What’s the Difference Between Medicare Plan G and Plan N?

Difference Between Medicare Plan G and Plan N FAQ

  • As of 2025, Plan N is typically 15–25% cheaper than Plan G.

    This often translates to $20–$50 less per month, depending on:

    • Your age

    • ZIP code

    • Tobacco use

    • Gender (in some states)

    • The insurance company

  • Plan G is the most comprehensive Medigap plan available to new enrollees:

    • Covers everything Medicare approves except the Part B deductible ($257 in 2025)

    No copays at doctor or ER visits

    Covers Part B excess charges (up to 15% above the Medicare-approved rate)

    • Ideal for those who want predictable, low out-of-pocket costs

  • Plan N offers lower premiums in exchange for some cost-sharing:

    • You pay the Part B deductible ($257 in 2025)

    • You pay up to $20 copay at doctor visits and $50 at the ER (waived if admitted)

    Does not cover excess charges, which can occur if you see a doctor who doesn’t accept Medicare assignment

    • Great for those willing to trade a little risk for monthly savings

  • Plan G = higher monthly cost, fewer surprises

    Plan N = lower monthly cost, but potential for extra charges

  • You can try, but you will most likely need to go through medical underwriting. That means:

    • The insurance company can review your health

    • They may deny your application or charge more if your health has changed

    This is why many people choose the plan they can stick with long-term — switching later is not guaranteed.

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What Is Medicare Supplement Insurance (Medigap)?

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Medicare Part B Excess Charges