Similar to Plan G but with small copays for doctor visits and ER visits.
Medigap Plan N offers coverage similar to Plan G but with lower monthly premiums in exchange for small copays. You pay up to $20 for doctor office visits and up to $50 for emergency room visits that don't result in an inpatient admission. Plan N does not cover Part B excess charges.
Plan N is designed for people who want broad Medigap coverage without paying for the absolute maximum protection. The $20 office visit copay is predictable and manageable for most people. If you see your doctor a handful of times per year, the premium savings from choosing Plan N over Plan G often exceed the total copays you'd pay — making Plan N the better financial value in practice.
The key risk with Plan N is Part B excess charges. Medicare sets an approved amount for each service, but doctors who don't fully accept Medicare assignment can bill up to 15% more. Plan N doesn't cover those extra charges. In Utah, Ohio, and Pennsylvania, most doctors accept assignment — but checking whether your regular doctors do is worth doing before committing to Plan N.
When comparing Plan N to Plan G, get quotes from the same carrier for both. The premium gap typically runs $20–$50 per month. If you expect to use healthcare services frequently, Plan G's predictability may be worth the cost. If you're generally healthy and see the doctor infrequently, Plan N often provides better overall value. Both plans are standardized by law — benefits are identical regardless of which company sells them.

Peter Abilla is a licensed Medicare agent. No pressure, no cost — just clarity on your options.

