Medicare Blog

what is the difference between aetna medicare supplement plan f and plan g

by Alfonso Eichmann Published 2 years ago Updated 1 year ago
image

Top Aetna Medicare Supplement (Medigap) Plans
The top Aetna Medigap plans in all states are Medigap Plan F, Plan G, and Plan N. Since Medigap plans are standardized, Plan F with Aetna offers the same coverage as Plan F with any other carrier. The only difference is the monthly premium cost and company ratings.
Feb 9, 2022

Full Answer

What is Aetna plan?

  • A.M. Best awarded Aetna an A rating (excellent) for financial strength.
  • Business Wire reported in December 2020 that “Aetna is one of the top three U.S. ...
  • Aetna has been conducting business since 1853. Health insurance services include medical, pharmacy and dental. ...
  • Aetna health insurance was acquired by CVS Health in 2018. ...

How to find Aetna Medicare providers?

  • Your plan may pay less toward your care. ...
  • The fees for health services may be higher. ...
  • Any amount you pay might not contribute to your plan deductible, if you have one.
  • You may need preauthorization for any services you receive in order for any coverage to apply.

Is Aetna part of Medicaid?

Aetna Medicare is a HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal. SilverScript is a Prescription Drug Plan with a Medicare contract marketed through Aetna Medicare. Enrollment in SilverScript depends on contract renewal.

What is Aetna coverage?

Cancer patients suing Aetna Life Insurance Co. won part of their lawsuit seeking coverage for their proton beam radiation therapy, when a Florida federal judge found the insurer’s decisions denying coverage were “wrong.” Judge Kenneth A. Marra’s ...

image

Is plan G better than plan F?

Is Medicare Plan G better than Plan F? Medicare Plan G is not better than Plan F because Medicare Plan G covers one less benefit than Plan F. It leaves you to pay the Part B deductible, whereas Medigap Plan F covers that deductible.

How is plan G different from plan F?

With Plan F, the Medicare Supplement plan pays for the Part B deductible. Under Plan G, you are responsible for the Part B deductible only. Otherwise, all Part A deductibles, copays, and coinsurance are covered. Under Part B, after the deductible, the plan pays all other approved coinsurance and copays.

What is the difference between high deductible Plan F and G?

High-deductible Plan F and Plan G each have a $2,370 deductible in 2021. Both plans include more coverage than the other lettered plans. The difference in benefits between Plan F and Plan G is that Plan G doesn't cover the Medicare Part B deductible ($203 in 2021).

What does Aetna Supplemental plan F cover?

In short, Medicare Plan F covers your Medicare Part A co-insurance and hospital costs up to an additional year after Medicare benefits are exhausted. It also covers your Part B co-insurance or co-payment. It takes care of your Part A and Part B deductibles as well as your Part B excess charges.

Should I switch from Medicare Plan F to G?

When it comes to coverage, Medicare Supplement Plan F will give you the most coverage since it's a first-dollar coverage plan and leaves you with zero out-of-pocket costs. However, when it comes to the monthly premium, if you think lower is better, then Medicare Supplement Plan G may be better for you.

What does plan F cover that plan G does not?

The only benefit Plan F offers that Plan G doesn't is coverage for the Medicare Part B deductible. Even though Plan G doesn't cover the Part B deductible, some Plan F options could have high enough premiums that the cost difference between Plan F vs. Plan G would be higher than the Part B deductible itself.

Why is plan F being discontinued?

The reason Plan F (and Plan C) is going away is due to new legislation that no longer allows Medicare Supplement insurance plans to cover Medicare Part B deductibles. Since Plan F and Plan C pay this deductible, private insurance companies can no longer offer these plans to new Medicare enrollees.

Is Medicare G the best plan?

Medicare Plan G is currently the most comprehensive Medicare Supplement plan in terms of the coverage it offers. If you desire stability and knowing what to expect from your health care costs (and if you can afford the premium), Medicare Plan G may be the best option for you.

