Medicare Supplement Plan N
What is Medicare Supplement Plan N?
Medicare Supplement Insurance: Plan N coverage
Medigap Plan N covers the following costs and benefits:
Medigap Plan N includes the following benefits:
- Part A hospital coinsurance and hospital costs up to 365 days after Original Medicare benefits run out
- Part A hospice care copayment or coinsurance
- Part A deductible
- Part B coinsurance costs (except for office visits and emergency room visits)
- Part B preventive care coinsurance
- First three pints of blood used in a medical procedure
- Skilled nursing facility (SNF) coinsurance
Medigap Plan N covers 100% of the Medicare Part B coinsurance costs, with the only exception being that it requires a $20 co-payment for office visits and up to $50 for emergency room visits.
Medigap Plan N does not cover the Medicare Part B deductible or Part B excess charges and thus, the beneficiary is responsible for paying these costs out-of-pocket.
The benefits of Medigap Plan N are similar to Medigap Plan D’s policy- the sole exception being how it covers Medicare Part B coinsurance costs. Under Medigap Plan N, 100% of the Part B coinsurance costs are covered, except up to a $20 copayment for office visits and up to $50 for emergency room visits. These are completely covered under Medigap Plan D, making this policy of interest to those comfortable with frequent copayments for doctor or emergency room visits.
The best time for beneficiaries to enroll in Medicare Supplement Plan is during their Medicare Supplement Open Enrollment Period, which is not the same for everyone.
This period begins on the first day of the first month that you are both age 65 or older and enrolled in Medicare Part B, and lasts for six months. During this time, private insurance carriers may not use medical underwriting to assess a beneficiary’s health condition.
This means that if you’re enrolled in Medicare Part A and Part B and live within a Medigap plan’s service area, you can enroll in that Medigap plan without fear of being denied coverage or charged higher premiums based on a pre-existing health condition (although waiting periods may apply).
Medigap plans do not include prescription drug benefits; if you’re enrolled in Original Medicare and want coverage for your medications, you should enroll in a stand-alone Medicare Prescription Drug Plan.