Medicare Supplement Plan G

What is Medicare Supplement Plan G?

Medicare Supplement Plan G, administered by Premera Blue Cross, allows the use of any Medicare contracted physician or hospital nationwide. The plan is designed to supplement your Medicare coverage by reducing your out-of-pocket expenses and providing additional benefits. It pays some Medicare deductibles and coinsurances, but primarily supplements only those services covered by Medicare.

You may choose to purchase a Medicare supplement Plan G from a private insurance company or enroll in the Premera Blue Cross Medicare Supplement Plan G that the PEBB Program offers, if eligible for PEBB retiree coverage.

In Medicare Supplement Plan G, benefits such as vision, hearing exams, and routine physical exams may have limited coverage or may not be covered at all.

If you select Medicare Supplement Plan G, any eligible family members who are not entitled to Medicare will be enrolled in UMP Classic.

Medicare Supplement Plan G does not include prescription drug coverage. If you select this plan, you may have to enroll in Medicare Part D to get your prescriptions, unless you have other creditable prescription drug coverage (e.g., VA benefits).

How do I enroll?

To enroll in Premera's Medicare Supplement Plan G, you need to submit the following forms:

How do I find a provider?

Visit Premera's online provider directory. Medicare Supplement Plan G allows the use of any Medicare contracted physician or hospital nationwide.

Is there a quick way to see benefits and costs?

Outline of coverage



Summaries of benefits and coverage are not available for Medicare supplement plans. For Medicare plan summaries, see the medical benefits comparison tool or the Medicare benefits comparison.

What are the monthly plan costs?



Do I live in the medical plan's service area?

Medicare Supplement Plan G is available in all Washington State counties and nationwide.