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Medigap Plan N rates vary depending on the insurance company and the state you live in.
Plan N is one of the most popular Medicare Supplement plans, offering a balance of cost and coverage.
In 2022, the average monthly premium for Plan N is around $134, although prices can range from $90 to $250.
To find the best Plan N rates for you, compare quotes from multiple insurance companies.
Plan N
Plan N rates vary by region in New York state.
Some of the first three digits of zip codes for specific regions in New York state are 120-23 & 128-29 for Albany, 140-43 & 147 for Buffalo, 110 & 115-19 for Long Island, and 144-46 for Rochester.
Plan N rates for Bankers Conseco are $383.56 in Albany and Buffalo, $483.39 in Long Island and NYC proper, and $333.75 in Rochester.
Plan N rates for EmblemHealth Plan, Inc. are $212.45 in Albany, $200.95 in Buffalo, $220.00 in Long Island and NYC proper, and $207.68 in Rochester.
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Plan N rates for Globe Life Insurance are $274.00 in Albany, Buffalo, and Utica, and $329.00 in Long Island and Rochester.
Plan N rates for Humana are $294.01 in Albany and Buffalo, $364.79 in Long Island, and $430.95 in NYC proper and Rochester.
Here are the Plan N rates for some insurance companies in New York state:
Medigap Overview
Medigap is private supplemental health insurance that helps cover Medicare Part A and Part B cost-sharing requirements, including deductibles, copayments, and coinsurance.
In 2022, nearly 60 million people were enrolled in Medicare Part A and B, with half of them in traditional Medicare. Most traditional Medicare beneficiaries had some form of additional coverage to help with cost-sharing requirements.
12.5 million Medicare beneficiaries, or 42% of all traditional Medicare beneficiaries, had a Medigap policy in 2022. Medigap limits the financial exposure of Medicare beneficiaries and provides protection against catastrophic expenses for Medicare-covered services.
By helping to cover Medicare's cost-sharing requirements, Medigap insurance makes health care costs more predictable for beneficiaries.
Medigap Policy Details
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Plan N is a popular Medigap plan that offers a range of benefits, but the rates vary depending on the location. In New York, for example, the rates for Plan N are listed in the article, showing a range of costs from $200.46 to $483.39 per month.
Excellus Health Plan, Inc. offers Plan N in certain regions of New York, with rates ranging from $389.62 to $431.27 per month. Globe Life Insurance also offers Plan N in various regions, with rates starting at $274.00 per month.
Here's a breakdown of the regions and corresponding rates for Plan N:
Humana Benefit Plan of Illinois, Inc
Humana Benefit Plan of Illinois, Inc offers a range of Medigap policy plans, including A, F, G, High G, and N.
If you're an individual looking for a policy, you can choose from A, F, G, High G, and N plans, which are also available to those under 65.
For group policy plans, unfortunately, Humana Benefit Plan of Illinois, Inc does not offer plans for individuals over 65 or under 65.
To contact Humana Benefit Plan of Illinois, Inc for customer service, you can call them at (888) 310-8482.
Here are the different types of Medigap policy plans offered by Humana Benefit Plan of Illinois, Inc:
What Types of Policies Are Available?
There are 10 different types of Medigap policies, each with a standardized set of benefits.
Plan G is the most popular Medigap policy, accounting for 39% of all policyholders in 2023.
Plan G covers the Part A deductible and all cost sharing for Part A and B covered services, but not the Part B deductible.
Plan F has the second largest share of Medigap enrollment, covering 36% of Medigap policyholders or nearly 4.9 million people.
Plan N has the third largest share of Medigap enrollment, covering 10% of policyholders or nearly 1.4 million people.
Plan G and Plan N are similar, with Plan G covering more benefits, including the Part A deductible, but Plan N has Part B copayments for some office visits and emergency room visits.
Policy Purchasers and Eligibility
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If you're looking to buy a Medigap policy, you're in luck because federal law provides guaranteed issue protections during a one-time, six-month Medigap open enrollment period. This period starts the first month of Medicare Part B coverage, and it's a great time to shop around for a policy.
