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Questions

Medigap Plan G vs. Plan N in North Carolina

Plan G and Plan N cover the same core costs: the Part A deductible, hospital and skilled nursing coinsurance, and 80% of foreign travel emergencies. Neither pays the Part B deductible. The differences: Plan N has copays of up to $20 for some office visits and $50 for some ER visits, and doesn't pay Part B excess charges.

Side by side

BenefitPlan GPlan N
Part A deductible and hospital coinsuranceYesYes
Part A hospital costs for 365 more daysYesYes
Skilled nursing facility coinsuranceYesYes
Hospice coinsurance and first 3 pints of bloodYesYes
Part B deductibleNoNo
Part B coinsuranceYesYes, except copays up to $20 (some office visits) and $50 (ER visits without admission)
Part B excess chargesYesNo
Foreign travel emergency80%80%

Foreign travel coverage pays for emergencies in the first 60 days of a trip, after a $250 yearly deductible, up to a $50,000 lifetime limit. Plan F, which also pays the Part B deductible, is sold only to people eligible for Medicare before 2020.

How to choose

  1. Count your visits. If you see doctors often or use the emergency room, Plan N's copays add up. If you rarely go, they may matter less.
  2. Ask whether your doctors accept assignment. Excess charges only come from providers who don't take Medicare's approved amount as full payment. Federal limits apply; ask your providers, especially specialists you see across state lines.
  3. Compare the same letter across companies. Premiums differ even though benefits don't, and so does each company's pricing method. See how Medigap rates work in North Carolina.
  4. Choose for the long run. North Carolina has no birthday rule. Moving from Plan N to Plan G later can mean health questions, so pick the one you can live with for years.

Not every company sells every plan letter. To see which Medigap policies are sold where you live, see plans for your ZIP code, or request a call from a licensed insurance agent.

More in Medigap in North Carolina.

Can I switch Medigap plans in North Carolina?

What happens if you change your mind.

Are Medigap rates based on age?

Community, issue-age and attained-age pricing.

Sources

More questions in this guide

Part of the guide: Medigap (Medicare Supplement) in North Carolina · All questions

Frequently asked questions

Are Plan G and Plan N the same from every company in North Carolina?

Yes. Plan letters are standardized by federal law, so a Plan G or Plan N has the same benefits from every company. Only the price and the company's service differ.

What are Part B excess charges?

Doctors who don't accept Medicare's approved amount as full payment can bill you up to 15% more, the federal limiting charge. Plan G pays that amount; Plan N doesn't.

Can I switch from Plan N to Plan G later?

You can apply, but North Carolina has no birthday rule, so outside open enrollment or a guaranteed-issue right the company can ask health questions and turn you down.

Is there a high-deductible Plan G?

Yes. High-deductible Plan G has the same benefits after you pay a yearly deductible of $3,050 in 2027.

Licensed insurance agents for North Carolina

These independent insurance agents are licensed in North Carolina and work with Benefits Life, the publisher of this site. When they enroll you in a plan, the agent and Benefits Life may be paid by the insurance company. Learn more.

Steven Graves

Steven Graves

Accepting new clients

Independent licensed insurance agent in North Carolina

Southern Pines · English

Casey Gilley

Casey Gilley

Accepting new clients

Independent licensed insurance agent in North Carolina

Chapel Hill · English

Dean Hoppes

Dean Hoppes

5.0 out of 5 stars (2 reviews on MedicareAgents.com)

Accepting new clients

Independent licensed insurance agent in North Carolina

Cave Creek, AZ · English

Tonya Dorman

Tonya Dorman

Accepting new clients

Independent licensed insurance agent in North Carolina

Colorado Springs, CO · English

See all North Carolina agents →

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