Medicare Supplement Plan G in Texas: Cost and Coverage

Written by: 
Matt Kiggins
Last updated: 
Aug 3, 2026

Medicare Supplement Plan G is one of the most comprehensive Medigap options available to Texas beneficiaries. It works with Original Medicare to cover many of the hospital and outpatient costs that Medicare leaves for you to pay.

Plan G benefits are standardized, but premiums can vary considerably by location and insurance company. This guide explains how Plan G works, what it covers, what it costs across Texas, and how to decide whether its balance of premium and coverage is right for you.

Key Takeaways

  • Plan G covers Medicare-approved cost-sharing after you meet the annual Medicare Part B deductible.
  • You can use Plan G with any doctor, specialist, or hospital in the United States that accepts Medicare.
  • In our 20-county comparison, average monthly premiums range from approximately $198 to $246 for a 65-year-old female non-tobacco applicant.
  • Plan G benefits are standardized, but premiums, discounts, rate history, and service can differ between insurance companies.
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How Does Medicare Supplement Plan G Work?

Medicare Supplement Plan G adds a second layer of coverage to Original Medicare. It does not replace Medicare or change how you receive your Part A and Part B benefits.

When you receive a Medicare-approved service, Medicare reviews the claim and pays its portion first. The remaining eligible cost is then sent to your Plan G insurance company. Plan G pays the deductibles and coinsurance included in its standardized benefits, leaving you only responsible for the annual Medicare Part B deductible.

Plan G does not have its own provider network. You can receive care from any doctor, specialist, or hospital in Texas - or elsewhere in the United States - that accepts Medicare.

Your Plan G premium is separate from your Medicare Part B premium. You will also need a standalone Medicare Part D plan because Medigap policies do not include outpatient prescription drug coverage.

What Does Medicare Supplement Plan G Cover?

Plan G covers all of the cost-sharing associated with Medicare-approved hospital and outpatient services aside from the Part B deductible. Its benefits are standardized, so the medical coverage is the same regardless of which Texas insurance company sells the policy.

Plan G does not expand what Original Medicare covers. The service must be approved by Medicare before Plan G will help with the remaining cost.

Quick Coverage Chart
Medicare Supplement Plan G Coverage
Medicare Cost What Plan G Pays
Part A hospital deductible Pays the full $1,736 deductible for each benefit period in 2026.
Hospital coinsurance Pays Part A hospital coinsurance and provides up to 365 additional hospital days after Medicare benefits are exhausted.
Skilled nursing facility coinsurance Pays the required coinsurance for Medicare-covered skilled nursing care after the first 20 days.
Hospice cost-sharing Pays eligible hospice copayments and coinsurance.
Part B coinsurance Pays the standard 20% coinsurance for Medicare-approved outpatient services.
Part B excess charges Pays the additional amount, up to 15%, that certain providers may charge above the Medicare-approved amount.
First three pints of blood Pays for the first three pints when blood is needed for a Medicare-approved procedure.
Foreign travel emergencies Pays 80% of eligible emergency costs after a $250 deductible during the first 60 days of a trip, up to a $50,000 lifetime limit.

What Does Medicare Supplement Plan G Not Cover?

Plan G is designed to supplement Original Medicare, not provide every type of healthcare coverage. Services that Original Medicare does not normally cover are not covered by Plan G either.

The annual Part B deductible is also left for you to pay before Plan G begins covering your eligible Part B cost-sharing.

Quick Coverage Chart
Costs and Services Not Covered by Plan G
Not Covered What It Means
Medicare Part B deductible You pay the annual deductible, which is $283 in 2026.
Outpatient prescription drugs You need a separate Medicare Part D plan for medications obtained from a pharmacy.
Routine dental care Cleanings, fillings, dentures, and other routine dental services are not included.
Routine vision care Routine eye exams, glasses, and contact lenses are not included.
Hearing aids Hearing aids and routine hearing services are not covered.
Long-term custodial care Plan G does not pay for assisted living, extended custodial nursing home care, or ongoing help with daily activities.
Private-duty and non-medical home care Private nurses and assistance with bathing, dressing, cooking, or cleaning are not covered.

For Medicare-approved services, the Part B deductible is the primary medical cost left by Plan G. You may still have additional expenses for noncovered care, separate insurance premiums, and foreign emergency services that exceed the plan’s limits.

