MedicareWire

Shop and compare Medicare plans nationwide.

Speak to a Licensed Advisor[1]

1-855-266-4865

Mon-Fri: 8:30 a.m. to 8:00 p.m. ET

  • Medicare Advantage
  • Medicare Part D
  • Medigap
  • Special Needs
  • More➲
    • Senior Dental Insurance
    • Best Medicare Plans
    • MedicareWire Blog
      • Latest Posts
      • Medicare Insurance Plans
      • What Does Medicare Cover?
    • Important Resources
    • Frequently Asked Questions
    • Medicare Glossary

Medicare Plan N (Medigap Plan N): One of the Newest, Innovative Supplements

Medicare Supplement Plan N

What is Medicare Plan N?

Medicare Supplemental Plan N is one of the ten standardized Medigap plans. Although it is one of the newest plans available, Medicare Plan N is quickly becoming a favorite with Baby Boomers aging into their Medicare benefits. This is particularly true of Baby Boomers who are accustomed to sharing healthcare costs with their employer’s group health plan.

Medicare Supplement Plan N Explained

Medicare Supplement Plan N works with Original Medicare (Part A and Part B) to cover the cost gaps. Also known as Medigap Plan N, this plan covers all of the major gaps (i.e., deductibles, coinsurance, copayments, blood, and foreign travel emergencies) that traditional Medicare does not cover, but costs less than more comprehensive plans because you share some of the costs when you see your doctor. This is why the plan is gaining popularity.

To best understand Plan N, and all of its benefits, you first need to get a complete picture of the gaps in Original Medicare. Although Medicare helps cover all of your major medical expenses, it only pays about 80% of the total cost. Without a Medigap insurance policy, you are left to pay the remainder out-of-pocket, including:

  1. Medicare Part A Coinsurance & Hospital Costs
  2. Medicare Part A Skilled Nursing Facility Coinsurance
  3. Medicare Part A Deductible
  4. Medicare Part A Hospice Care Coinsurance or Copayment
  5. Medicare Part B Deductible (annual)
  6. Medicare Part B Coinsurance or Copayment
  7. Medicare Part B Excess Charges
  8. Blood (first 3 pints)
  9. Foreign Travel Emergency

Some of these costs, such as the Medicare Part B deductible, are minor. However, the Part A deductible, at $1,408 per benefit period (2020 rate), is very expensive. Medicare Plan N helps pay all or part of these costs except the Part B deductible and Part B excess charges.

What is Medicare Supplement Plan N: Infographic

Medicare Plan N Coverage

The reason a Medigap Plan N policy saves its beneficiaries so much money is that policyholders share some of the most common costs. For example, if you have a Plan N policy you pay a small copayment when you see your doctor (up to $20) and when you use the emergency room (up to $50). With other plans, these Part B costs are paid at 100%, and the monthly premiums are higher, too.  This is one of the reasons Plan N policies work so well for healthy seniors. If you rarely see your doctor, because you don’t have any chronic health conditions, why pay for coverage you don’t need?

Think of it this way, if you’re not prone to getting into car accidents, why pay for a $100 collision deductible year after year when a $500 deductible will save you thousands of dollars between collision claims? Medigap plan deductibles and copayments work the same way. If you want to save money, and you’re healthy, get a policy that covers the big costs and pay the small incidentals out of pocket, including Part B excess charges.

Medicare Part B excess charges arise when you use a doctor or specialist that is Medicare-approved but does not accept Medicare assignment. That simply means they do not accept Medicare’s standard payment amount. Medicare allows these doctors to add up to 15% to the bill, but you pay this “excess charge” amount, not Medicare.

If you have a Medigap policy that covers excess charges you don’t have to worry about it, but these plans cost more. Medicare Plan N does not cover excess charges, so you’ll pay this cost out-of-pocket when you choose a doctor that does not accept Medicare assignment.

