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Mary Has Medicare and a Plan G: The Shocking Truth About Rising Costs (And What She Can Do About It)

Writer: D B
D B
May 2
3 min read

Mary did everything right.

She worked hard her entire life, paid into Medicare, and when retirement finally came, she chose a Medicare Supplement Plan G. It gave her peace of mind, predictable costs, and protection from large medical bills.

For years, everything was fine.

Then one day, she opened a letter—and her stomach dropped.

Her premium had gone up. Again.

But this time, it wasn’t small. It was a big jump.

Concerned, Mary called her agent. He represents Mutual of Omaha, the company she’s been with all along. She trusted him and expected guidance.

Instead, he told her something frustrating:

“There are no other options for Plan G.”

Mary hung up feeling stuck.

But here’s the truth…

She’s not.

Why Did Mary’s Plan G Premium Go Up?

Mary’s situation is more common than most people realize. There are a few key reasons this happens.

First, healthcare costs are rising. As medical expenses increase across the country, insurance companies adjust premiums to keep up.

Second, many Plan G policies use what’s called attained-age pricing. That means your premium increases as you get older—even if nothing else changes.

Third, insurance companies adjust rates based on claims, risk, and overall business performance. Sometimes a company that was competitive years ago simply isn’t anymore.

Is Mary Really Out of Options?

Short answer: No.

The issue isn’t that options don’t exist—it’s that Mary hasn’t been shown them.

Her agent is what’s called a captive agent. That means he works with only one company. In this case, Mutual of Omaha.

So when he says there are no other options, what he really means is there are no other options through him.

Here’s the key fact most people don’t know:

All Plan G policies are standardized.

That means the benefits are exactly the same no matter which insurance company you choose.

Same coverage. Different price.

The Big Misconception About Plan G

Many people assume if they switch companies, they’re giving something up.

That’s not true.

With Plan G:

  • Coverage does not change

  • Doctors and hospitals do not change

  • Benefits stay identical

The only thing that changes is the premium.

That means Mary could potentially pay significantly less for the exact same coverage.

What Can Mary Do Right Now?

Mary has several smart options she can explore.

  1. Compare Plan G Rates

  2. Different insurance companies offer the same Plan G coverage at different prices. Shopping around could reveal lower premiums.

  3. Switch Carriers

  4. If Mary qualifies medically, she can switch to another company and keep the same coverage while lowering her monthly cost.

  5. Consider Plan N

  6. Plan N is another Medicare supplement option with lower premiums. It does include small copays for doctor visits, but for many people, the savings outweigh the trade-offs.

  7. Check Underwriting Eligibility

  8. Depending on her situation, Mary may need to answer health questions to switch plans. Many people still qualify, especially if they are in reasonably good health.

Captive vs Independent Agents

This is where things really change.

Captive agents:

  • Work for one company

  • Offer limited options

  • Cannot compare the market

Independent agents:

  • Work with multiple companies

  • Compare prices across carriers

  • Help find the best value

An independent agent could show Mary multiple Plan G options side by side—something her current agent simply can’t do.

When Switching Makes Sense

Switching plans often makes sense if:

  • Premium increases are large

  • Comparable plans are significantly cheaper

  • You’re healthy enough to qualify

It may not make sense if:

  • You have serious health conditions

  • You would not pass underwriting

Real Savings Potential

Many people in Mary’s situation save between $50 and $150 per month by switching.

That’s $600 to $1,800 per year—for the same exact coverage.

Common Mistakes to Avoid

  • Assuming your current plan is still the best deal

  • Only talking to one agent

  • Waiting too long to explore options

  • Not understanding how underwriting works

Frequently Asked Questions

Why does my Plan G premium increase every year?

Because of age-based pricing, inflation, and insurance company rate adjustments.

Can I switch Plan G anytime?

Yes, but you may need to pass medical underwriting depending on your situation.

Is Plan G the same with every company?

Yes. Benefits are standardized by Medicare.

What is the downside of switching?

You could be declined if you don’t meet health requirements.

Is Plan N worth considering?

Yes, especially if you want lower premiums and are okay with small copays.

Should I get a second opinion?

Absolutely. An independent agent can show you more options.

Final Thoughts: Mary Is Not Stuck

Mary’s situation feels frustrating—but it’s also full of opportunity.

She’s not trapped.

She’s not out of options.

She just hasn’t been shown them yet.

With the right guidance, she can keep the coverage she trusts while finding a price that makes sense.

And if you’re in Mary’s shoes, the same is true for you.

 
 
 

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