Medicare Supplement Plan G vs Plan N in 2024: Which Is Actually Right for You?
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The single most consequential Medicare decision most seniors make is which Medigap plan to choose �?and they often make it during the first weeks after Medicare enrollment, under time pressure, without adequate comparative information. The difference between choosing Plan G, Plan N, or no supplement can mean thousands of dollars per year in healthcare costs. Getting this decision right requires understanding exactly what each plan covers and how that coverage translates to your actual out-of-pocket exposure.
What Medicare Actually Leaves Uncovered
Original Medicare (Parts A and B) covers approximately 80% of approved medical costs, but the remaining 20% has no annual out-of-pocket cap. A major hospitalization �?cardiac surgery, cancer treatment, extended skilled nursing �?can generate patient responsibility in the tens of thousands of dollars under Original Medicare alone. Medigap plans are specifically designed to address these gaps.
Medigap plans are standardized by the federal government �?a Plan G from Mutual of Omaha covers exactly the same benefits as a Plan G from AARP/UnitedHealthcare or Blue Cross Blue Shield. The only meaningful differences between carriers for the same plan are: the monthly premium and the carrier's financial stability and claims handling reputation.
Plan G vs. Plan N: Side-by-Side Comparison
| Coverage Feature | Plan G | Plan N | Financial Impact |
|---|---|---|---|
| Part A deductible ($1,632) | Covered 100% | Covered 100% | Same for both plans |
| Part B deductible ($240) | NOT covered | NOT covered | Same for both plans |
| Part B coinsurance (20%) | Covered 100% | Covered 100% | Same for both plans |
| Part B excess charges | Covered 100% | NOT covered | G better if doctors charge excess |
| Office visit copay | None | $20 copay | N slightly higher for frequent visitors |
| Emergency room copay | None | $50 copay | N slightly higher for ER visits |
2024 Medigap Premium Comparison
| Age | Plan G Monthly Range | Plan N Monthly Range | Annual Savings with Plan N |
|---|---|---|---|
| 65 | $110�?180 | $85�?145 | $300�?420/year |
| 70 | $145�?225 | $110�?180 | $420�?540/year |
| 75 | $185�?290 | $140�?230 | $540�?720/year |
"For most seniors in good health who see doctors regularly in Medicare assignment �?which is about 97% of Medicare-accepting physicians �?Plan N makes more financial sense than Plan G. The $25�?40/month premium savings typically exceeds the total copays they'll pay in a year. But for seniors with complex medical needs who see many specialists frequently, Plan G's complete coverage has more value. The decision requires knowing your specific medical situation."
�?Medicare insurance specialist, 24 years advising seniors on supplemental coverage decisions
🌿 Plan G vs. Plan N Decision Guide
Do your doctors accept Medicare assignment? (If yes �?Plan N is worth comparing carefully)
How often do you see specialists and how many office visits do you have annually?
Compare Plan G vs. Plan N: annual premium difference versus your estimated annual copay cost under Plan N
Check carrier financial strength ratings (A.M. Best A or better) before purchasing any plan
Frequently Asked Questions
Can I switch from one Medigap plan to another later?
Yes, but outside of guaranteed issue periods, you may be subject to medical underwriting. If you're in good health, switching is usually straightforward. If you've developed health conditions since your original purchase, underwriting may result in higher premiums or denial of coverage. The safest approach: choose your plan carefully during the Medigap open enrollment period (the six months starting when you turn 65 and enroll in Medicare Part B), when you have guaranteed issue rights that disappear afterward.
Does Medigap cover prescription drugs?
No. Medigap plans do not cover prescription drugs. For prescription drug coverage, you need a separate Medicare Part D plan (if you have Original Medicare with Medigap) or the prescription coverage included in most Medicare Advantage plans. When purchasing a Medigap policy, you should simultaneously enroll in a Part D plan during your Medicare enrollment period to avoid a late enrollment penalty.
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