What is the difference between Medicare Part F and Part G?

Although the plans have several similarities, there is one key difference between Plan F and Plan G: With Medicare Plan F, you're getting the plan with the most coverage available. In addition to the above coverage, Plan F also covers Medicare Part B deductible payments. Plan G does not.

What is Aetna plan G?

Aetna Medicare Supplement Plan G This plan is perfect for those looking for great coverage that won't break the bank with monthly premium costs. On Medigap Plan G, you pay the Medicare Part B deductible yourself, and then Medigap Plan G covers the rest.

What does plan G pay for?

Medicare Supplement Plan G covers your percentage of any medical benefit that Original Medicare covers, except for the outpatient deductible. So, it helps to pay for inpatient hospital costs, such as the first three pints of blood, skilled nursing facility care, and hospice care.

What does Medicare Supplement plan F pay For?

Plan F covers the 20% of Medicare-approved hospital expenses not covered under Part A. Plan F also covers other costs, such as: Part A hospital deductible and coinsurance. Hospital costs up to an additional 365 days after Medicare benefits are exhausted.

What is the difference between a plan F and a plan G?

The main difference is that Plan F covers the Medicare Part Bdeductible while Plan G doesn’t. Both plans also have a high-deductible option. In 2021, this deductible is set at $2,370, which must be paid before either policy begins paying for benefits. Another big difference between Plan F and Plan G is who can enroll.

What is a Medigap plan?

Medigap is supplemental insurance that helps cover costs that aren’t covered by original Medicare. Medigap Plan F and Plan G are two of the 10 different Medigap plans that you can choose from.

How many different Medigap plans are there?

Medigap is made up of 10 different plans, each designated with a letter: A, B, C, D, F, G, K, L, M, and N. Each plan includes a specific set of basic benefits, no matter what company sells the plan.

How long does it take to get Medicare Part B?

This is a 6-month period that begins the month you turn age 65 and you’ve enrolled in Medicare Part B. Some people are eligible for Medicare before age 65. However, federal law doesn’t require companies to sell Medigap policies to people under age 65.

Do you have to pay for Medigap?

You’ll have to pay a monthly premium for your Medigap plan. This is in addition to the monthly premium that you pay for Medicare Part B if you have Plan G. Your monthly premium amount can depend on your specific policy, plan provider, and location. Compare Medigap policy prices in your area before deciding on one.

Does Medigap cover Part B?

Similar to Plan F, Medigap Plan G covers a wide variety of costs; however, it does not cover your Medicare Part B deductible. You have a monthly premium with Plan G, and what you pay can vary depending on the policy you choose. You can compare Plan G policies in your area using Medicare’s search tool.

Can you enroll in Medicare Part B in 2020?

The enrollment rules for Plan F changed in 2020. As of January 1, 2020, Medigap plans are no longer allowed to cover the Medicare Part B premium. If you were enrolled in Medigap Plan F before 2020, you are able to keep your plan and benefits will be honored. However, those new to Medicare are not eligible to enroll in Plan F.

What is Medicare Supplement Plan F?

Medicare Supplement Plan F provides coverage for two areas that Plan N does not: Medicare Part B deductible. Part B excess charges. Doctors who do not accept Medicare assignment reserve the right to charge up to 15 percent more than the Medicare-approved amount for services and items they provide.

What percent of private insurance companies sell Plan F?

85 percent of private insurance companies sell Plan F, and 66 percent sell Plan G policies. While new Plan F policies are no longer sold to new Medicare beneficiaries, existing policies still provide ongoing coverage in many states. Residents in most states can purchase and use Plan G policies, though Massachusetts, Minnesota, ...

What is the deductible for Medicare 2021?

1 Plans F and G offer high-deductible plans that each have an annual deductible of $2,370 in 2021. Once the annual deductible is met, the plan pays 100% of covered services for the rest of the year. The high-deductible Plan F is not available to new beneficiaries who became eligible for Medicare on or after January 1, 2020.

