Medigap Plan N
A Medigap Plan With Major BenefitsWhen selecting insurance, it’s smart to balance potential coverage needs with the cost of premiums. You may find the best value by purchasing a less expensive Plan N that does not cover all of the gaps in Medicare coverage, especially for benefits you will not use or that have low out-of-pocket risk.
How Plan N Compares to Other Medigap PlansYou can get a quick look at what all the standard Medigap plans offer with our Medigap Plan Benefits Grid. Plan F is the plan with the most comprehensive coverage and, therefore, often the highest premiums. There are three benefits that Plan F covers that Plan N does not cover or does not cover fully.
- Part B excess charge. Plan F does make up that difference, if there is any. If your doctor agrees to accept Medicare’s standard payment, you would not need that benefit.
Note that the vast majority of providers will accept the standard Medicare payment. Doctors in the following states are not even allowed to charge excess charges: CT, MA, MN, NY, OH, PA, RI, and VT.
You can see if your doctor accepts Medicare-approved payment amounts by checking www.medicare.gov/physiciancompare/.
- Plan N doesn’t cover Medicare’s annual Part B deductible and Plan F does. That deductible is relatively low ($185 in 2019), and it’s predictable. You must meet it once a year if you need doctor services that are not 100 percent covered as recommended preventive care. If you only use doctor services that are billed as preventive (i.e., not diagnostic or treatment), the deductible does not apply.
- The other difference between the benefits of Plan F and Plan N lies in copayments for outpatient services. Plan N charges you a copayment of up to $20 for a doctor’s appointment that is not 100 percent covered as recommended preventive care. Plan N also has a $50 copay charge if you go to the emergency room and are not admitted as an inpatient by a doctor.