Medicare Plan N was first introduced as a standardized supplement in 2010. Also known in the industry as Medigap Plan N, this coverage was created for beneficiaries that do not mind having to pay some some copayments for medical services from time to time, or do mind having to meet an annual deductible in exchange for lower monthly premiums that Medicare Plan N offers.
If you have been reading information on this site or at medicare.gov you have come to appreciate that all Medicare supplement Plan N policies offer exactly the same benefits, it doesn’t matter which insurance company you decide to purchase your coverage from. You can find Plan N available in many states from various well-known insurance companies. You can purchase an AARP Medicare Supplement Plan N, a Humana Medicare Supplement Plan N, a Blue Cross Blue Shield Medicare Supplement Plan N etc…. and get the same exact benefits.
(You will find at times people refer to Plan N as Part N, but the proper terminology is Plan N. Keep in mind, Medicare itself has Parts, but when you are referring to supplement insurance, use the word Plans.)
Medicare supplement is a standardized plan that covers the 20% that Medicare Part B does not. It will also pays for the hospital deductible and all your hospital copays and coinsurance. You will pay your own excess charges, the Medicare Part B deductible and some small copayments whenever you visit your doctor’s office and the emergency room.
You can contact us at the medicare coverage helpline and request a Medicare Plan N Outline of Coverage from our licensed specialist before you enroll so that you’ll have all the details of what’s covered.
Most importantly you can rest assured that your standard preventive care is covered completely by Medicare. This will include a whole panel of services like screenings for diabetes, cancer and cardiovascular disease. It also includes your annual physicals, colonoscopies, flu shots, vaccines and a whole host of other standard tests to keep you healthy. You’ll be fully covered and pay nothing for any of these standard Medicare preventive test and services.
Medicare Supplement Plan N also covers visits to the doctor for illness and or injury, durable medical equipment like wheel chairs, oxygen and diabetic supplies, prosthetic devices like artificial limbs or braces, ambulance services, procedures such as surgeries, home health, lab-work, radiology like MRI’s and CT scans and other imaging tests, and many more services. Keep in mind your supplemental insurance is just like a tail on a dog, it follows wherever the dog goes, meaning that if Original Medicare pays it share for an approved medical service, then your supplement will follow without question and pay its share. Whenever Original Medicare pays 80% of the Medicare Part B outpatient services, then your supplement will also pay 20% and you’ll be fully covered.
Now if your doctor or medical provider is not a contracted Medicare provider, they may choose not to accept the standard reimbursement rate that the Centers for Medicare and Medicaid Services (CMS) has established to pay providers for the medical services they render to Medicare beneficiaries like you. In the case where a doctor does not accept Medicare assignment, he could charge you up to 15% above the standard medicare reimbursement rate. This is called an excess charge and you’re fully responsible to pay it. It would thus be a good idea to have a conversation with your doctor receiving any medical services to find out if he accepts the Medicare reimbursement rate and if not will there be any excess charges that you’ll have to pay. To learn more about how this would work please see the example below.
Your Medicare Part A hospital benefits provide coverage for inpatient hospital services, skilled nursing, home health, hospice and blood transfusions. While you would normally owe a deductible for your hospital stay, your Medigap Plan will pay that for you.
Here’s a list of what’s covered in the hospital by Medicare Supplement Plan N:
Medicare Supplement Plan N offers the same basic benefits like the more popular Medicare Plan F, but you have more out-of-pocket cost sharing with Plan N that you would if you purchased a Plan F. For example, with a Plan N you’ll have to pay the annual Medicare Part B deductible 2018 ($183). You’ll also be responsible for copayments of $20 for doctor visits. Emergency room visits have a $50 copayment.
Also, beneficiaries choosing a Medigap N must also pay the excess charges whenever a medical provider doesn’t accept the standard reimbursement rate. Providers can charge up to 15% above what Medicare allows if their not a contracted Medicare provider. This is what’s called an excess charge. So that you’re not shocked with a bill later, you should always ask your medical provider before you receive any services from them if they’re a contracted Medicare provider. If they do charge excess fees for their services you’ll be responsible to pay these because Plan N doesn’t cover this for you like a Plan F or G would. It’s a rare occurrence but there are doctors that are not contracted with Medicare and thus can charge you the excess charge and you need to be aware of this.
Another option you have is to make a comparison between Medicare Plan N v Plan G. Medicare beneficiaries that enroll in Plan N also check out Plan G as a possible alternative because Plan G generally is only a little bit more in cost. The main difference between the plans is that Plan G covers the copays and excess charges described above so there are less out-of-pocket costs that you’ll have to pay.
