Medicare Supplement Plan N

Learn how Medicare Supplement Plan N works, what is covered, and how much the monthly premiums range.

Medicare Supplement Plan N is additional health insurance coverage that kicks in after Original Medicare pays on your claim. Medicare Supplement insurance covers inpatient and outpatient medical expenses such as copayments, office and emergency room visits, and deductibles. You can choose from 10 supplement plans, but Plan N is becoming increasingly popular for seniors who want good coverage at a reasonable premium.

How Does Medicare Supplement Plan N work?

When you turn 65, you’re eligible to enroll in the federal Medicare health insurance program. The Medicare program pays for hospital and outpatient medical expenses (Medicare Part A and Medicare Part B), but it doesn’t pay 100% of your claim. Medicare Supplement insurance enhances your Medicare benefits and helps cover the out-of-pocket expenses for which you’re responsible.

Also known as Medigap Plan N, because it bridges the gap in your Medicare coverage, is standardized in 47 states. Massachusetts, Minnesota, and Wisconsin standardize Medicare Supplement Plans differently. Medicare-approved private insurance companies sell Medigap Plan N.

What's Covered

Medicare Supplement Plan N covers hospitalization and outpatient services.

Standard Plan N benefits include:

  • Medicare Part A coinsurance
  • Part A hospice care coinsurance
  • Medicare Part A deductible
  • Skilled nursing facility coinsurance
  • Medicare Part B coinsurance
  • First three pints of blood
  • Foreign travel emergency
  • Coinsurance for Medicare Part B preventive care

Co-pays you are responsible for:

  • $20 office visit
  • $50 emergency room co-pays
  • $0 cop-pay for Urgent Care Centers

Note on ER: If you are admitted to the hospital from the emergency room, you are not responsible for the ER copayment.

What's Not Covered

Medicare Plan N does not cover Medicare Part B excess charges. Excess charges differ between what a health care provider charges and the Medicare-approved amount.

Additional exclusions:

  • Long-term care
  • (like non-skilled care you get in a nursing home)
  • Vision or dental services
  • Hearing aids
  • Eyeglasses
  • Private-duty nursing
  • Prescription drugs
  • Medicare Part B deductible

Medicare Plan N Cost

The cost of your monthly premium for Plan N varies based on age, gender, location, and insurance carrier. It also depends on how the insurance carrier sets its pricing.

Carriers use one of three methods:

  • Attained-age method
    The younger you buy your Medigap policy, the lower your monthly premium.
    Your premium automatically increases each year as you get older.
  • Issue-age method
    The insurance company bases your premium on your age when you buy your Medigap policy. The younger you are, the lower your premium.
    Premiums cannot increase based on age. However, they can increase due to inflation or other factors.
  • Community-rated
    Every senior who buys Medicare Supplement Plan N pays the same premium regardless of age.
    Premiums cannot increase based on age. However, they can increase due to inflation or other factors.

Here is an example of what that same 65-year-old woman might pay in Hartford based on the insurance company:

Company Plan Average Rate Gender State
Aetna N $142.30 Female NV
Mutual of Omaha N $98.98 Female OH
Aetna N $231.45 Female CT
United Healthcare N $124.80 Female CA
Mutual of Omaha N $123.71 Male FL
Rates are subject to Medicare Part B start date and or medical underwriting.

Here is a comparison of what a 65-year-old woman who does not smoke might pay a month for Medicare Supplement insurance Plan N based on location:

  • Mount Vernon, OH $81.01-$116.95
  • Las Vegas, NV $98.42-$186.23
  • Hartford, CT $171.44-$275.04

Here is an example of what that same 65-year-old woman might pay in Hartford based on the insurance company:

  • AARP $172.50
  • Mutual of Omaha $260.08
  • Humana $261.79

How Do I Enroll?

To be eligible for Medicare Supplement Plan N, you must enroll in Medicare Part A and B. For most seniors, this is when you turn 65.

Insurance carriers must accept your application when you enroll in Plan N during your Medigap Open Enrollment Period. They cannot deny pre-existing conditions or ask you questions about your health.

Open enrollment automatically starts the month you meet both of these conditions:

  • You are age 65
  • You enroll in Medicare Part B

Open enrollment lasts for six months. After the six months have expired, you can apply for a Medigap Plan N policy, but you are not guaranteed coverage. The insurance company can require medical underwriting, deny your application, or charge higher premiums based on pre-existing health conditions.

You do not have to renew your Medicare Supplement insurance each calendar year. Your Medigap policy is guaranteed renewable if you pay your Medicare Part B premium.

As you age, your health or financial condition might change. Therefore, reviewing your plan with a licensed insurance agent is an excellent idea to ensure it still fits your needs.

Plan N Reviews

Feedback on Medigap Plan N is very positive.

Pros of Plan N:

  • No network restrictions
  • Pays up to 80% for emergency care while traveling abroad
  • Good coverage at a low cost
  • Covers skilled nursing facility care
  • Significantly lower premiums
  • No out-of-pocket limit

Is Plan N Right for You?

Medicare Supplement insurance provides protection against high out-of-pocket medical expenses. Choosing among the available plans, however, can be challenging.

Medicare Plan N works well for Medicare beneficiaries who want strong coverage but are willing and financially able to pay a bit more in out-of-pocket expenses. In return for assuming a bit more financial risk, you can significantly reduce your monthly premium.

Here is an example:

Medicare Plan G provides the most comprehensive coverage for new Medicare enrollees. Except for excess charges, Plan N offers the same coverage as Plan G. But with Plan N, you’ll pay a $20 copayment for an office visit and a $50 co-pay for an ER visit.

Here’s a look at how the monthly premiums compare for a 65-year-old female in Hartford, CT:

  • Plan N  $171.44 – $275.04
  • Plan G  $212.25 – $428.72

If you are healthy and do not have frequent doctor visits, and your health care providers accept Medicare’s approved amount, your premium savings will offset what you pay in copayments.

  • Medigap Plan N Review:

    Plan N ranks #2 among Medicare Supplement plans for new enrollees.

    And ranks #3 overall Natiowide.

Medicare Supplement Plan N ranks No. 2 among Medicare Supplement plans for new enrollees and No. 3 overall.

Call one of our insurance agents to learn more about Medigap Plan N. We are happy to guide you through the process, and we can help you avoid higher premiums by providing cost comparisons between insurance companies.