Basic Benefits for Supplement Plan G

Supplement plans are required to cover a set of standardized basic benefits set by the government. These Supplemental benefits provide additional coverage to what is covered by Original Medicare Part A (hospital insurance) and Part B (medical insurance and doctor visits).

Medicare Part A Hospital Coinsurance or Deductible

  • For hospital stay days 1 - 60, Plan g pays $1340, the Part A deductible amount
  • For hospital stay days 61 - 90, Plan g pays $335 per day
  • For hospital stay days 91 - 150, Plan g pays $670 per day
  • For an additional 365 days, Plan g pays 100% of approved expenses
  • After the additional 365 days, Plan g pays $0 per day

Medicare Part A Skilled Nursing Facility Coinsurance

  • For nursing facility stay days 1 - 20, Plan g pays $0 per day
  • For nursing facility stay days 21 - 100, Plan g pays up to $167.50 per day
  • After 100 days nursing facility stays, Plan g pays $0 per day

Medicare Part B Coinsurance or Copay

  • Plan g pays $0 until you meet your $185 Part B deductible
  • After Part B deductible is met, Plan g typically pays 20% of the coinsurance. Original Medicare Part B covers the other 80%

Blood Coverage

  • For the first 3 pints of blood, Plan g pays 100% of the cost
  • After the first 3 pints of blood, Plan g pays $0 of the cost because Original Medicare covers 100%

Additional Benefits for Supplement Plan G

Additional benefits may vary by State. Below are the additional benefits covered by Plan G for each State:

Alabama

Monthly Premium
$0-$692
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Alabama

Monthly Premium
$30-$231
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Alaska

Monthly Premium
$111-$674
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Alaska

Monthly Premium
$29-$270
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Arizona

Monthly Premium
$100-$684
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Arizona

Monthly Premium
$40-$191
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Arkansas

Monthly Premium
$131-$552
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Arkansas

Monthly Premium
$40-$83
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

California

Monthly Premium
$137-$1,096
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

California

Monthly Premium
$37-$303
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Colorado

Monthly Premium
$0-$801
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Colorado

Monthly Premium
$35-$195
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Connecticut

Monthly Premium
$220-$430
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Connecticut

Monthly Premium
$48-$85
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Delaware

Monthly Premium
$0-$3,909
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Delaware

Monthly Premium
$0-$2,371
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

District of Columbia

Monthly Premium
$112-$730
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

District of Columbia

Monthly Premium
$24-$239
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Florida

Monthly Premium
$168-$1,261
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Florida

Monthly Premium
$51-$897
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Georgia

Monthly Premium
$0-$3,551
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Georgia

Monthly Premium
$0-$961
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Hawaii

Monthly Premium
$115-$970
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Hawaii

Monthly Premium
$32-$158
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Idaho

Monthly Premium
$164-$459
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Idaho

Monthly Premium
$49-$124
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Illinois

Monthly Premium
$114-$751
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Illinois

Monthly Premium
$40-$238
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Indiana

Monthly Premium
$0-$663
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Indiana

Monthly Premium
$30-$182
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Iowa

Monthly Premium
$91-$755
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Iowa

Monthly Premium
$31-$212
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Kansas

Monthly Premium
$111-$787
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Kansas

Monthly Premium
$32-$206
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Kentucky

Monthly Premium
$0-$1,036
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Kentucky

Monthly Premium
$34-$241
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Louisiana

Monthly Premium
$0-$1,157
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Louisiana

Monthly Premium
$34-$673
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Maine

Monthly Premium
$208-$537
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Maine

Monthly Premium
$47-$109
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Maryland

Monthly Premium
$0-$879
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Maryland

Monthly Premium
$0-$247
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Michigan

Monthly Premium
$109-$844
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Michigan

Monthly Premium
$37-$234
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Mississippi

Monthly Premium
$0-$1,427
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Mississippi

Monthly Premium
$0-$567
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Missouri

Monthly Premium
$156-$1,011
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Missouri

Monthly Premium
$42-$272
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Montana

Monthly Premium
$0-$932
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Montana

Monthly Premium
$32-$395
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Nebraska

Monthly Premium
$99-$880
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Nebraska

Monthly Premium
$37-$317
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Nevada

Monthly Premium
$0-$846
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Nevada

Monthly Premium
$0-$227
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

New Hampshire

Monthly Premium
$152-$937
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

New Hampshire

Monthly Premium
$41-$306
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

New Jersey

Monthly Premium
$138-$883
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

New Jersey

Monthly Premium
$47-$252
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

New Mexico

Monthly Premium
$92-$661
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

New Mexico

Monthly Premium
$26-$170
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

New York

Monthly Premium
$302-$776
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

New York

Monthly Premium
$68-$101
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

North Carolina

Monthly Premium
$0-$1,519
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

North Carolina

Monthly Premium
$10-$252
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

North Dakota

Monthly Premium
$0-$732
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

North Dakota

Monthly Premium
$31-$192
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Ohio

Monthly Premium
$103-$692
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Ohio

Monthly Premium
$38-$205
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Oklahoma

Monthly Premium
$101-$671
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Oklahoma

Monthly Premium
$30-$333
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Oregon

Monthly Premium
$139-$789
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Oregon

Monthly Premium
$29-$169
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Pennsylvania

Monthly Premium
$0-$821
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Pennsylvania

Monthly Premium
$32-$280
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Rhode Island

Monthly Premium
$128-$716
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Rhode Island

Monthly Premium
$30-$257
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

South Carolina

Monthly Premium
$91-$671
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

South Carolina

Monthly Premium
$28-$190
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

South Dakota

Monthly Premium
$97-$1,907
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

South Dakota

Monthly Premium
$28-$184
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Tennessee

Monthly Premium
$89-$1,649
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Tennessee

Monthly Premium
$23-$477
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Texas

Monthly Premium
$98-$698
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Texas

Monthly Premium
$29-$210
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Utah

Monthly Premium
$101-$630
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Utah

Monthly Premium
$30-$166
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Vermont

Monthly Premium
$157-$697
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Vermont

Monthly Premium
$46-$168
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Virginia

Monthly Premium
$93-$598
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Virginia

Monthly Premium
$24-$176
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Washington

Monthly Premium
$102-$389
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Washington

Monthly Premium
$48-$72
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

West Virginia

Monthly Premium
$93-$678
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

West Virginia

Monthly Premium
$30-$186
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Wyoming

Monthly Premium
$105-$700
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Wyoming

Monthly Premium
$36-$196
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Learn More About Medicare Supplement Insurance

See our Medicare Supplement FAQ page to learn more about supplemental insurance coverage.

Some information shown on this page has been sourced from www.medicare.gov