Plan N – Here’s an Example
Medicare Plan N (George has lower monthly premiums with his Plan N -up to 30% less)
George contacts his licensed agent in order to help him evaluate which plan will be right for him. He tells his medicare specialist that he’s pretty healthy and generally only visits the doctor once or maybe twice a year. He feels that he doesn’t need the full coverage that Plan F provides and because he would need that level of medical coverage because he is in excellent health. His medicare specialist explains that generally, a Plan N has lower monthly premiums than a Medicare Supplement Plan F that is about 30% less. George’s eyes widen and his mouth is agape with the thought how much he could save by purchasing a Medicare supplement Plan N rather than Medigap F. His medicare specialist also makes it clear to George that he needs to fully understand the potential out of pocket charges he needs to be willing to take on in the form of copays for certain medical services.
The medicare specialist explains that for inpatient care, Medicare Supplement Plan N will cover 100% of his Medicare Part A deductible. But when it comes to outpatient services, George will have to pay the Medicare Part B deductible ($183) out of his own pocket whenever he has his first doctor visit of the year. He then only pays a copayment of $20 whenever he sees his doctor the rest of the year. Now he may have to pay an excess charge if his doctor or medical provider is not a participating Medicare doctor. The medicare specialist explains how these expenses on Plan N might affect him.
The medicare specialist gives George an example of how excess charges may come about what he should expect to pay in that case. He tells Geoge the following scenario: Let’s say you need to see a specialist at some point in the year after your Medicare Part B deductible 2018 of $183 has already been met. Medicare’s assigned rate for a visit to this particular specialist is $100. But this particular physician is not a participating Medicare provider, in other words, this specialist doesn’t accept the Medicare assigned rates, he, therefore, can charge or “balance bill” George up to 15% above the standard reimbursement rate for this visit, or a maximum of $15 in this case.
George owes his $20 copay, and his supplement will pay the rest of the Medicare-approved charges.
The bottom line is this : If you find that it’s too hard to understand how Medicare Supplement Plan N works because of the excess charges and copayments, but you like the idea of saving money through lower premiums, then you should check out Medicare Supplement Plan G. With Plan G, excess charges are covered 100% by your Medigap plan. Plan G also limits your cost sharing to just your Medicare Part B deductible 2018 which is set each year by the Center for Medicare and Medicaid Services. This year they’re set the Medicare Part B deductible at $183.
You are eligible to enrol in Plan N as long as you have Medicare Parts A and B. You must also live in the plan’s service area. The best time to enrol in Medicare Plan N is during your Medigap open enrollment period. This six-month window starts with your Part B effective date. It’s your one chance to enrol in any Medigap plan without health underwriting. No insurance company can turn down your application due to health conditions.
If you’ve missed your one-time Medigap open enrollment period, you can still apply for a Medigap Plan N. We can explore the health questions on various company’s applications to see if you are able to pass.
Though Medicare Plan N is one of the 10 federally standardized Medicare supplement options, each insurance company can choose whether to sell it or not. Fortunately, this policy is fairly easy to find since many carriers offer it.
Medicare Supplement Plan N
Contact our Medicare Coverage Helpline and Compare Medicare Supplement Plan N policies with our free comparison services at 1-866-936-3831.
Our agency sells Medicare supplement Plan N policies for numerous different insurance companies, such as AARP Medicare Supplement Plan N, Blue Cross Blue Shield Medicare Supplement Plan N, Cigna Medicare Supplement Plan N, Aetna Medicare Supplement Plan N, Mutual of Omaha Plan N as well as several others that you may choose from. Rest assured you’ll be able to access the best coverage at the lowest rate possible.
You can find out more about the most popular of all medicare supplements which is Plan F and get current information about this coverage by continuing to read our blog posts, or you may simply contact our Medicare specialist and they’ll help you make a comparison of Medicare Plan N vs Plan F or any other comparison you would like to make between other supplements.
There are many good reviews of Medicare Supplement Plan N, and as medicare specialists, we get a lot of feedback from policyholders and medicare beneficiaries like yourself so we can share this information to help you make a decision that is right for you.s of feedback from our policyholders. Some beneficiaries, however, have told us that they don’t like the possible unexpected out-of-pocket costs that come with Plan N and complain that with the excess charges they feel like they are being nickeled and dimed. If this is of concern to you as well, make sure to ask us to compare Medicare Plan N vs Plan G for you. We’ll provide you quotes for both of these plans which may help you decide which is right for you.
Need a Plan N quote? Our Medicare coverage helpline provides not just rates but also a comparison of insurance carrier’s financial ratings and much more information that will help you evaluate which company is the best choice for you. Call us today at 1-866-936-3831 or you can use the button below to request a quote via email for Medicare Plan N.
Aarp medicare supplement plan n is s popular insurance company providing this coverage.
**At times you’ll hear someone call this Medicare Part N Supplement. However, the phrase “Part N” is incorrect. Keep in mind that Original Medicare has Parts. Medigap coverage options have Planned. So instead of saying Part N call it Plan N, and you’ll be using the proper terminology. Of course, if you say Part N to us, we’ll know what you mean.
* The centres for medicare and Medicaid services cms or the centre for Medicare and Medicaid services is the government entity that regulates Medicare benefits and programs.