Medicare Supplement Insurance (Medigap) Plan F is the most popular Medigap plan, with 55 percent of all Medigap beneficiaries enrolled in Plan F as of 2016.1 Plan F offers the most benefits out of any standardized Medigap plan.
Only 9 percent of Medigap beneficiaries were enrolled in Plan N in 2016.1 Plan N offers the same benefits as Plan F, except for coverage for the Medicare Part B deductible or Part B excess charges.
Plan N does cover your Part B coinsurance in full in many cases, however there is a copayment up to $20 for some offices visits and another up to $50 for emergency room visits that don’t require you to be admitted as an inpatient.
So what are some of the other major differences between Plan F and Plan N?
Plan N and Plan F are among the 10 standardized Medicare Supplement Insurance plans that are available in most states. Massachusetts, Minnesota, and Wisconsin have different Medigap standards and plan options.
You can use the Medigap plans comparison chart below to compare Medigap Plan N and Plan F benefits to what is covered by other Medigap plans.
|Medicare Supplement Benefits||A||B||C||D||F1||G||K2||L3||M||N4|
|Part A co-insurance and hospital costs||✓||✓||✓||✓||✓||✓||✓||✓||✓||✓|
|Part B co-insurance or co-payment||✓||✓||✓||✓||✓||✓||50%||75%||✓||✓|
|First 3 pints of blood||✓||✓||✓||✓||✓||✓||50%||75%||✓||✓|
|Part A hospice care co-insurance or co-payment||✓||✓||✓||✓||✓||✓||50%||75%||✓||✓|
|Co-insurance for skilled nursing facility||✓||✓||✓||✓||50%||75%||✓||✓|
|Medicare Part A deductible||✓||✓||✓||✓||✓||50%||75%||50%||✓|
|Medicare Part B deductible||✓||✓|
|Medicare Part B excess charges||✓||✓|
|Foreign travel emergency||80%||80%||80%||80%||80%||80%|
|1. Plan F offers a high-deductible plan. This plan requires you to pay a $2,300 deductible in 2019 before it covers anything.
2. Plan K has an out-of-pocket yearly limit of $5,560 in 2019. After you pay the out-of-pocket yearly limit and yearly Part B deductible, it pays 100% of covered services for the rest of the calendar year.
3. Plan L has an out-of-pocket yearly limit of $2,780 in 2019. After you pay the out-of-pocket yearly limit and yearly Part B deductible, it pays 100% of covered services for the rest of the calendar year.
4. Plan N pays 100% of the Part B coinsurance, except for a copayment of up to $20 for some office visits and up to a $50 copayment for emergency room visits that don’t result in an inpatient admission.
View an image version of this table.
Learn more about the Medicare Supplement Insurance plan options that are available in your state.
Medigap Plan F and Plan N each provide full coverage of the following out-of-pocket Medicare costs:
Each plan also covers 80 percent of emergency medical care received abroad.
Medicare Supplement Plan F provides coverage for two areas that Plan N does not:
Medicare Part B provides coverage for certain outpatient medical services such as trips to the doctor’s office and preventive health care. Part B also covers certain durable medical equipment (DME).
But before Part B covers anything at all, you must first meet your annual Medicare Part B deductible. For 2019, the Part B deductible is $185 for the year.
Medicare Supplement Insurance Plan F provides full coverage for the Part B deductible. If you enroll in Plan N, you would still be responsible for paying the Part B deductible out of pocket.
Doctors who do not accept Medicare assignment reserve the right to charge up to 15 percent more than the Medicare-approved amount for services and items they provide. These costs are called excess charges.
Medigap Plan F provides full coverage of Medicare Part B excess charges, meaning you are free to visit any health care provider who accepts Medicare patients, without having to worry about excess charges.
If you have Medicare Supplement Insurance Plan N, you would have to pay any potential Medicare excess charges out of your own pocket.
There are two additional differences between Medigap Plan F and Plan N:
The average monthly premium for Medigap Plan F in 2018 was $169.14. The average monthly premium for Plan N in 2018? Just $111.28.2
High-deductible Plan F had an average monthly premium of only $57.16 in 2018.
But the average monthly premium for any Medigap plan tells only part of the story.
Plan F may cost more, but it also covers more costs. Some Plan N beneficiaries could end up paying more out of pocket for health care services throughout the year than Plan F beneficiaries.
It’s important to note that Medigap plan costs vary based on factors such as age, gender and where you live. The average costs listed above include Medigap Plan F, G and N options that may offer much lower premiums than what is listed, as well as some plans with higher premium costs.
There are a few things to consider as you compare Medicare Supplement Insurance plans form different insurance companies.
Find out which Medigap plans are offered in your area. Consider your health care coverage needs and decide which Medigap plan offers the combination of benefits that works for you.
A licensed insurance agent can help you compare Medicare Supplement Plan N vs. Plan F options that may be available in your area.
Learn about Medigap plans in your areaVisit MedicareSupplement.com
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1 AHIP. The State of Medigap 2018. (June, 2018). Retrieved from www.ahip.org/wp-content/uploads/2018/06/State_of_Medigap18_FINAL.pdf.
2 TZ Insurance Solutions LLC internal sales data, 2019. This data is based on the Medicare Supplement Insurance policies TZ Insurance Solutions LLC has sold. It is not a comprehensive national average of all available Medicare Supplement Insurance plan premiums.
MedicareAdvantage.com is a website owned and operated by TZ Insurance Solutions LLC. TZ Insurance Solutions LLC and TruBridge, Inc. represent Medicare Advantage Organizations and Prescription Drug Plans having Medicare contracts; enrollment in any plan depends upon contract renewal.
Plan availability varies by region and state. For a complete list of available plans, please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
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