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How Much Does Medicare Supplement Plan G Cost in Texas?

Medicare Supplement Plan G premiums vary throughout Texas. Although every Plan G policy provides the same standardized medical benefits, insurance companies set their own rates.

Your premium can depend on your age, gender, ZIP code, tobacco status, insurance company, and eligibility for discounts. The table below compares Plan G premiums across 20 Texas counties using one representative ZIP code in each county.

Sample County Premiums
Sample Plan G Premiums in 20 Texas Counties
Sample monthly premiums are for a 65-year-old female non-tobacco applicant.
Texas County Sample ZIP Average Monthly Premium Sample Premium Range
Dallas 75201 $217 $175–$230
Tarrant 76102 $216 $175–$230
Harris 77002 $246 $198–$275
Bexar 78205 $216 $175–$230
Travis 78701 $199 $170–$205
Collin 75069 $221 $175–$230
Denton 76201 $200 $170–$205
El Paso 79901 $198 $170–$205
Fort Bend 77478 $226 $175–$230
Montgomery 77301 $246 $198–$275
Williamson 78626 $203 $170–$215
Hidalgo 78501 $202 $170–$215
Nueces 78401 $216 $175–$230
Lubbock 79401 $210 $175–$230
Smith 75701 $198 $170–$205
McLennan 76701 $195 $170–$205
Brazoria 77515 $246 $198–$275
Galveston 77550 $246 $198–$275
Bell 76501 $195 $170–$205
Randall 79109 $195 $170–$205
On mobile, swipe left to view the complete comparison.

Each county is represented by one ZIP code, and each average includes 22 available Plan G rate options. Household and other conditional discounts are not included. A separate AARP–UnitedHealthcare Level 2 underwriting rate was excluded to keep the comparison consistent.

What the Sample Rates Show

The sample county averages range from approximately $198 to $246 per month. El Paso has the lowest average in this comparison, followed closely by Travis County. Harris, Montgomery, Brazoria, and Galveston have the highest averages.

The differences between insurance companies within the same location can be even greater. In Harris County, for example, the sampled premiums range from approximately $198 to $275 per month—a difference of more than $757 for the same standardized Plan G medical benefits.

These results demonstrate why comparing multiple companies is important. The lowest initial premium is not automatically the best long-term option, but comparing rates, discounts, financial strength, rate history, and customer service can help you avoid paying considerably more for identical Plan G benefits.

Rate disclaimer: These premiums are examples for educational and comparison purposes and are not guaranteed quotes. Rates are based on one applicant profile and one representative ZIP code in each county. Actual premiums may vary by ZIP code, age, gender, tobacco status, insurer, underwriting class, policy effective date, and available discounts. Carrier availability and premiums can change.

Is Medicare Supplement Plan G Right for You?

Plan G may be a good fit if you prefer knowing what your medical costs will look like before you receive care. Once you meet the annual Medicare Part B deductible, the plan generally covers the remaining Medicare-approved cost-sharing included in its benefits.

Plan G may be worth considering if you:

  • Want fewer unexpected medical bills
  • Visit doctors or specialists regularly
  • Want protection from Medicare Part B excess charges
  • Travel frequently or spend time outside Texas
  • Are comfortable paying a higher premium for less cost-sharing when you receive care

Plan G is not automatically the right choice for everyone. If keeping your monthly premium lower is the priority, Plan N may be worth comparing. You will accept possible office and emergency room copays and no coverage for Part B excess charges in exchange for potential premium savings.

High Deductible Plan G may appeal to someone who wants to keep the lowest monthly premium and is comfortable paying more toward Medicare-covered expenses before the policy begins paying.

The decision ultimately comes down to how you want to pay for healthcare: more through a predictable monthly premium or more out of pocket when you use medical services.

How to Enroll in Medicare Supplement Plan G in Texas

To enroll in Plan G, you must first have Medicare Parts A and B. You can then compare policies available in your Texas ZIP code and submit an application through an insurance company or licensed Medicare agent.

The best time to apply is generally during your six-month Medigap Open Enrollment Period. This period begins the first month you are 65 or older and enrolled in Medicare Part B. During this window, an insurer cannot deny coverage or charge more because of your health history.

You can apply for Plan G later, but medical underwriting may be required unless you have a guaranteed-issue right. Texas beneficiaries under 65 generally receive a state-protected Medigap enrollment opportunity for Plan A rather than Plan G, so their available options may be more limited.

