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Medicare Plan F vs Plan G

Comparing Medicare Plan F vs Plan G comes down to one main thing: Plan F pays the Medicare Part B deductible, while Plan G does not. In exchange, Medicare Plan G often has lower premiums, which is why many people find it the better value even after paying that deductible out of pocket.

If you want the quick answer, Plan F may appeal if you’re already enrolled and prefer the most complete coverage available to you. Plan G is often the smarter choice for newer enrollees and for anyone focused on balancing coverage with monthly cost.

Key Takeaways

  • Plan F offers the broadest Medigap coverage; Plan G is nearly identical except for the Part B deductible.
  • Plan F pays the Medicare Part B deductible; Plan G requires you to pay it annually.
  • Plan G often costs less overall because lower premiums can exceed the deductible amount.
  • Compare total yearly costs, not just monthly premiums, when choosing between Plan F and Plan G.
  • Plan F is generally only available if you became Medicare-eligible before January 1, 2020.

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Medicare Plan F vs Plan G at a glance

When people compare Medicare Plan F vs Plan G, they’re usually trying to answer one practical question: how much coverage do I want, and what will I pay for it? Both are Medigap options designed to help cover out-of-pocket costs left behind by Original Medicare. Broadly speaking, Plan F is the most comprehensive standardized plan, while Plan G covers nearly the same benefits with one notable exception. For more information, check out our other articles on this topic, such as Medicare Plan G Pros and Cons.

That exception is the Medicare Part B deductible. Plan F pays it; Plan G does not. For many shoppers, that makes Plan G the better value because premiums are often lower than Plan F premiums by more than the deductible amount. There’s also an availability difference: Plan F is generally available only to people who became eligible for Medicare before January 1, 2020, while Plan G remains widely available to newer enrollees.

If you want a quick snapshot, think of Plan F as fuller coverage and Plan G as the leaner, often more cost-effective option.

Feature Medicare Plan F Medicare Plan G
Overall coverage level Most comprehensive standardized Medigap plan Covers nearly the same benefits as Plan F
Medicare Part B deductible Pays the Part B deductible Does not pay the Part B deductible
Typical value consideration Higher premiums may come with fuller coverage Often seen as the better value because premiums are frequently lower by more than the deductible amount
Availability by Medicare eligibility date Generally available only to people eligible for Medicare before January 1, 2020 Remains widely available to newer enrollees
Best-fit summary Best for people who want fuller coverage Best for people who want a leaner, often more cost-effective choice

What this Medigap plan and supplement plan pair actually covers

At a glance, both options are medigap coverage sold by private insurance companies to help pay costs Original Medicare leaves behind. Each policy works alongside your Medicare Part A and Part B benefits, but the details matter: one supplement plan is more comprehensive, while the other requires you to cover one key out-of-pocket expense yourself.

What Plan F covers

Plan F is the most comprehensive Medicare supplement available to eligible enrollees. In practical terms, Plan F covers the standard gaps in Original Medicare, including Part A hospital coinsurance, Part B coinsurance or copayments, skilled nursing facility coinsurance, hospice cost-sharing, and the first three pints of blood.

It also pays the Part A deductible, Part B deductible, and Part B excess charges, which is why many people view its plan benefits as the broadest among Medigap options. For members who qualify to buy it, Plan F can mean very little day-to-day cost-sharing beyond the monthly premium.

The one difference that drives the decision, the Medicare Part B deductible

What Plan G covers

Plan G closely mirrors Plan F, which is why it remains one of the most popular choices in the Medicare plan market. In general, this plan covers Part A hospital coinsurance, Part B coinsurance or copayments, skilled nursing facility coinsurance, hospice cost-sharing, blood, the Part A deductible, and Part B excess charges. The key difference in its plan benefits is straightforward: Plan G does not pay the Part B deductible.

Once you meet that deductible yourself, coverage works much like Plan F for many common expenses, making Plan G a strong value for people comparing premiums against out-of-pocket costs.

The one difference that drives the decision, the Medicare Part B deductible

For most shoppers comparing Medigap plans, the real choice between Plan F and Plan G comes down to one line item: the Medicare Part B deductible. Both options are designed to work alongside Original Medicare Part A and Part B, and their coverage is otherwise very similar.

The key distinction is simple: Plan F pays the Part B deductible for you, while Plan G does not. With Plan G, you pay that deductible out of pocket each year before the plan begins covering those Part B cost-sharing amounts.

