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High-Deductible Plan G

High-Deductible Plan G is regular Plan G with a different deal: a much lower premium, but you pay all Medicare-covered cost-sharing yourself until you've spent $2,950 in a year — then it pays like full Plan G. Same standardized benefits, different risk split.

What does High-Deductible Plan G cover?

Each line below is what the plan pays once you have paid $2,950 of Medicare-covered cost sharing yourself for the year.

  • Part A coinsurance and hospital costs (up to 365 extra days after Medicare benefits are used) — Covered 100%
  • Part B coinsurance or copayment — Covered 100%
  • Blood (first 3 pints) — Covered 100%
  • Part A hospice care coinsurance or copayment — Covered 100%
  • Skilled nursing facility care coinsurance — Covered 100%
  • Part A deductible — Covered 100%
  • Part B deductible — Not covered
  • Part B excess charges — Covered 100%
  • Foreign travel emergency (up to plan limits) — Covered 80%

Who is High-Deductible Plan G a good fit for?

  • Healthy budgeters who want catastrophic protection: the deductible caps a bad year, and the premium savings are yours in every good year.
  • People comfortable self-funding routine care in exchange for a known worst case.
  • People priced out of full Plan G who still want Medigap's any-doctor freedom rather than a network plan.

What are the trade-offs of High-Deductible Plan G?

  • The full deductible ($2,950 in 2026) is your exposure — a hospitalization early in the year means paying Medicare's deductibles and coinsurance out of pocket until you reach it.
  • The deductible resets every January and CMS adjusts it annually.
  • Not sold in every state — availability depends on where you live.

Key facts

What you pay before the plan pays anything
$2,950 of Medicare-covered cost sharing (2026)
Part A deductible
Covered 100%, after the $2,950 deductible (2026)
Part B deductible
Not covered (2026)
Part B excess charges
Covered 100%, after the $2,950 deductible (2026)
Sold by
Private insurers, standardized by federal law — same benefits at every company

Frequently asked questions

What do I pay before High-Deductible Plan G pays anything?

All of it. Every Medicare-covered deductible, coinsurance and copayment is yours until your spending for the year reaches $2,950 in 2026. After that it pays exactly like standard Plan G for the rest of the calendar year. The amount resets each January.

Does High-Deductible Plan G cover the Part B deductible?

No. You pay the annual Part B deductible yourself — $283 in 2026 — and High-Deductible Plan G picks up its share of covered services after that. On the high-deductible version, the plan pays nothing until you have covered $2,950 of Medicare cost sharing yourself for the year.

Does High-Deductible Plan G cover Part B excess charges?

Yes. If a doctor does not accept Medicare assignment and bills up to 15% above the Medicare-approved amount, High-Deductible Plan G pays that excess. On the high-deductible version, the plan pays nothing until you have covered $2,950 of Medicare cost sharing yourself for the year.

Does High-Deductible Plan G cover care outside the United States?

Partly. High-Deductible Plan G pays 80% of foreign travel emergency care, after a separate deductible and up to the plan's lifetime limit. Routine care abroad is not covered. On the high-deductible version, the plan pays nothing until you have covered $2,950 of Medicare cost sharing yourself for the year.

Is High-Deductible Plan G the same at every insurance company?

Yes. Medigap benefits are standardized by law, so High-Deductible Plan G is the same package of benefits whoever sells it. Price, service and rate history are what differ — three states (Massachusetts, Minnesota, Wisconsin) standardize their plans differently.

Sources

Further reading

Updated September 8, 2026. Dollar figures are 2026 plan-year amounts transcribed from CMS publications and last verified by IM65 against the source for each: Parts A & B premiums, deductibles and IRMAA (August 11, 2026); Medigap benefit chart (October 1, 2026).

Important Medicare Disclosure: We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE (1-800-633-4227), 24 hours a day/7 days a week, to get information on all of your options. TTY users should call 1-877-486-2048. We are not connected with or endorsed by the U.S. government or the federal Medicare program. Medicare has neither reviewed nor endorsed this information.

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