Plan G+ (HCR-MSGHD-19)

This is a high deductible plan that pays the same benefits as Plan G after one has paid a calendar year deductible of $2,340 in 2020. Benefits from the high deductible plan G will not begin until out-of-pocket expenses are $2,340 in 2020. Out-of-pocket expenses for this deductible are expenses that would ordinarily be paid by the policy. This includes the Medicare deductible for Part A, but does not include the plan’s separate foreign travel emergency deductible.

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Plan G+ is a high deductible plan that pays the same benefits as Plan G after one has paid a calendar year deductible of $2,340 in 2020.

  • Hospitalization: EmblemHealth pays Part A coinsurance* plus coverage for 365 additional days in your lifetime after Medicare stops paying.
  • Medical Expenses: EmblemHealth pays Part B coinsurance* (20 percent of Medicare-approved expenses), Medicare pays 80 percent.
  • Blood: First three pints of blood each year.
  • Hospice care: EmblemHealth pays Part A coinsurance.*
  • Coinsurance* for skilled nursing facility care.
  • Part A inpatient deductible** per benefit period: $1,408 in 2020.
  • 100% of Part B excess charges – Plan pays 100% of Part B excess charges.
  • Emergency care rendered during the first 60 days of foreign travel.
  • SilverSneakers® membership

* Coinsurance is the portion or percentage of the cost of a Medicare covered service that you are responsible to pay.

** Part A inpatient deductible is the dollar amount of costs for covered services you would be expected to pay for Medicare Part A hospitalization services, including semi-private room and board, general nursing and miscellaneous services and supplies during the first 60 days of a covered admission.

The SilverSneakers® fitness program is provided by Tivity Health, Inc., an independent company. 


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