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High-Deductible Plan G (HDG) covers exactly what regular Plan G covers, but you pay a high annual deductible (around $2,800 in 2026) before it starts — in exchange for a much lower monthly premium. It fits people who want catastrophic protection and predictable maximum exposure at the lowest premium.

If you like the idea of Medigap but want a lower premium, High-Deductible Plan G (HDG) is worth a look. It's the same coverage as regular Plan G — you just take on one annual deductible in exchange for a much smaller monthly bill.

How It Works

High-Deductible Plan G covers everything regular Plan G covers. The difference is timing: you pay a high annual deductible (about $2,800 in 2026, set each year by Medicare) out of pocket first. Once you hit it, the plan pays your Medicare cost-sharing exactly like standard Plan G for the rest of the year — so your worst-case exposure is capped and predictable.

Who It Fits

The Trade-off

If you expect heavy medical use, regular Plan G or Plan N may cost less overall, since you'd hit the deductible anyway. Weighing Medigap against a bundled plan? See Medicare Supplement vs Medicare Advantage, or run the numbers in our cost estimator. We're happy to compare all of it with you, free.

Frequently Asked Questions

What’s the difference between Plan G and High-Deductible Plan G?
The benefits are identical. With regular Plan G you pay a higher premium and almost nothing else. With High-Deductible Plan G you pay a much lower premium but cover a high annual deductible (about $2,800 in 2026) yourself first; after that, it pays like regular Plan G.
Who is High-Deductible Plan G good for?
People who are relatively healthy, want the lowest possible premium, and are comfortable paying up to the annual deductible in a bad year in exchange for strong catastrophic protection. If you expect heavy medical use, regular Plan G may cost less overall.
Is the deductible the same every year?
No — Medicare sets the High-Deductible Plan G deductible each year, and it tends to rise slightly. Always check the current year’s amount before deciding.

Sources

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Rocco DeLuca can walk you through your options — free, no pressure.

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