What percentage of Medicare beneficiaries are enrolled in a Medigap plan?

Close to 34 percent of all Medicare beneficiaries are enrolled in a Medicare supplement insurance (Medigap) plan. These optional plans, issued by private insurance companies, help pay for some of the out-of-pocket costs that Original Medicare (Part A and Part B) doesn’t cover. Plan F has long been the most popular Medigap plan.

Is Medigap Plan F deductible?

While the deductibles mean you must pay a certain amount of money out of pocket before the plan coverage kicks in, the monthly premiums are typically much lower than the premiums for other Medigap plans or for the standard non-deductible versions of Plan F and Plan G.

Is Plan F available for 2020?

80 %. * Plan F and Plan C are not available to Medicare beneficiaries who became eligible for Medicare on or after January 1, 2020. If you became eligible for Medicare before 2020, ... you may still be able to enroll in Plan F or Plan C as long as they are available in your area.

Can I sell my Medicare Part B policy?

As part of that act, from January 1, 2020, insurers couldn't sell a policy that covers the annual Medicare Part B deductible to new Medicare beneficiaries. This ruling effectively meant insurers couldn't offer Plan F or Medigap Plan C ...

What is the difference between Medicare Plan F and Plan G?

Another big difference between Medicare Plan F and Plan G is who is eligible to enroll. Both plans require you to first have Original Medicare, but the enrollment guidelines for Plan F changed at the beginning of 2020. If you first became eligible for Medicare on or after January 1, 2020, you cannot enroll in Medicare Plan F.

What is Medicare Plan F and G?

Medicare Plan F and Plan G are two of the 10 different types of standardized Medicare supplemental health insurance plans available in most states. You pay a premium for both types of plans, but both plans help pay for out-of-pocket expenses that Original Medicare doesn’t cover. The following chart provides a side-by-side look at all 10 ...

Why switch to Medicare Plan G?

Switching to a Medicare Plan G might be a good idea because you’ll pay lower premiums, and you might also never pay the $203 Medicare Part B deductible.

How much does Medicare cover if you have a plan F?

If you have Medicare Plan F and you haven’t yet met your Medicare Part B deductible, it would cover the $203 deductible plus the 20% of the Medicare-approved coinsurance amount. If you have Medicare Plan G, you’ll need to pay the $203 Medicare Part B deductible first. Then your Medicare Supplement plan would cover the 20% coinsurance.

What is the deductible for Medicare 2021?

If you became eligible for Medicare. 1 Plans F and G offer high-deductible plans that each have an annual deductible of $2,370 in 2021. Once the annual deductible is met, the plan pays 100% of covered services for the rest of the year.

When will Medicare change to Plan F?

Both plans require you to first have Original Medicare, but the enrollment guidelines for Plan F changed at the beginning of 2020. If you first became eligible for Medicare on or after January 1, 2020, you cannot enroll in Medicare Plan F.

Is everyone eligible for Medicare Plan F and Plan G?

Medicare Plan F and Plan G can help you save money on your Medicare costs. However, as of January 1, 2020, not everyone is eligible for both plans, and you need to understand the new requirements.

What is Plan F for Medicare?

With Plan F, you get all of the benefits currently offered by Medigap supplement plans combined, including the Medicare Part B excess charges. This can be a critical benefit for people who need a lot of medical care and whose doctors don’t accept Medicare assignment.

What is a Medigap Plan F?

Medigap Plan F provides the most amount of coverage that you can buy among supplemental Medicare policies. If you buy a Plan F from Aetna, you’ll likely face no out-of-pocket costs other than the monthly premium that you pay for the plan itself.

What is the deductible for Medicare Part A?

