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Medicare Supplement Plan N is a popular option for those looking to fill the gaps in their Medicare coverage. It's a relatively affordable plan with a lower premium compared to other Medicare Supplement plans.
One of the key benefits of Plan N is that it doesn't cover the Part B deductible, which is $198 in 2022. This can be a significant cost savings for some people.
Plan N also doesn't cover excess charges, which are fees charged by healthcare providers for services rendered. These fees can range from 15% to 25% above the Medicare-approved amount.
What It Covers
Medicare Supplement Plan N covers a wide range of medical expenses, including hospitalization, medical expenses, and blood transfusions.
One of the key benefits of Plan N is that it pays 100% of Medicare Part A coinsurance costs, with an additional 365 days of coverage after Medicare benefits are used up.
Plan N also covers 100% of the Part A deductible for hospitalization, which can be a significant cost savings.
In addition to these benefits, Plan N pays 100% of Part A hospice care coinsurance or copayment, which can provide peace of mind for those with serious illnesses.
Plan N also covers 100% of the first 3 pints of blood, which can be a lifesaving benefit.
Here are some of the specific benefits of Plan N:
- Hospitalization: pays Medicare Part A coinsurance plus coverage for 365 additional days after Medicare benefits end
- Medical expenses: pays Medicare Part B coinsurance excluding $20 copay for office visits and $50 copay for ER
- Blood: pays for the first 3 pints of blood each year
- Hospice care: pays Medicare Part A coinsurance
- Skilled nursing facility care
- Medicare Part A deductible for hospitalization
- Foreign travel emergency help
Plan N also covers 100% of Part B coinsurance or copayment, with the exception of copayments of up to $50 for emergency room visits that don’t result in inpatient admission, as well as copayments of up to $20 for some office visits.
Eligibility and Enrollment
To be eligible for Medicare Supplement Plan N, you must have original Medicare Part A and Medicare Part B. You can enroll in a Medicare Supplement plan anytime if you already have Original Medicare Part A and Part B. The best time to enroll is during the Medigap Open Enrollment Period, starting the first month you have Medicare Part B and you’re 65 or older. This is the only time you can be guaranteed coverage. You can enroll during this time even if you have pre-existing health problems. If you enroll later, you may be denied coverage because of a pre-existing condition. You also can enroll during your Initial Enrollment Period, starting three months before you turn 65, and ending three months after the month you turn 65.
If this caught your attention, see: Can You Change Medicare Supplement Plans with Pre Existing Conditions
Plan Details
You'll pay up to $20 for copayments for doctor visits and up to $50 for emergency room visits. You'll also need to pay the Medicare Part B annual deductible.
Plan N can be a good fit for those who want a lower monthly premium but are willing to pay additional out-of-pocket expenses. This plan is designed for individuals who are comfortable taking on more financial responsibility for their healthcare costs.
You'll want to review the policy coverage details or explore other Medicare Supplement plans for a complete understanding of Plan N's coverage.
Details
Plan N has some specific details you should know.
You'll pay a copayment of up to $20 for doctor visits, or up to $50 for emergency room visits.
The Medicare Part B annual deductible is also your responsibility.
Plan N might be a good fit if you're looking for a lower monthly premium, but you'll need to be prepared to pay additional out-of-pocket expenses.
Types Offered by Athem
To sign up for Medicare Supplement, you must have Original Medicare Parts A and B.
Each plan is named with a letter, like A, F, G, and N, and is standardized by the federal government.
You'll pay a monthly premium, which can range from $102 to $226.
Medicare Supplement insurance plans can help you control costs.
You'll need to have Original Medicare Parts A and B to sign up for a Medicare Supplement plan.
The monthly premium for Medicare Supplement insurance plans can vary.
For another approach, see: What Is the Average Medicare Supplement Premium
Benefits and Extras
A Medicare Supplement plan like Medicare Supplement Plan N can provide valuable extras to enhance your healthcare experience.
You'll get a SilverSneakers fitness membership, which is a great way to stay active and healthy.
ScriptSave/WellRx prescription savings program is also included, helping you save money on your medications.
SpecialOffers discounts on vitamins and weight loss programs are another perk, making it easier to maintain a healthy lifestyle.
Here are some of the benefits you can expect from a Medicare Supplement plan:
Medical Services
Medical Services are a crucial part of any health plan, and Plan N is no exception. You'll be glad to know that it covers a wide range of medical expenses, including services in or out of the hospital.
The plan covers physician's services, inpatient and outpatient medical and surgical services and supplies, physical and speech therapy, diagnostic tests, and durable medical equipment. This means you'll have access to a variety of medical professionals and treatments to help you recover from illnesses or injuries.
If you need to visit a doctor's office, you'll pay up to $20 per visit. Emergency room visits are also covered, but you'll pay up to $50 per visit. The good news is that if you're admitted to a hospital, the copayment for the emergency room visit is waived.
Here's a breakdown of what you can expect to pay for medical services under Plan N:
This plan offers a great balance of coverage and affordability, making it an attractive option for those looking for a comprehensive medical plan.
Clinical Lab Service
Clinical Lab Services are a great benefit to have. You can get tests for diagnostic services, which is crucial for identifying and treating health issues.
According to the information, Medicare pays 100% for these tests, which means you won't have to pay anything out of pocket.
Valuable Extras
Medicare Supplement plans with Anthem come with extra perks that can make a big difference in your life. One of these perks is the SilverSneakers fitness membership, which gives you access to fitness classes and gym memberships.
You'll also get the ScriptSave/WellRx prescription savings program, which helps you save money on your prescriptions. This program can be a game-changer for people who take multiple medications.
Another valuable extra is the SpecialOffers discounts on vitamins and weight loss programs. This can be especially helpful for people who are trying to stay healthy and active.
Here are some of the valuable extras you can expect with Anthem Medicare Supplement plans:
Frequently Asked Questions
What are the disadvantages of Plan N?
Plan N has some drawbacks, including small copays for doctor visits and emergency room visits, as well as an annual Part B Deductible that must be paid. Additionally, you'll still need to pay a monthly premium even if you don't use health services.
What happens when you take a plan N?
Taking Plan N means you'll have minimal copayments for office visits and no maximum out-of-pocket costs per year, covering hospitalization and Part B coinsurance costs
What is the difference between G & N for Medicare?
The main difference between Medicare Plans G and N is that Plan G covers 100% of Part B costs, while Plan N has copayments for doctor visits and emergency room visits. Plan G generally comes with a higher premium cost than Plan N.
What is the out-of-pocket maximum on Plan N?
Plan N does not have a yearly out-of-pocket limit. However, you may still be responsible for copayments for some doctor visits and emergency room visits.
What is the out of pocket maximum for Medigap Plan N?
The out-of-pocket maximum for Medigap Plan N is $20 per office visit, with the plan covering the remainder of any Part B coinsurance charges. This applies to all office visits with any authorized Medicare provider.
Sources
- https://www.cigna.com/medicare/shop-plans/supplemental/plan-n
- https://www.humana.com/medicare/medicare-supplement-plans/plan-n
- https://www.anthem.com/medicare/medicare-supplement-plans-medigap
- https://www.dfs.ny.gov/consumer_health_insurance/supplement_plans_rates/plans
- https://www.healthline.com/health/medicare/medicare-plan-n-coverage
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