That may sound minor, but it often drives the whole decision because monthly premiums can differ enough to outweigh the deductible itself. In practice, many people find that Plan G’s lower premium more than makes up for paying that annual deductible. So while the benefits look similar on paper, this single difference is usually what determines which plan offers better overall value.

Simple cost math: when Plan G can cost less overall

The basic tradeoff is straightforward: Plan G asks you to pay the Medicare Part B deductible yourself, but its plan premiums are often lower. If that yearly savings is greater than the deductible, Plan G can mean lower overall out-of-pocket costs. That’s why it helps to compare plans using total annual cost, not just the monthly plan price.

A quick break-even example using current Medicare numbers

Here’s a simple Medicare example. Say Plan F costs $35 more per month than Plan G. Over a year, that premium difference adds up to $420. In 2027, the Medicare Part B deductible is $257. With Plan G, you would pay that deductible once, and then your supplement generally works much like Plan F for covered services.

In this case, Plan G still comes out ahead by about $163 for the year. The lesson is not that one plan always wins, but that small monthly differences can outweigh the deductible faster than many people expect.

Break-even example takeaways

  • Compare the monthly premium gap first: a $35 difference between Plan F and Plan G adds up to $420 annually.
  • Factor in Plan G’s Part B deductible: in this example, the 2027 deductible is $257 paid once for the year.
  • Subtract the deductible from annual premium savings: $420 minus $257 leaves Plan G ahead by about $163.
  • Remember the core tradeoff: Plan F has higher premiums, while Plan G usually requires you to cover the deductible.
  • Use yearly totals, not monthly prices alone, because small premium differences can outweigh the deductible faster than expected.
  • Treat this as a simple example, not a universal rule, since pricing and value depend on your actual plan quotes.

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Who can still enroll in Plan F today

Plan F is no longer open to everyone on Medicare, but some shoppers can still enroll. The key is when you first became eligible for Medicare, not where you live. In most cases, plans F remains available to people who qualified before the federal cutoff, though availability and enrollment rules can still vary by state and insurer.

What newly eligible for Medicare means for Plan F

For Plan F, “newly eligible” for Medicare has a very specific meaning. If your Medicare Part A start date, or your age-based eligibility, began on or after January 1, 2020, you generally can’t buy Plan F. That rule applies even if a carrier still sells other Medigap options in your area.

If you became eligible before that date, you may still be able to enroll in Plan F, depending on the insurer, your state, and whether you’re applying during a guaranteed-issue window or facing medical underwriting. In short, eligibility is tied to when you first qualified for Medicare, not when you decide to enroll.

Which plan makes sense in three common situations

When people weigh Medicare Plan F vs Plan G, the right answer usually depends less on the brochure and more on timing. Your eligibility, health history, and budget also affect which Medigap policy fits alongside Original Medicare. Here’s how to think through each plan in three everyday scenarios.

If you are newly eligible and comparing Medigap plans now

For most people turning 65 or otherwise newly eligible for Medicare, Plan G is the practical place to start. Because Plan F is no longer available to most new enrollees, current comparisons among Medigap plans usually focus on monthly premium, rate stability, and how much predictable coverage you want from a Medicare supplement.

Plan G covers nearly everything Plan F once did, except the Part B deductible. In exchange, it often offers strong value and broad acceptance among providers who take Medicare. If you are shopping during your Medigap open enrollment window, this is typically your best chance to buy without medical underwriting.

If you already have Plan F

If you already have Plan F, the decision is less about benefits and more about cost. This policy remains one of the most comprehensive options available, and many people keep it simply because they like the predictability: fewer out-of-pocket surprises and very broad coverage once Medicare approves the service.

The key question is whether your insurance premium still makes sense. If Plan F has become significantly more expensive than nearby alternatives, it may be worth comparing rates and running the math against Plan G. But if your premium is manageable and you value richer first-dollar coverage, staying put is a reasonable choice.

If you want to switch plans

Switching from one plan to another can save money, but it is not always simple. Outside certain guaranteed-issue situations, a carrier may use medical underwriting before approving your application. That means your health history, prescriptions, or recent diagnoses can affect whether you are accepted for enrollment.

Rules and consumer protections can also vary by state, so timing locally matters. Some people have more flexibility during special windows, while others may face tighter standards. Before you switch, compare premiums, check how the new plan handles rate increases, and confirm whether your state offers any added rights beyond the basic federal rules.

Which plan makes sense in three common situations

If you already have Plan F, should you keep it?

