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

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.

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.

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

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 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

Richard 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.

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

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

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

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