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How Much Does Medicare Supplement Plan G Cost in 2027? The Full Yearly Bill

Reviewed by Russell Noga, Licensed Medicare Insurance Broker (all 50 states) — Last updated November 10, 2026

Medicare Supplement Plan G cost about $194 a month on average in 2025, according to KFF’s analysis of insurer filings, and the true yearly bill adds the Part B premium and the Part B deductible on top. For 2027, that means the premium you are quoted plus a projected $209.50 a month for Part B and a projected $292 deductible, after which Plan G pays the rest of your Medicare-approved costs.

2027 by the Numbers

$194

average monthly Plan G premium in 2025 (KFF, insurer filings)

$164 to $257

range of state Plan G averages, New Mexico to New York, 2025 (KFF)

$292

projected 2027 Part B deductible, the one gap Plan G leaves (Medicare Trustees)

Plan G is now the most common Medigap letter, held by 46% of policyholders in 2025 according to KFF. Its benefits are fixed by federal law, so what changes from one quote to the next is the price, and the price is only one line of what a Plan G owner spends in a year.

This page walks through what moves a Plan G premium and then adds up the whole year, so the number you compare is the one that leaves your bank account. For the coverage side, see what Plan G covers in detail.

✔ Licensed in all 50 states
✔ Based on CMS 2027 data
✔ Free plan comparison

Key Highlights

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KFF found Plan G averaged $194 a month in 2025, up from $140 in 2020.

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Every Plan G owner also pays the Part B premium, projected at $209.50 a month for 2027.

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The only Medicare-approved cost Plan G leaves you is the Part B deductible, projected at $292 for 2027.

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High-deductible Plan G only wins on price when its premium is far lower, roughly $230 a month or more below regular Plan G.

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Where the $194 Average Comes From and Why Yours Will Differ

KFF’s October 2026 review of Medigap premiums used insurer filings compiled from NAIC data. It put the 2025 Plan G average at $194 a month across all policyholders, with state averages ranging from $164 in New Mexico to $257 in New York. KFF also noted that the lowest single-state Plan G figure in its data was $152, in Wisconsin.

An average blends 65-year-olds with 85-year-olds and cheap ZIP codes with expensive ones, so treat it as a reality check, not a quote. The same review found Plan G premiums rose 38% between 2020 and 2025.

46%

share of Medigap policyholders in Plan G, 2025

+13%

rise in the average Plan G premium from 2024 to 2025

+38%

rise in the average Plan G premium from 2020 to 2025

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Seven Things an Insurer Prices Into a Plan G Quote

Because the benefits are identical, insurers compete on who they accept and what they charge, within limits each state sets.

Price drivers for the same Plan G

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Your age at purchase, and under attained-age pricing, every birthday after that

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Your ZIP code, since rates are filed by state and often by region within a state

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Sex, where the state allows it

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Tobacco use, which many insurers price separately

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Whether you apply in your Medigap open enrollment window or later with health questions

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Household discounts for a spouse or partner who also buys a policy

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The insurer’s pricing method: community, issue-age or attained-age rating

Same letter, different trend: Two Plan G policies priced within a few dollars at 65 can drift far apart by 75, depending on each insurer’s pricing method and claims experience. The first-year premium says little about the tenth year.

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The Complete Yearly Plan G Budget for 2027

Here is how the pieces stack up for a full calendar year. The monthly premiums in the left column are round examples to show the math, not quotes from any insurer. Part B figures are the Medicare Trustees’ 2027 projections, which CMS normally confirms each fall.

Example Plan G premium Plan G for 12 months Part B premium (12 x $209.50) Part B deductible Medical total for the year
$150 a month $1,800 $2,514 $292 $4,606
$200 a month $2,400 $2,514 $292 $5,206
$250 a month $3,000 $2,514 $292 $5,806

Our calculation. Assumes at least $292 of Part B services in the year, standard Part B premium (higher incomes pay more under IRMAA) and no foreign travel claims. Drug coverage is separate.

Adding Drug Coverage to the Plan G Total

Medigap policies sold today do not include prescription coverage, so a Plan G owner normally adds a stand-alone Part D plan. That plan has its own premium, which varies by plan and region.

Light drug user

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Pays the Part D plan premium

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May pay little beyond that, depending on the plan’s deductible and copays

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Medical plus drug total stays close to the table above

Heavy drug user

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Pays the Part D plan premium

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Out-of-pocket drug spending is capped at $2,400 in 2027

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Worst-case total = Plan G premium + Part B + $292 + Part D premium + $2,400

Worst case is knowable: With Plan G and Part D together, every major cost has a ceiling or a fixed amount for 2027. Very few other Medicare setups let a household write down a true worst-case number for the year.

