Medicare Supplement (Medigap) · Plan N

What Does Medicare Supplement Plan N Cover?

Medicare Plan N is a Medicare Supplement (Medigap) insurance plan. It is sometimes mistakenly called "Medicare Part N," but Plan N is not a separate part of Medicare — it works alongside Original Medicare Parts A and B to help pay many of the copayments, coinsurance amounts, and other out-of-pocket costs Original Medicare leaves for you to pay.

This guide breaks down what Plan N covers, what it costs, how it compares to Plan G, and includes a free calculator to find your personal break-even point.

What Is Medicare Plan N?

Medicare Plan N is a standardized Medicare Supplement, or Medigap, plan sold by private insurance companies. It works alongside Original Medicare rather than replacing it: Medicare pays first for covered services, and Plan N then helps pay many of the remaining Medicare-approved costs.

What does Medicare Supplement Plan N cover?

Medicare Supplement Plan N covers many of the out-of-pocket costs left by Original Medicare. It covers the Medicare Part A hospital deductible, hospital and hospice coinsurance, skilled nursing facility coinsurance, the first three pints of blood, and most Medicare Part B coinsurance.

Plan N does not cover the annual Medicare Part B deductible or Medicare Part B excess charges. You may also pay up to $20 for some office visits and up to $50 for an emergency-room visit that does not result in an inpatient admission.

Plan G isn't automatically the smarter choice. For many healthy retirees, Plan N's small copays add up to far less over a year than Plan G's higher premium — the real question is whether that trade fits how often you actually see a doctor.

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What Plan N Covers — and What You Pay

What Plan N Covers

  • Medicare Part A hospital deductible
  • Part A hospital coinsurance and up to 365 additional hospital days after Medicare benefits are used
  • Part A hospice care coinsurance or copayments
  • Skilled nursing facility care coinsurance
  • First 3 pints of blood
  • 80% of qualifying foreign travel emergency costs, up to plan limits

What You're Responsible For

  • The annual Part B deductible ($283 in 2026)
  • Up to $20 copay for some office visits
  • Up to $50 copay for ER visits without admission
  • Part B excess charges, where a state allows them
  • Prescription drug costs (a separate Part D plan is needed)

Receiving care in Pennsylvania? Pennsylvania prohibits Medicare Part B excess charges for services received within the state. If you receive care in another state, that state's rules may apply, so it's still worth asking whether the provider accepts Medicare assignment.

Plan N vs. Plan G: Key Differences

Feature Plan G Plan N
Part A hospital costs Covered Covered
Part B coinsurance Covered Covered, with copays
Part B deductible ($283 in 2026) Not covered Not covered
Part B excess charges Covered Not covered
Office visit copay $0 Up to $20
ER visit copay (not admitted) $0 Up to $50
Typical monthly premium Higher Often lower, but varies by carrier

Benefits shown are standardized nationally for each plan letter. Premiums vary by carrier, age, gender, location, and tobacco status.

Does Medicare Supplement Plan N Cover Excess Charges?

No. Medicare Supplement Plan N does not cover Medicare Part B excess charges. An excess charge can occur when a healthcare provider accepts Medicare patients but does not accept Medicare assignment and charges more than the Medicare-approved amount. Federal rules generally limit this additional amount to 15%.

You can usually avoid excess charges by asking whether the provider accepts Medicare assignment before receiving care. Plan G covers Part B excess charges; Plan N does not.

How Much Does Medicare Plan N Cost?

The cost of Medicare Plan N includes more than its monthly premium. You may also pay the annual Medicare Part B deductible, up to $20 for some office visits, up to $50 for certain emergency-room visits, and potential Part B excess charges.

Plan N premiums vary by insurance company, age, ZIP code, gender, tobacco use, household discounts, and the company's pricing method. Because every company provides the same standardized Plan N medical benefits, comparing carriers usually comes down to premium, rate history, discounts, and service.

In 2026, the annual Medicare Part B deductible is $283.