To recap, here are the costs not covered by Plan N:

  1. The Medicare Part B Deductible
  2. Medicare Part B Excess Charges
  3. A $20 (max) Doctor Visit Copayment
  4. A $50 (max) E.R. Copayment

Medicare Part N covers all other gaps in Original Medicare, including 80% of foreign travel emergency costs, up to $50,000, after you pay a small copayment.

Medicare Plan N vs. Plan G

It’s natural to do a Medicare Plan N vs. Plan G cost and coverage comparison. Like Plan N, Plan G does not cover the Part B deductible. That means that the only real difference between these two policies is what you pay to see your doctor and to use the E.R., and coverage of excess charges.

For healthy people who don’t have a family history of chronic illnesses as they age, a Plan N Medicare supplement is a great way to save a lot of money without taking a big risk. And that’s really what insurance is all about, mitigating financial risk.

Plan G is the better option for people who see their doctor or a specialist on a regular basis. Plan N is the better option for people who rarely see their doctor for anything other than an annual checkup and want to save money. Both plans offer extensive coverage for what matters most, your inpatient and hospitalization costs.

Medicare Plan N vs. Plan F

Everything said above about Plan N vs. Plan G holds true for Plan N vs. Plan F except for one thing. Medicare Plan F does cover the Part B deductible. A Plan F Medigap policy is the only plan that covers all of the gaps in Original Medicare, and it’s also the most expensive. Is it the best plan? You bet it is, but you pay for the privilege of first-dollar coverage.

First-dollar coverage means that you pay nothing to see your doctor or to use any other Medicare-approved services. With Medicare Plan F, you never have a bill because Medicare pays first and your Medigap policy pays the rest. This is not true with Medicare Plan N.

With a Plan N policy, you pay your Medicare Part B deductible on your first doctor visit. Thereafter you pay up to $20 to see your doctor and up to $50 if you need to use the emergency room. All other costs, except excess charges, are covered by the Plan N policy, just like they are with Plan F.  The big difference is the cost. Plan N policies are often 40% less than Plan F policies, depending on where you live. In high-cost of living areas, the savings are often more.

Deciding which plan is best for you is all about taking a good look at your health and your financial situation. For assistance making this important decision, call 1-855-266-4865 to speak with a HealthPlanOne advisor.  Ask for a free rate analysis so you can compare Plan N, F, and G rates in your area.

Find affordable Medicare Supplement Insurance

Related Topics

[1] Licensed Sales Agent

Licensed sales agent (“advisor”) services are provided by HealthPlanOne, LLC, MedicareWire’s trusted partner. Read our full sales agent disclosure.

[2] Trademark Notice

MedicareWire uses legal U.S. trademarks to identify and describe Medicare and other insurance products for shoppers. See our full trademark use disclosure.

About MedicareWire

  • About
  • Contact
  • Connect with Us!
  • Privacy
  • Disclosure
  • Medicare Supplement Reviews

Copyright © 2021 MedicareWire.com - All Rights Reserved

Who is MedicareWire?
David Bynon
Chief Petty Officer David Bynon re-enlisting 15 September 2001.

Hello, my name is David Bynon.

I founded MedicareWire in 2011 after retiring from the Navy. I’ve made helping people like you my full-time retirement profession.

My goal is to help you see all the rates offered by insurance companies that sell Medigap policies in your area.

I am not an insurance agent.

My job is to make sure that you have the information you need to be comfortable with your plan decision. When it comes to choosing a Medigap plan, I want you to be able to see all rates and carriers before speaking with an agent.

To provide you with this free service, I need to ask you to provide your age, gender, zip code, and email address. I promise to keep your information secure. You can count on me not to share, sell, or otherwise divulge your information to anyone.

Yours in Better Medicare.

David Bynon

Medigap Quotes by Email: Compare and Save!


Complete this form and MedicareWire will send you a complete rate analysis on Medigap plans in your area. This is a free service with no obligations.

Answers to the following questions will allow us to get accurate information for you. These are some of the same questions you will be asked when you apply for insurance. We will not sell, provide, or otherwise disclose the information you provide to anyone.

  • This field is for validation purposes and should be left unchanged.