Medicare Plan N vs Plan G
Medicare Plan N is a lower-cost alternative to Plan G. In other words, the monthly premium cost for Plan N is lower than Plan G. However, Medigap Plan N does not cover Part B excess charges.
Medicare Part B Excess Charges: When providers do not accept Medicare assignments, they can charge you up to 15% more than the Medicare-approved price. These extra charges are Part B excess charges.
The cost of Medicare Part B excess charges is one coverage difference between Medicare Plan N vs Plan G. Do you know the other cost difference between Medigap Plan N and Plan G?
Medigap Plan N Copayment Costs: In addition to Medicare Part B excess charges, Medigap Plan N may also have copayment costs. For example, Plan N may require you to pay up to $20 copayment for office visits. Likewise, you may pay up to $50 copayment for emergency room visits.
Example: Fred Goes to the Emergency Room
Fred is a Medicare beneficiary with Medicare Plan N. On a cold day, Fred slips on an icy road and takes a nasty fall. He calls 911, and an ambulance transports him to the ER.
In the ER, a nurse starts an IV to administer painkillers. Then the ER doctor takes a look and orders an x-ray. The results show Fred broke his collarbone.
Finally, the nurse puts a sling on his arm, and the doctor discharges him from the ER. Since Fred’s doctor did not admit him as an inpatient, he may owe up to a $50.00 ER copayment.