Estimate Your Plan N Premium-and-Copay Trade-Off

Plan N may save you money when its lower premium outweighs the copays and other costs you expect to pay. Enter your numbers for a simplified comparison.

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Enter your numbers above to see your estimated annual savings with Plan N.

This is a simplified estimate. Actual copays may be lower or may not apply to every visit, and this estimate doesn't include ER copays, excess charges, or your specific quoted premiums. It's a starting point for the conversation, not a quote — we'll run your real numbers together.

Plan N or Plan G — Which Fits Your Situation?

Plan N may be a good fit if:

  • You visit the doctor infrequently
  • You want a lower monthly premium and can handle small, predictable copays
  • You live in a state that limits or prohibits excess charges
  • You're comfortable asking providers if they accept Medicare assignment

Plan G may be a better fit if:

  • You see doctors or specialists often
  • You want fewer copays and more predictable Medicare-approved costs
  • You want the most predictable annual out-of-pocket exposure
  • You'd rather pay slightly more monthly than track copays

Why Comparing Plan N and Plan G Alone Can Be Tricky

The benefits are standardized, but the premiums, discounts, and carrier reputation aren't. Getting an apples-to-apples comparison usually takes more than one website.

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We'll run your specific visit history and quoted premiums to show which plan actually costs less for you.

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Questions people ask about Plan N

No. Plan N does not cover the annual Medicare Part B deductible — $283 in 2026. You pay this once per year before Plan N's Part B coverage applies. Plan G doesn't cover this deductible either. Plan F may cover it, but Plans C and F generally aren't available to people who became eligible for Medicare on or after January 1, 2020.
Plan N has a copay of up to $20 for some office visits and up to $50 for emergency room visits that don't result in an inpatient admission. Urgent-care billing can vary — depending on how the visit and services are billed, Medicare Part B cost sharing or a Plan N office-visit copayment may apply.
No. Medicare Supplement Plan N does not include outpatient prescription drug coverage. You generally need a separate Medicare Part D prescription drug plan if you want that coverage.
Plan N often has a lower monthly premium than Plan G, but the difference varies considerably by carrier, location, age, and available discounts. The trade-off is that you take on small copays and potential excess charges that Plan G would otherwise cover.
Yes, you can apply to switch at any time. Outside your Medigap Open Enrollment Period or a guaranteed issue right, the insurance company may require medical underwriting and can decline your application or charge more based on your health.
It depends on the math. Frequent office visits mean more $20 copays adding up over the year, which can narrow or erase Plan N's premium savings. A licensed agent can help you compare your expected visit frequency against the premium difference to see which plan comes out ahead for your situation.
"Medicare Part N" usually refers to Medicare Supplement Plan N, but the official name is Medigap Plan N or Medicare Supplement Plan N. Medicare itself has Parts A, B, C, and D. Plan N supplements Original Medicare Parts A and B.
Medicare Plan N premiums vary by insurance company, age, ZIP code, gender, tobacco use, discounts, and state pricing rules. In addition to the premium, you pay the annual Part B deductible and may have copayments for some office and emergency-room visits.
No. Plan N does not cover Medicare Part B excess charges. You can generally avoid them by using providers who accept Medicare assignment. Plan G does cover excess charges.

See Your Real Plan N Numbers Before You Decide

We'll pull actual Plan N and Plan G quotes for your ZIP code, run your break-even math, and help you apply for whichever plan actually fits your situation — with no pressure and no obligation.

No pressure. No call-center runaround. Just clear help comparing Medigap plans from Lehigh Partners Senior Benefits.

Lehigh Partners Senior Benefits is an independent, licensed insurance agency. Plan availability, benefits, premiums, underwriting, and enrollment rules vary by carrier, state, and individual circumstances. This page is educational and does not guarantee acceptance, savings, or pricing. Calling the number on this page will connect you with a licensed insurance agent. Lehigh Partners Senior Benefits is not connected with or endorsed by the U.S. government or the federal Medicare program. We do not offer every Medigap plan available in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Assistance Program (SHIP) for information on all available options.