
For more information about Medicare Plan G in North Carolina, visit the official Medicare website, consult local insurance agents, and read reviews from beneficiaries who have experience with the plan. These sources can help you make an educated choice about your healthcare coverage.
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Russell Noga is the CEO and Medicare editor of Medisupps.com. His 15 years of experience in the Medicare insurance market includes being a licensed Medicare insurance broker in all 50 states. He is frequently featured as a featured as a keynote Medicare event speaker, has authored hundreds of Medicare content pages, and hosts the very popular Medisupps.com Medicare Youtube channel. His expertise includes Medicare, Medigap insurance, Medicare Advantage plans, and Medicare Part D.