Senior couple sitting on park bench discussing the advantages and disadvantages to Part G vs. Part N

Medigap Plan G vs. Plan N Differences

If you choose to enroll in a Medigap plan, you’ll have about ten plan choices. Among these ten choices, two stand out as the most popular choices among current Medicare beneficiaries: Plan G and Plan N.

The Old Debate: Plan F vs. Plan G

The debate between Plans G and N is actually new. Until January of 2020, the two most popular plans were Plans F and G. The only difference between these two plans is that Plan F paid the policyholder’s Medicare Part B deductible. (And came with a higher premium.)

So, what happened to cause the change?

MACRA happened. MACRA, the Medicare Access and CHIP Reauthorization Act, came out with new regulations that prohibit any Medigap plan from paying the Part B deductible. Since Plan F did just that, it is no longer offered to newly eligible beneficiaries.

Those who already had Plan F can continue their same coverage. Anyone who delayed enrollment past the age of 65 but did turn 65 prior to January 1, 2020 is also eligible to enroll in Plan F. Those who turn 65 on or after that date are not eligible for Plan F.

The New Debate: Plan G vs. Plan N

Plan G is now considered the most comprehensive Medicare coverage for anyone ineligible for Plan F. However, it also comes with a higher premium than the rest of the Medigap plans.

Plan N comes in at second place regarding overall coverage and benefits. Let’s look at the differences between these two popular Medigap plans.

Plan G Coverage Details

  • Part A coinsurance and hospital costs
    • It also offers an additional 365 days after Medicare benefits are exhausted
  • Part B coinsurance or copayment
  • Blood (first 3 pints)
  • Hospice care coinsurance or copayment
  • Part A deductible
  • Part B excess charges
  • Emergency services during foreign travel

Plan N Coverage Details

  • Part A coinsurance and hospital costs
    • It also offers an additional 365 days after Medicare benefits are exhausted
  • Part B coinsurance or copayment
  • Blood (first 3 pints)
  • Hospice care coinsurance or copayment
  • Part A deductible
  • Emergency services during foreign travel
Senior couple hugging as they discuss the differences in Medigap Plan G vs Plan N
Like in other plans offered to Medicare beneficiaries, the best plan is the one that fits both your needs and budget.

A Breakdown of Differences

As we mentioned earlier, neither of these plans pay for the Part B deductible. In 2021, the Part B deductible was $203.

Plan G does not have copays for office or emergency room visits. Plan N requires a $20 copay for office visits and a $50 maximum copay for emergency room visits. (If you are admitted as an inpatient after visiting an emergency room, the $50 copay is waived.)

Plan G offers coverage for Part B excess charges. Excess charges are additional fees charged by a provider who does not accept Medicare assignment. These excess charges may be up to an additional 15% of the covered services.) Plan N does not pay for Part B excess charges.

However, if you live in a MOM state, you will not pay Part B excess charges. MOM stands for Medicare Overage Measure. Some states have enacted this measure to prevent providers from over-charging for services provided to Medicare beneficiaries. Currently there are eight MOM states: Connecticut, Massachusetts, Minnesota, New York, Ohio, Pennsylvania, Rhode Island, and Vermont.

If you live in a MOM state, having the benefit of your Part B excess charges taken care of it no a plan benefit that you should consider.

The Best Plan

Like in other plans offered to Medicare beneficiaries, the best plan is the one that fits both your needs and budget. 

Yes, Plan G does offer more coverage and will save you the most in out-of-pocket expenses, but it does have a higher premium to consider. However, Plan N has almost the same coverage, especially if you live in a MOM state. Plan N has great value for a cheaper premium.

To make your decision, you’ll need to weigh the benefits and the cost. Remember, your premium will increase as you get older, so it’s important not to pick a plan that is already requiring you to stretch your budget.

You don’t have to make this decision alone! Give the agents at Temmen Insurance a call. We can compare plans as well as insurance companies to make sure you get the best value.