Medigap Plan G有没有out-of-pocket limit?Medicare School的视频里没有说。

来源: 2026-01-09 17:57:08 [旧帖] [给我悄悄话] 本文已被阅读:

下面视频19:34提到 Medigap Plan G out-of-pocket limit。似乎意思是,你自己要付所有 premiums (Medicare Part B,Medigap Plan G),Medicare Part B deductible,其它费用要一直自己付到 Medigap Plan G 的 out-of-pocket limit,然后 Medigap Plan G 才负责另外的费用:

https://www.youtube.com/watch?v=BClz3V39jm4&t=0h19m34s

但这个视频里,以其它 Medicare School 的视频里没有说。似乎意思是,你自己只要付所有 premiums (Medicare Part B,Medigap Plan G),Medicare Part B deductible,其它的就是都由 Medigap Plan G 付了:

https://www.youtube.com/watch?v=BClz3V39jm4

 

到底哪个对?

 

后补:

通过和大家的讨论,以及网上、DeepSeek查询,明白了,

Standard Medigap Plan G vs High-Deductible Plan G

https://bbs.wenxuecity.com/health/1199341.html

 

  • Premium: HD Plan G premiums are substantially lower (e.g., $40-$70/month range) than Standard Plan G premiums (e.g., $170-$380+/month range), depending on location, age, etc..
  • Deductible:
    • Standard Plan G: You only pay the small annual Medicare Part B deductible (around $240 in 2024) before it covers everything else.
    • HD Plan G: You pay a much higher deductible (around $2,950 in 2026) before benefits kick in, then it covers 100% of the same things as Standard Plan G.

我个人觉得 High-Deductible Plan G 兼顾了Medicare Advantage和Medigap Plan G的优缺点。如果有这个选择,我会选的。

 

我现在基本清楚了整个 Medicare 申请步骤和我应该选择的项目,这是我会做的步骤:

Enroll Medicare Part A and Part B

Enroll Medicare Part D and High-Deductible Plan G

(如果没有 High-Deductible Plan G,Enroll Standard Medigap Plan G)

 

如果还有 spouse job's insurance,这是具体步骤:

(Automatic)Enroll Medicare Part A and Part B

退掉Medicare Part B,只保留Medicare Part A

在后来某个时间 spouse job's insurance 结束后:

Enroll Medicare Part B

Enroll Medicare Part D and High-Deductible Plan G

(如果没有 High-Deductible Plan G,Enroll Standard Medigap Plan G)

 

就这么定了。