What a Hospital Stay Costs With and Without Plan G

The value of the premium shows up when care gets expensive. Using CMS’s 2026 Part A amounts (the 2027 amounts are announced by CMS each fall), here is what Original Medicare alone would leave a patient owing compared with a Plan G owner.

Event under Original Medicare You owe without Medigap You owe with Plan G
Hospital admission (Part A deductible, per benefit period) $1,736 $0
Hospital days 61 to 90 $434 a day $0
Lifetime reserve days $868 a day $0
Skilled nursing days 21 to 100 $217 a day $0
20% Part B coinsurance on surgery, chemo or dialysis No yearly limit $0 after the Part B deductible

Part A figures are CMS 2026 amounts. Part B coinsurance has no cap under Original Medicare.

One admission in each of two benefit periods would cost $3,472 in Part A deductibles alone at 2026 rates, which already exceeds a year of premiums for many Plan G buyers in lower-cost areas.

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When High-Deductible Plan G Is Cheaper Overall

The high-deductible version of Plan G has the same benefits once you meet a $3,050 deductible in 2027, set by CMS. The Part B deductible counts toward it. Compared with regular Plan G, the most extra you could pay in a bad year is $3,050 minus $292, or $2,758.

1

Find the monthly premium gap Subtract the high-deductible quote from the regular Plan G quote from the same insurer.

2

Multiply by 12 This is what you save every year, healthy or not.

3

Compare with $2,758 If the yearly saving is above $2,758, the high-deductible plan wins even in a bad year. That requires a gap of about $230 a month.

4

Judge the middle ground Below that gap, the high-deductible plan wins in light-use years and loses in heavy ones.

More on how the deductible works is on our high-deductible Plan G guide, and the regular plan’s single gap is covered in the Plan G deductible for 2027.

Ways to Pay Less for the Same Plan G Benefits

Price levers that do not change coverage

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Apply during your six-month Medigap open enrollment, when insurers cannot price on health

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Ask whether a household discount applies, and what the insurer requires to qualify

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Compare pricing methods, not just first-year premiums

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Check whether paying by bank draft or annually changes the amount billed

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Look at a Plan G Select policy where offered, which uses a hospital network for non-emergency care

If the gap between Plan G and Plan N is large where you live, our Plan G vs Plan N comparison covers that trade-off, and typical Medigap premiums shows how other letters are priced.

Bottom Line

The Bottom Line

Plan G averaged $194 a month in 2025, but the number that matters is the yearly total: your premium, the Part B premium and the $292 projected Part B deductible for 2027. Once that is written down, the remaining question is which insurer’s pricing method will keep the premium line reasonable as you age.

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Frequently Asked Questions

➤ What is the most a Plan G owner pays for Medicare-approved care in 2027?

Beyond premiums, the Part B deductible, projected at $292 for 2027. After that, Plan G pays the remaining Medicare-approved costs, including Part B excess charges.

➤ Is $194 a month what I will pay for Plan G?

Not necessarily. That is KFF’s 2025 average across all ages and states. Your quote depends on age, ZIP code, tobacco use, sex where allowed and whether you buy during open enrollment.

➤ Why did Plan G premiums rise so much since 2020?

KFF reports a 38% rise in the average from 2020 to 2025. Insurers have to back each increase with claims data in rate filings that state regulators review, so the averages reflect the rising cost of the care Plan G pays for.

➤ Does Plan G cost more in New York than in other states?

KFF’s 2025 figures show New York with the highest state average for Plan G, at $257 a month, and New Mexico with the lowest at $164.

➤ Do I still pay the Part B premium if I have Plan G?

Yes. Plan G does not replace Part B. The projected 2027 standard Part B premium is $209.50 a month, and higher earners pay more.

➤ How do I figure my annual Plan G cost?

Multiply your monthly Plan G premium by 12, add 12 months of Part B premium and add the $292 projected Part B deductible. Add a Part D plan separately if you need drug coverage.

➤ Does Plan G pay for care outside the United States?

Plan G pays 80% of emergency care abroad after a $250 yearly deductible, up to a $50,000 lifetime limit. Routine care overseas is not covered.

➤ Can my Plan G premium go up even if I never file a claim?

Yes. Premiums are set for the whole group of policyholders, so increases reflect the insurer’s claims and costs, plus your own age under attained-age pricing. Your own claim history does not set your rate.

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Medicare Supplement Quotes

Call a Licensed Agent Now

Compare Plan G, Plan N and more from several insurance companies in one call.

☎ 1-855-398-0716

TTY users 711  |  Mon–Fri: 5am–7pm, Sat–Sun: 7am–4pm CT

No obligation to enroll

Find & Compare Plans Online

Speak with a licensed insurance agent

1-855-398-0716TTY 711

Mon-Fri: 8am-9pm ET

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