The first three pints of blood in a medical procedure. Medicare Part A deductible. In 2020, Medicare requires Part A subscribers to meet a deductible of $1,340 per term before hospital benefits will pay out. Medigap Plan A doesn’t cover this deductible, but Medigap Plan B does.

What are the benefits of Aetna Medigap Plan B?

You’ll find the following benefits under Aetna Medigap Plan B: Medicare Part A coinsurance and coverage for hospital benefits. Medicare Part B coinsurance or copayments. Coinsurance or copayments for hospice care. The first three pints of blood in a medical procedure. Medicare Part A deductible.

How many Medigap plans are there in 2020?

Of the ten types of Medigap supplemental policies that are generally offered, for 2020, Aetna offers five . Plans A, B, F, G and N are all currently available. Aetna Medicare Supplement Plans (Medigap Plans) are standardized in all but three states (Wisconsin, Massachusetts and Minnesota), making it easier to compare rates among companies. ...

What is Aetna Medigap Plan A?

Aetna Medigap Plan A covers: Medicare Part A coinsurance and coverage for hospital benefits. Medicare Part B coinsurance or copayments. Coinsurance or copayments for hospice care. The first three pints of blood in a medical procedure.

How much is coinsurance for Medicare?

Medicare Part A requires coinsurance of $335 per day for days 61 to 90 of any hospital stay during your plan term. If you multiply $335 times 30 days ($10,050), you can see why having Part A coinsurance coverage would be beneficial, especially if you know that you’ll be spending more time in a hospital ahead of time.

Our thoughts on Aetna Medicare Supplement

Medicare Supplement plans through Aetna are a cheap choice for individuals who are looking for a Medigap policy to fill in coverage gaps in their Original Medicare plans. Customer complaint ratings, on the other hand, are not superb for the company when compared to other competitors that offer Supplement policies.

Aetna plan options and costs

Aetna offers a select number of Medicare Supplement plans. Although the company does not have the full suite of Medigap policies, its prices are extremely competitive when looking at the market as a whole. It is important to note that what each Supplement plan covers is standardized across the nation and across each company.

Member benefits and extras

Aetna has several overall member benefits that it offers to its policyholders. These benefits include:

Customer reviews and complaints

Customer reviews for Aetna are well above average compared to other Medicare Supplement companies. Many customers remark that the website is easy to use and navigate while also offering features such as online quotes and live chatting with an expert. Other positive notes for Aetna include:

Frequently asked questions

A supplemental insurance plan from Aetna is a great choice for individuals that are looking for a cheap Medicare Supplement option. The company's policies are consistently the cheapest when compared with its main competitors.

Sources and methodology

The above comparisons are based on plan coverage levels, policy details, third-party rankings and sample cost data for 2021. Price quotes for a female nonsmoker were analyzed based on age, location and provider. Sources include Medicare.gov, AARP, UnitedHealthcare, Humana, Cigna, the Better Business Bureau, J.D.

What is Aetna Medicare Supplement Insurance Plan F?

Aetna Medicare Supplement Insurance Plan F is frequently called “first-dollar coverage” because it pays your cost-share amount starting with the first dollar you owe. Here is an overview of the benefits that Aetna Medigap Plan F covers 100%:

What is the maximum deductible for Aetna?

Beneficiaries willing to assume more cost-sharing for medical expenses can choose the Aetna high deductible Medicare Supplement Plan F as their Medigap plan. Benefits are the same as Plan F, but under the high-deductible plan, the beneficiary pays copayments, deductibles, and coinsurance up to a maximum out-of-pocket deductible. In 2019, the deductible is $2,300.

Is Aetna a Medicare Supplement?

Aetna has provided health care benefits to beneficiaries for more than 160 years and is one of the best-rated Medicare Supplement policy carriers. In comparison to other top-rated carriers, Aetna has one of the largest enrollee populations covered by Medicare Supplement plans. The long-term stability and large beneficiary base offer several benefits for seniors considering Aetna Medigap Plan F or any Medigap plans:

image
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9