Skip to main content

Medigap Plan N

Plan N covers the same major gaps as Plan G — the Part A deductible, hospital coinsurance, skilled nursing — but trades a lower premium for small cost-sharing: up to $20 for some office visits, up to $50 for ER visits that don't admit you, and no coverage for Part B excess charges.

What does Plan N cover?

  • Part A coinsurance and hospital costs (up to 365 extra days after Medicare benefits are used) — Covered 100%
  • Part B coinsurance or copayment — 100% after small copays
  • Blood (first 3 pints) — Covered 100%
  • Part A hospice care coinsurance or copayment — Covered 100%
  • Skilled nursing facility care coinsurance — Covered 100%
  • Part A deductible — Covered 100%
  • Part B deductible — Not covered
  • Part B excess charges — Not covered
  • Foreign travel emergency (up to plan limits) — Covered 80%

Who is Plan N a good fit for?

  • People who don't visit the doctor often — few visits means the copays rarely add up to the premium savings.
  • People in states that ban Part B excess charges, where one of Plan N's two gaps doesn't exist at all — ask your advisor whether yours is one.
  • People who want Medigap's any-doctor freedom at a premium closer to a Medicare Advantage budget.

What are the trade-offs of Plan N?

  • Copays are real money in a high-visit year: up to $20 per office visit and $50 per ER visit adds up for someone managing several conditions.
  • Part B excess charges are yours: a doctor who doesn't accept Medicare assignment can bill up to 15% above the approved amount in most states.
  • The premium gap between G and N varies a lot by state and age — do the break-even math on your own quotes, not on a national average.

Key facts

Part A deductible
Covered 100% (2026)
Part B deductible
Not covered (2026)
Part B excess charges
Not covered (2026)
Sold by
Private insurers, standardized by federal law — same benefits at every company

Frequently asked questions

Does Plan N cover the Part B deductible?

No. You pay the annual Part B deductible yourself — $283 in 2026 — and Plan N picks up its share of covered services after that.

Does Plan N cover Part B excess charges?

No. If a doctor does not accept Medicare assignment, the excess charge — up to 15% above the Medicare-approved amount — is yours. Not every state allows those charges.

Does Plan N cover care outside the United States?

Partly. Plan N pays 80% of foreign travel emergency care, after a separate deductible and up to the plan's lifetime limit. Routine care abroad is not covered.

Is Plan N the same at every insurance company?

Yes. Medigap benefits are standardized by law, so Plan N is the same package of benefits whoever sells it. Price, service and rate history are what differ — three states (Massachusetts, Minnesota, Wisconsin) standardize their plans differently.

Sources

Further reading

Updated September 8, 2026. Dollar figures are 2026 plan-year amounts transcribed from CMS publications and last verified by IM65 against the source for each: Parts A & B premiums, deductibles and IRMAA (August 11, 2026); Medigap benefit chart (October 1, 2026).

Important Medicare Disclosure: We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE (1-800-633-4227), 24 hours a day/7 days a week, to get information on all of your options. TTY users should call 1-877-486-2048. We are not connected with or endorsed by the U.S. government or the federal Medicare program. Medicare has neither reviewed nor endorsed this information.

Call 1-800-613-5565 (TTY: 711) · Mon–Fri 8am–8pm ET · Sat 9am–5pm ET · Calls are answered by a licensed insurance agent.