How does Medigap Plan K compare to Plan G for someone on a tight budget?

Question

Paul Dzierzanowski · Accepted Answer

Medigap Plan K differs from Medigap Plan G in the following ways: Plan K covers only 50% of coinsurance/copayment costs for benefits such as Part B cost share; blood; Part A hospice; skilled nursing; and Part A deductible. Plan K offers no coverage for costs such as Part B deductible; Part B excess charges; and foreign travel emergency. With an out of pocket limit of $7220 in 2025, careful consideration should be taken by an individual on a tight budget to ensure that the premium savings is worth the additional financial exposure. A standard High Deductible plan G or F may be a better alternative. For more information on your specific situation, please call me directly at 239.848.8893.

Answered by Paul Dzierzanowski on March 31, 2025

Agent Licensed in FL

Answered by Paul Dzierzanowski Medicare Insurance Agent

Robert Pennington · Answer

Medicare G is the most comprehensive and most expensive.  Plan K is less expensive but has a higher max out of pocket.  Ideal for someone in good health and able to pay out of pocket.

William Gray · Answer

Plan K will likely cost less  than a plan G in upfront premiums. 

However, in plan benefits it is substantially higher out of pocket expense on a major health condition. 

It would consider a Plan N or a Plan HDG to get the most bang for your buck.

Dana Dane · Answer

To specifically answer this question and maintain compliance with Medicare guidelines, comparing plans should be discussed with a licensed agent with Medicare approved outlines and sales materials. Most people are enrolled in a Plan G or Plan N. Plan K is not offered by some companies. Plans with less market share tend to be higher in premium in comparison to the benefits.

Answered by Dana Dane on April 2, 2025

Agent Licensed in OR, AZ, CA & 6 other states

Answered by Dana Dane Medicare Insurance Agent

Harold Randolph · Answer

Medigap Plan K may cost half of Plan G but it has a 7K max out of pocket and cover half of what G does. If you’re healthy it’s a calculated risk. If you become not so healthy you may be stuck in a plan that will cost you out of pocket yearly vs having a G plan with about $250 out of pocket yearly. 

Let’s discuss.

Steve Brauer · Answer

This answer is provided in a video format. Watch the agent's video response here: https://medicareagentshub.com/questions/how-does-medigap-plan-k-compare-to-plan-g-for-someone-on-a-tight-budget#steve-brauer

Glenn Alterman · Answer

You will be better off with the $2500 high deductible plan g as the k has lower benefits 

Need to know your specific needs to specifically advise

Robert Barco · Answer

Medicare Plan K only pays for 50% of the costs until the out-of-pocket limit has been reached (for 2025 it is $7,220),  then Plan K pays 100%.  Plan G will pay 100% of the Medicare-covered charges after the yearly Part B deductible has been met. 

In my county, a 65-year-old male non-smoker will pay about $94.00 less per month for Plan K than for Plan G, making it substantially cheaper than Plan G for an AARP United Healthcare Insurance Company Plan.