Plan G vs. Plan N

Two of the Medigap letters people compare most often after January 1, 2020. Benefits are standardized; premiums and company service are not.

What both generally cover

In most states, both Plan G and Plan N help with Part A deductible and coinsurance, Part B coinsurance (with a Plan N copay in some office and ER visits), blood, hospice, and skilled nursing coinsurance. Plan G also covers Part B excess charges; Plan N does not.

Where they differ

Plan G typically has a higher premium and then little Part B cost-sharing after the Part B deductible. Plan N typically has a lower premium, plus copays (often up to $20 for some office visits and up to $50 for ER visits that don’t result in admission) and no coverage for Part B excess charges. Actual copay rules are set in the standardized outline of coverage.

How to choose between them

Consider how often you see doctors, whether your physicians accept Medicare assignment (excess charges), and whether you prefer a higher premium with fewer surprise bills. A licensed agent can show current premiums in your ZIP code without implying a guaranteed outcome.

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2026 figures

Plan G vs Plan N cost sketch

You type the premiums. We add 2026 Part B deductible and Plan N copays. Not a quote.

Read: What does Medicare Supplement Plan G cover?

Type the monthly premiums you were quoted. Standardized Plan G does not cover the Part B deductible ($283.00 in 2026). Plan N adds office and ER copays and does not cover Part B excess charges.

Where would you like to go next?

Plan G compared with Plan N
ItemPlan GPlan N
Part A deductible & coinsuranceTypically coveredTypically covered
Part B coinsuranceTypically covered after Part B deductibleCovered with possible office/ER copays
Part B deductibleYou pay itYou pay it
Part B excess chargesTypically coveredNot covered
Premium (relative)Often higherOften lower

Standardized benefits can still have details in the outline of coverage. Premiums vary by company and ZIP code.