Note: Starting September 1, 2025, an individual with ESRD or ALS who becomes eligible for Medicare before age 65 must be offered the same coverage offered to those 65 and older, at the same rates for Plans A, B, and D, and at no more than 200% higher rates for all other plans. No medical underwriting, waiting period, or preexisting condition limitation may be imposed

How Popular Is Medicare Supplement Plan G?

Plan G has become the leading Medicare Supplement plan nationally and remains a popular choice in Texas. AHIP’s latest national enrollment report, based on 2024 data, found that Plan G accounted for 43% of all Medigap enrollment.

Its popularity has grown partly because people who became eligible for Medicare on or after January 1, 2020, cannot purchase Plan F. Plan G provides nearly the same standardized coverage, with beneficiaries paying the annual Medicare Part B deductible themselves.

What Are the Alternatives to Plan G?

Plan N and High Deductible Plan G are two common alternatives for Texans who want to lower their monthly Medigap premium.

Plan N provides many of the same benefits as Plan G but requires copayments of up to $20 for certain office visits and $50 for emergency room visits that do not result in an inpatient admission. It also does not cover Medicare Part B excess charges.

High Deductible Plan G offers the same standardized benefits as regular Plan G after you meet the plan’s annual deductible. In 2026, that deductible is $2,950. The monthly premium is generally much lower, but you accept more upfront costs when you receive care.

Medicare Advantage is another option, but it is an alternative way to receive Medicare benefits rather than a Medicare Supplement plan. These plans may include prescription drug coverage and additional benefits, but provider networks, copayments, prior authorization, and other plan rules apply.

The right choice depends on how you prefer to balance your monthly premium with the amount you may pay when you use medical services.

Final Thoughts

Medicare Supplement Plan G offers broad coverage for Texans who want fewer out-of-pocket expenses when they receive Medicare-approved care. After you meet the annual Part B deductible, the plan covers the remaining cost-sharing included in its standardized benefits.

Because the medical benefits are the same from every company, choosing a Plan G policy largely comes down to premium, discounts, rate history, financial strength, and customer service. Comparing several insurers available in your Texas ZIP code can help you find coverage that fits both your current budget and long-term needs.

FAQs

Plan G covers every Medicare-approved out-of-pocket cost under Medicare, except the small Part B deductible. Plan N has lower monthly premiums, but you’ll pay copays for doctor visits and ER trips, and it doesn’t cover Part B excess charges. For those who want full peace of mind, Plan G is usually the safer choice.

Yes. Medigap plans like Plan G work anywhere in the U.S. where Medicare is accepted, and many also offer limited emergency coverage abroad. This makes Plan G an excellent option for snowbirds, RV travelers, and anyone who splits time between states.

It depends. If you're outside your Medigap Open Enrollment Period, switching may require you to go through medical underwriting. That means the insurance company can look at your health history and potentially deny coverage or charge a higher premium. That’s why we recommend enrolling while you're healthy or newly eligible.

No. Like all Medigap plans, Plan G does not cover routine dental, vision, or hearing. You’ll need to purchase a separate dental or vision policy if those benefits are important to you. Some carriers, like Cigna HealthSpring or Humana, offer optional bundling on ancillary coverage.

Medigap premiums typically increase over time, but how much they increase varies by company. If your current provider raises rates significantly, you can shop around and apply for a new plan, but outside of a guaranteed issue right, switching requires medical underwriting. This is why working with an agent is helpful - we monitor rate trends and help clients review their options before things get too expensive.

Texas Medicare Insurance Advisor- Matt Kiggins
Matt Kiggins
Senior Editor
Texasinsuranceguide.com

With nearly 15 years of experience in the insurance industry, Matt Kiggins is the Senior Editor at Texas Insurance Guide and a seasoned Health & Life Agent licensed in multiple states, including Texas (#1585860). He is also the co-founder of Policy Guide, a respected insurance agency based in Pensacola, FL. Matt has built his career on one simple principle: people deserve clear, honest guidance when making some of life’s most important healthcare decisions.

Read Full Bio
Texas Medicare Insurance Advisor- Matt Kiggins
Matt Kiggins
Senior Editor
Texasinsuranceguide.com
Insurance Licenses & Lines of Authority

Texas


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