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

Terri Reagin · 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#terri-reagin

Bill Wheeler · Answer

Medigap plan K has lower coverage and  pays 50 percent of cost sharing.

Medigap Plan G has a higher coverage.
But pays most cost except part B deductible.

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.

Steven Bleicher · Answer

Since plan G has been the most popular plan for many years and some insurance firms don't even offer Plan K (I have never written up a K application!) I’d suggest that you ought to pay more attention to the health benefits of G, rather than the saving of money. You only have one life to live!

Answered by Steven Bleicher on May 26, 2025

Broker Licensed in AZ

Answered by Steven Bleicher Medicare Insurance Agent

Diana Garner · Answer

Medigap Plan K offers lower monthly premiums, but the beneficiary has more out-of-pocket spending. It is similar to a Medicare Advantage plan, except that most Medicare Advantage plans don't have a premium.  Plan K only covers a percentage of the costs.

Medigap Plan G has higher monthly premiums, but the only out-of-pocket cost a beneficiary is responsible for is the Part B deductible.

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

Maurice Ellis · Answer

For someone on a tight budget, Medigap Plan K is generally a better option than Plan G. Plan K offers lower premiums than Plan G, but with the tradeoff of requiring cost-sharing (paying a percentage of covered services). Plan G, while offering more comprehensive coverage, comes with higher premiums.

Answered by Maurice Ellis on July 7, 2025

Agent Licensed in MS, AL, AR & 17 other states

Answered by Maurice Ellis 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.

Fred Manas · Answer

Plan K is designed to offer a balance between monthly costs and coverage, potentially suiting individuals who want a lower premium and are comfortable with higher cost-sharing during their Medigap open enrollment period, says Medigap Seminars. If you're generally healthy and don't anticipate frequent medical visits, the lower premiums of Plan K might be appealing. However, be prepared for potential higher costs if you experience an illness or injury requiring significant medical attention. In contrast, Plan G provides more extensive coverage and greater peace of mind against potentially higher medical bills, especially after paying the Part B deductible.

Answered by Fred Manas on August 2, 2025

Agent Licensed in NY, CT, DC & 7 other states

Answered by Fred Manas Medicare Insurance Agent

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

Marcie Barnes · Answer

Plan K may have a lower premium but your out of pocket costs are much higher.

Plan G only out of pocket cost is the Part B deductible.

If you have a tight budget and don't mind copays, you may want to consider a Medicare Advantage plan

Robert Remin · Answer

I do not offer plan K as the HDG plan is a much better option than K as the max out of pocket on K in a bad heatlh year is double plus the K plan. In addition the K plan premium is much more than the HDG one. Overall the K plan makes no economic sense to me as the HDG gives you moe coverage for lower premiun

Answered by Robert Remin on May 19, 2025

Agent Licensed in NY, CT, FL & NJ

Answered by Robert Remin Medicare Insurance Agent

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

Rick Balistreri · Answer

Plan G pays 100% of Medicare-allowed charges after you pay your Part B deductible. Plan K is less expensive, but it only covers Part B allowed charges at 50% until you hit the maximum out-of-pocket limit. For 2025 it is $7,060. After that it will pay 100%, just like a Plan G with a few exceptions.

Plan K also does not cover 15% excess charges that may be allowed. And it does not cover foreign travel emergency services. These are things to consider when comparing the two plans.

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.

Leisha Stevens · Answer

Plan G:
Coverage: Covers all of Medicare's Part A and Part B coinsurance and copayments, except for the Part B deductible. 
Out-of-pocket costs: After you pay the Part B deductible, Plan G will pay for the rest of your Medicare-approved costs. 
Premium: Generally has a higher premium than Plan K. 
Plan K:
Coverage: Covers 50% of the cost for many of the gaps in Original Medicare coverage, such as Part B coinsurance and copayments. 
Out-of-pocket costs: Has a specific out-of-pocket limit ($7,220 in 2025). After you meet this limit and the Part B deductible, Plan K will cover 100% of your Medicare-approved costs for the rest of the year. 
Premium: Generally has a lower premium than Plan G
Coverage: Plan G offers more comprehensive coverage with no out-of-pocket maximum, while Plan K has an out-of-pocket maximum and only covers 50% of certain costs. 
Out-of-pocket costs: Plan G has a predictable Part B deductible, while Plan K has a higher out-of-pocket limit. 
Premiums: Plan K typically has a lower monthly premium than Plan G. 
In essence, Plan G is a good option for those who want more predictable costs and comprehensive coverage, while Plan K is a good option for those who are willing to pay a lower premium and accept a higher potential out-of-pocket cost in exchange for potentially lower overall costs if their healthcare needs are minimal.

Bud Griffin · Answer

With a Plan G, in addition to the premium, you will have to pay the part B deductible ($257.00 in 2025) and all Part A and Part B approved charges are paud by the policy at 100%. With the Plan K, in addition to the premium, you will pay the Part B deductible and be responsible for 50% of the approved charges for Part B coinsurance, Blood benefit (firts 3 pints) Part A hospice care, Skilled nursing facility coinsurance, and Part A deduclible. In addition, on Plan K you may be charged excess charges.

Answered by Bud Griffin on June 23, 2025

Broker Licensed in TX

Answered by Bud Griffin Medicare Insurance Agent

Eric Jensen · Answer

If you have a tight budget, Medigap Plan K could be a suitable option since it typically charges a lower monthly premium than Plan G, but also has less comprehensive coverage. Plan K only covers about 50% of many key benefits like Part B coinsurance, skilled nursing facility care, and the Part A deductible. Therefore with Plan K, your fixed costs (monthly premium) would be lower when compared to Plan G, and may be a better option for your tight budget as long as you are relatively healthy and don't require frequent medical care.

Answered by Eric Jensen on May 26, 2025

Broker Licensed in FL, AZ, CA & 8 other states

Answered by Eric Jensen Medicare Insurance Agent

Cory St. Etienne · Answer

After careful thought on this question. I would say Plan K May be a good option if you want lower monthly premiums and you don't mind sharing cost until you attain the out of pocket limits. However, Plan G is also good if you don't mind predictable costs and you can afford the higher premium cost to avoid unexpected medical bills.

Answered by Cory St. Etienne on July 20, 2025

Broker Licensed in FL, KY, LA & 5 other states

Answered by Cory St. Etienne Medicare Insurance Agent

DeMitrius Williams · Answer

With Plan K, you'll typically pay a lower monthly premium, which looks good upfront, but you'll be responsible for half of many medical bills until you hit a set yearly out-of-pocket limit. Plan G, on the other hand, comes with a higher monthly premium, but once you cover the small annual Part B deductible, it pretty much takes care of everything else, offering much more predictable costs throughout the year. So, if you're on a tight budget, it really boils down to whether you prefer a lower regular payment with the risk of higher medical bills if you get sick, or a higher regular payment for the peace of mind that most costs are covered after that initial deductible.

Answered by DeMitrius Williams on June 17, 2025

Broker Licensed in TX, AZ, FL & 6 other states

Answered by DeMitrius Williams Medicare Insurance Agent

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

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