What is the Difference between the Supplemental Plan G and Plan N ?

Medicare Supplement plans, also known as Medigap, help cover some of the healthcare costs that Original Medicare (Part A and Part B) doesn't cover, such as copayments, coinsurance, and deductibles. Among the available Medigap plans, Plan N and Plan G are popular choices, each with its own set of benefits and costs. Here's a breakdown of the differences between Medicare Plan N and Plan G:

Medicare Plan G:

• Coverage: Plan G covers most out-of-pocket costs except for the Medicare Part B deductible. Once you've paid the annual Part B deductible, Plan G covers 100% of the Part B coinsurance and copayments.

• Foreign Travel Emergency: Plan G includes coverage for foreign travel emergencies (up to plan limits).

• Part B Excess Charges: Plan G covers Part B excess charges. This means if a doctor or provider charges more than the Medicare-approved amount, Plan G will cover the difference.

Medicare Plan N:

• Coverage: Plan N also covers most of the same expenses as Plan G, but with some differences in copayments and Part B excess charges. After you meet the Part B deductible, you may have a copayment of up to $20 for some office visits and up to $50 for emergency room visits that don't result in an inpatient admission.

• Foreign Travel Emergency: Plan N provides the same foreign travel emergency coverage as Plan G (up to plan limits).

• Part B Excess Charges: Plan N does not cover Part B excess charges. If a doctor or provider charges more than the Medicare-approved amount, you are responsible for paying the excess amount.

Key Differences:

• Part B Deductible: Both plans require you to pay the Medicare Part B deductible before the plan starts paying. This is a once-a-year deductible.

• Part B Excess Charges: Plan G covers excess charges, while Plan N does not.

• Copayments: Plan N includes copayments for some doctor visits and emergency room visits, whereas Plan G does not require copayments after the Part B deductible is met.

Choosing Between Plan N and Plan G:

The choice between Plan N and Plan G often comes down to personal preference, healthcare needs, and budget. Plan G might be a better choice if you want comprehensive coverage and don't mind paying a higher premium to avoid excess charges and copayments. Plan N can be a good option if you are looking for lower premium costs and are okay with paying copayments for doctor and emergency room visits and potentially being responsible for Part B excess charges.