Dennis Jarvis, licensed California Medicare agent
★★★★★ 5-Star Google Reviews
Free help from a real licensed California Medicare agent

Dennis Jarvis, serving California since 1999. No cost, no pressure.

California Medigap Guide  ·  part of our Medicare Hub →
Medigap OverviewPlan GPlan NPlan G vs NPlan F vs GComparison ChartPricing & DiscountsChoose a Company

Plan F vs Plan G: Are You Overpaying? (2026)

Key Takeaways
  • Plan F and Plan G are nearly identical, the ONLY difference is Plan F also covers the small annual Part B deductible.
  • Yet many Plan F holders pay $1,000+ more per year than they would on Plan G, far more than that deductible is worth.
  • Plan F closed to new enrollees in 2020, so its pool is shrinking and aging, driving rates up faster (a 'death spiral').
  • You keep all the same benefits, doctors, and freedom when you switch to Plan G, nothing about how Medigap works changes.
  • California's Birthday Rule lets you switch F→G without medical underwriting. Most people just don't know they can.

If you're on Medigap Plan F, this page might save you a thousand dollars a year or more. This is something the carriers and their agents rarely bring up, because it's not in their interest. But it's very much in yours. So let's talk honestly about Plan F versus Plan G.

First: Plan F and Plan G Are Almost Identical

Here's what surprises most people. Plan F and Plan G cover the exact same things, with one tiny exception: Plan F also covers the annual Part B deductible (a few hundred dollars), while with Plan G you pay that deductible yourself once a year.

That's it. That's the only difference. Same doctors, same nationwide freedom, same coverage of the uncapped 20%, same everything else. So the real question is simple: how much extra are you paying on Plan F for that one small deductible?

💰 The overpayment problem

For many California Plan F holders, the answer is shocking: they're paying $1,000 or more per year extra compared to Plan G, to cover a Part B deductible that's only a few hundred dollars. That math makes no sense. You could pay the deductible yourself several times over and still come out way ahead on Plan G.

Why does this happen? Because people assume they're "locked in," or that switching means losing their benefits or their doctors. None of that is true. And nobody, not the carrier, not the agent who sold it, has any incentive to tell them otherwise.

Why Plan F Rates Are Rising Faster (The Death Spiral)

It gets worse for Plan F holders. In 2020, Plan F closed to anyone newly eligible for Medicare. That means no new, younger, healthier people are entering the Plan F pool, only the existing members, getting older, using more care, every year.

The Market Has Moved From Plan F to Plan G
Medigap policy distribution by plan type (2016-2025)
2016
2018
2020
2022
2024
2025
First-Dollar (F)Plan GPlan NAll Other
Source: CSG Actuarial. First-dollar (Plan F) fell from 60% to under 8%; Plan G grew from 17% to 71%.

You can see it in the data: first-dollar plans like F have collapsed from 60% of the market to under 8%, while Plan G has surged. A shrinking, aging pool means claims per member rise, and so do rates. Insurers call the newer plans "closed blocks." We call it what it is: a slow-motion rate spiral that Plan F holders get caught in.

Average Rate Increase by Plan Type
California Medigap, Jan-Aug 2026
G
17.2%
F
16.3%
N
15.4%
A
14.3%
D
12.2%
C
12.1%
M
11.2%
B
10.9%
L
10.9%
F High
10.7%
K
9.9%
HDG
7.3%
Source: CSG Actuarial. Plan G rose fastest (17.2%); High-Deductible G slowest (7.3%).

Plan F is among the fastest-rising plans, and it will likely keep climbing as its pool ages. Plan G, with new members constantly joining, stays more stable.

Free California Medicare Help

Not sure you've got Medicare right?

Skip the confusion and the sales calls. Get straight answers for your situation, free.

Free, no pressure, and we never cold-call you.

"But Can I Even Switch?", Yes, in California

The Birthday Rule makes it possible

Here's the part that unlocks everything: California's Birthday Rule lets you switch from Plan F to Plan G (an equal or lesser plan) each year, without medical underwriting. You cannot be turned down or charged more for your health. In most states, switching off Plan F would require passing underwriting, which traps people with health conditions. California protects you.

So if you've been on Plan F for years, assuming you're stuck, paying more and more each year, you're very likely not stuck at all. You can move to Plan G, keep every doctor and every benefit, and potentially save over $1,000 a year. This is genuinely a personal mission of ours, because so many people are quietly overpaying and no one tells them.

Let Us Check for You, Free

If you're on Plan F, let us run a simple comparison: your current Plan F premium versus what Plan G would cost you. If switching saves you money (it usually does), we'll handle the switch using the Birthday Rule, and you keep everything you have now. If it somehow doesn't make sense for you, we'll tell you that honestly. There's no cost, and no pressure. It's just the right thing to do.

Get straight Medicare answers for your situation, free:

Free California Medicare Quote: All Options

Google ★★★★★ 5.0
⚡ Free & Instant

Compare Medicare Advantage, Medigap, and Part D from every major California carrier. Enter your doctors and medications for exact pricing. Free help from certified agents.

Serving California since 1994 · Certified Medicare agents · Zero cost for our help
Dennis Jarvis, licensed California Medicare agent

Need a real person?

Talk to Dennis or call 800-320-6269
Frequently Asked Questions
▸ What is the difference between Plan F and Plan G?
Plan F and Plan G are nearly identical - they cover the same things, with one exception: Plan F also covers the annual Part B deductible (a few hundred dollars), while with Plan G you pay that deductible yourself once a year. Everything else - the doctors, the nationwide freedom, coverage of the uncapped 20% - is the same.
▸ Am I overpaying on Plan F?
Possibly by a lot. Many California Plan F holders pay $1,000 or more per year extra compared to Plan G, just to have the small annual Part B deductible covered. Since that deductible is only a few hundred dollars, paying it yourself on Plan G often saves significant money. It's worth having someone compare your Plan F premium to a Plan G quote.
▸ Why are Plan F rates rising so fast?
Plan F closed to people newly eligible for Medicare in 2020, so no new younger, healthier members are joining its pool - only existing members getting older and using more care. This shrinking, aging pool drives claims and rates up faster than open plans like Plan G, which keep gaining new members. It's sometimes called a closed-block rate spiral.
▸ Can I switch from Plan F to Plan G in California?
Yes. California's Birthday Rule lets you switch to an equal or lesser Medigap plan - including Plan F to Plan G - each year around your birthday without medical underwriting. You can't be denied or charged more for health conditions. You keep all your doctors and benefits; only your premium changes (usually for the better).
▸ Will I lose my doctors or benefits if I switch from F to G?
No. All Medigap plans let you see any doctor nationwide that accepts Medicare - that doesn't change between Plan F and Plan G. And since the plans are federally standardized, your core benefits stay essentially the same (you just pay the small annual Part B deductible on Plan G). Switching changes your premium, not your access or coverage.
The information above is general guidance about California Medicare Supplement insurance and may change as rates, plans, and rules are updated each year. It is not a substitute for personalized advice. For current, personalized guidance, please contact us, email help@calhealth.net, or call 800-320-6269. Serving California since 1994.
California Medigap Guide, Explore More
Medigap OverviewPlan GPlan NPlan G vs N
Plan F vs G ● YOU ARE HERE
Comparison ChartPricing & DiscountsChoose a Company
← Back to the full Medicare Hub