Medigap Plan N

Information Provided by a Medicare Supplement Insurance Representative

Medicare with Plan N

The chart below describes the common Medicare benefits along with gaps left by Medicare for you to pay.

Part A (Hospital Insurance)
I. In patient Gap (you pay) Plan N
days 1-60 deductible* ✔ Paid
days 61-90 life time reserve coinsurance ✔ Paid
days 91-150 coinsurance ✔ Paid
after 150 days Medicare quits paying next 365 paid in full ✔ Paid
II. Skilled Nursing Gap (you pay) Plan N
Medicare pays 20 days in full
days 21-100 ✔ Paid
Part B (Medical Insurance)
Gap (you pay) Plan N
Annual Deductible ✖ Not Paid
Medicare Covers 80% 20% ✔ Paid
Part B Excess 100% ✖ Not Paid
$50,000 emergency medical outside USA $250.00 deductible 80/20 ✔ Paid

*The hospital benefit period is reset by Medicare 60 days from your previous hospital release date.

NOTE: Plan N pays 100% of the Part B coinsurance, except for a co-payment of up to $20 for some office visits and up to a $50 co-payment for emergency room visits that do not result in an inpatient admission.

Medicare Supplement Plan N like Medicare Supplement Insurance Plan M is also a new addition as of June 1, 2010. This would be another option to attempt to lower out-of-pocket costs for consumers and to provide them with additional benefits not found in their current plans.

Medicare Supplement Plan N includes basic benefits which include:

  • Hospitalization: Medicare Part A coinsurance plus coverage for 365 additional days after Medicare benefits end.
  • Medical Expenses: Medicare Part B coinsurance (generally 20% of Medicare-approved expenses) or copayments for hospital outpatient services. Plans K, L, and N require insured to pay a portion of Medicare Part B coinsurance or co-payments.
  • Blood: First 3 pints of blood each year. Hospice: Medicare Part A coinsurance.

Hospice Care will be included in all Medicare Supplement Insurance Plans as of June 2010.

Medicare Supplement Plan N is also similar to other Medicare Supplement Insurance plans such as Medicare Supplement Plans D and F. While Medicare Supplement Plans F and D cover all or part of the Medicare Part A (Hospital) and Medicare Part B (Medical) deductibles the Medicare Supplement Plan N will cover the Medicare Part A (Hospital) deductible in full, a co-pay structure was created for the Medicare Part B (Medical) coinsurance. Rather than pay the traditional coinsurance you will have co-payments for doctor appointments. Your office visits will be $20 and co-payment for emergency room trips will be $50. If you are then admitted to the hospital, this emergency room co-pay is waived.

While the Medicare Supplement Plan N has 100 percent coverage for the Medicare Part A (Hospital) deductible you will have no coverage for the Medicare Part B (Medical) deducible.

In many states Plan N will have no Medical Underwriting. You will not have to answer any of the medical questions or fill out pharmaceutical information to apply. In a few states there will be limited underwriting for this plan. Our representatives can give you more information on which states will be doing so.

Overall the premium cost of these Medicare Supplement Plan N is expected to be around 70% of the cost of Medicare Supplement Insurance Plan F, or about 77% of the cost of Medicare Supplement Insurance Plan D. Medicare Supplement Plan N could be a better plan for your budget than the Medicare Part C Advantage plans. Plan N may be a good option for you because it offers very low out-of-pocket responsibilities and no network restrictions.

All plans were standardized by the federal government in 1992 for your protection. This means that you are to go by the letter I.D. of the plan to determine what benefits each plan will cover.

The only 2 things that an insurance company who offers a Medicare Supplement Insurance Plan N can have any control of are:

  1. Underwriting
  2. Premium price

We have only briefly touched on one Medicare Supplement Insurance Plan, and as you can see it can be very confusing and somewhat overwhelming. We deal with Medicare daily and your Medicare Specialist here at can “Take the Mystery Out of Medicare” by walking you through the maze every step of the way. We are committed to you by shopping the best plans from the top companies available. We will do what it takes to make sure you become a very happy, satisfied client. To find out more if a Medicare Supplement Plan N is right for you, contact a Medigap Plan Representative now or talk to one of our licensed Medicare Specialists by entering your zip code and clicking the ‘Go’ button.


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