If you already own Plan F, you generally do not need to make a change just because it is no longer open to most new Medicare enrollees. For many people, it still offers the most extensive coverage available through Medigap, helping pay nearly all Medicare-approved out-of-pocket costs. That can make budgeting simpler and reduce surprise bills.

The real question is cost. Because plan premiums can rise over time, keeping Plan F makes sense only if the monthly price still feels reasonable for the protection you get. Compare your current premium with other Medigap options in your area, especially if you are healthy and willing to take on a small deductible.

But do not switch automatically: in many cases, staying with a comprehensive plan you already like may be the better move, especially if changing plans could require medical underwriting.

What to know before switching from Plan F to Plan G

Moving from Plan F to Plan G can lower your premium, but the decision is not always automatic. Before you change any medical supplement policy, consider timing, eligibility rules, and how your state handles Medigap protections so you know whether switching is simple or subject to extra review.

When medical underwriting may apply

In many cases, changing from one Medigap policy to another is not a guaranteed swap. Outside certain protected windows, an insurance company can ask health questions and use medical underwriting before approving your application. That means your current conditions, prescriptions, or recent care may affect whether the new policy is issued and at what rate.

Because rules and carrier practices vary, it helps to review the application with a licensed agent before you cancel anything. A careful comparison can help show whether the savings on Plan G outweigh the risk of being declined.

When guaranteed issue rights may matter

Guaranteed issue rights can be especially important if you want to move to a different medigap policy without health screening. These protections usually apply in specific situations, such as when you lose other coverage or qualify under a trial right, and the timing around enrollment matters. Miss the window, and you may be pushed back into underwriting.

Your state may also offer stronger consumer protections than the federal baseline, including birthday or anniversary rules that make switching easier. Before applying, confirm which rights apply where you live and which plans are available under those rules.

When rights matter most

  • Switching Medigap plans without health screening is easiest when guaranteed issue rights apply.
  • These rights often matter after losing other coverage, such as employer, retiree, or Medicare Advantage benefits.
  • Trial rights can protect you if you joined a plan, then decide to return to Medigap.
  • Enrollment timing is critical; missing the protected window may trigger medical underwriting.
  • State rules may go beyond federal standards with birthday or anniversary switching options.
  • Check your state’s consumer protections before applying, since rules and plan availability can vary.
  • Confirm which plans insurers must offer under your rights so you know your available choices.

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Frequently asked questions

What is the main difference between Medicare Plan F and Plan G?

The biggest difference is the Medicare Part B deductible. Plan F covers it, while Plan G does not. Aside from that, the two Medigap plans offer very similar coverage for many common out-of-pocket costs left by Original Medicare.

Is Plan F better than Plan G?

Plan F offers more complete coverage because it pays the Part B deductible. Plan G, however, is often viewed as the better value since its monthly premium is frequently lower by more than the deductible amount. The better choice depends on premium quotes and your total yearly cost.

Why do many people choose Plan G over Plan F?

Many people choose Plan G because it can cost less overall. Even though you pay the Part B deductible yourself, the premium savings may be greater than that amount over a full year. That makes Plan G a popular Medicare supplement option for cost-conscious shoppers.

Can I still enroll in Medicare Plan F?

In most cases, Plan F is only available if you became eligible for Medicare before January 1, 2020. People who became eligible after that date generally cannot buy Plan F, though Plan G remains widely available. Insurer and state rules may still affect availability.

Does Plan G cover the same things as Plan F after the deductible?

For many covered services, yes. After you pay the Medicare Part B deductible, Plan G generally works much like Plan F by covering Medicare-approved coinsurance, copayments, and other standard Medigap gaps included in the plan.

How should I compare Plan F vs Plan G costs?

Compare total annual cost, not just the monthly premium. Add up the yearly premium difference and see whether it is more or less than the Part B deductible. That simple break-even approach can help you decide which Medigap plan makes more financial sense.

Have Questions?

Speak with a licensed insurance agent

1-833-641-4938

TTY users 711

Mon-Fri: 8am-9pm ET

Find & Compare Plans Online

Speak with a licensed insurance agent

1-833-641-4938TTY 711

Mon-Fri: 8am-9pm ET

ZRN Health & Financial Services, LLC, a Texas limited liability company

( Medicare Expert )

Russell Noga is the CEO of ZRN Health & Financial Services, and head content editor of several Medicare insurance online publications. He has over 15 years of experience as a licensed Medicare insurance broker helping Medicare beneficiaries learn about Medicare, Medicare Advantage Plans, Medigap insurance, and Medicare Part D prescription drug plans.