During this six-month period, Medigap insurers can't deny a policy to any qualifying applicant based on factors like age, gender, or health status. You can also try a Medicare Advantage plan for the first year, and if you disenroll, you have guaranteed issue rights to purchase any Medigap policy sold in your state.
If you're under 65 and qualify for Medicare due to a disability, you don't have the same guaranteed issue rights as those over 65. However, some states offer additional protections for beneficiaries under 65, so it's worth checking with your state's insurance department for more information.
If you do qualify for a Medigap policy, you generally have 63 days to apply. Keep in mind that Medigap insurers may impose a waiting period of up to six months to cover services related to pre-existing conditions if you didn't have at least six months of prior continuous creditable coverage.
Here are some key dates to keep in mind:
- First month of Medicare Part B coverage: Medigap open enrollment period begins
- First year in a Medicare Advantage plan: Guaranteed issue rights to purchase Medigap policy
- 63 days: Timeframe for applying for a Medigap policy after a qualifying event
- Up to 6 months: Waiting period for covering pre-existing conditions
Medigap Premiums and Comparison
Medigap premiums can be a concern for many people. Premium costs are one of the primary concerns for people with Medigap, and some participants in KFF focus groups noted their premiums were expensive or cost more than they would like.
There are three different rating systems that can affect how Medigap insurers determine premiums: community rating, issue-age rating, or attained-age rating. Community rating means the same premium is charged to everyone, regardless of age or gender. Issue-age rating means the premium is based on the age of the beneficiary when they purchase the Medigap policy, and attained-age rating means the premium is based on a beneficiary's current age.
Some states have regulations on which rating systems are permitted or required for Medigap policies. Currently, nine states require premiums to be community rated among policyholders ages 65 and older. Four states permit issue-age rating but prohibit attained-age rating.
Here are the three rating systems in more detail:
Everence Association
Everence Association offers customer support through their phone number, (800) 348-7468, or via email at [email protected].
Their Medigap plans are available to individuals, but not to groups. If you're under 65, you can choose from plans A, F, G, and N.
Everence Association's rates are specifically for non-smokers and non-tobacco users.
Here are the Medigap plans offered by Everence Association for individuals under 65:
- Plan A
- Plan F
- Plan G
- Plan N
Humana Insurance Company
Humana Insurance Company offers a range of Medigap plans for individuals, but not for groups.
Their customer service phone number is (888) 310-8482.
If you're looking for a plan, Humana offers individual policy plans for those over 65, including A, B, C, F, *High F, G, *High G, K, L, and N.
For those under 65, Humana also offers individual policy plans with the same range of options.
Unfortunately, Humana does not offer group policy plans for either age group.
It's worth noting that the premium rates listed are for Preferred (Non-Smoker/Not eligible for Medicare due to disability/Guaranteed Acceptance) customers.
Here's a breakdown of the plans available from Humana:
Washington National Insurance
Washington National Insurance offers Medicare Supplement plans to individuals over 65, but not to groups. Their customer service phone number is (800) 852-6285 and email is [email protected].
They offer Individual Policy Plans for those over 65, including A, F, G, *High G, and N. Note that *High F and *High G plans have high deductibles.
If you're looking for a Medicare Supplement plan from Washington National Insurance, you can call their customer service number or email them for assistance.
Medicare Supplement Premium Comparison Database
Medicare's interactive website tool allows you to compare Medicare supplement plans quickly and easily. You can find a Medigap policy that works for you by using this tool.
There are 36 states that require insurers to make at least one kind of Medigap policy guaranteed issue during an initial open enrollment period for beneficiaries under age 65. This is not a federal requirement, and rules vary as to whether the same premiums are required for people under ages 65 and people ages 65 and older.
Premiums can vary across Medigap policies, and are one of the primary concerns for people with Medigap. KFF focus groups indicate that while most beneficiaries with Medigap are satisfied with their coverage, some participants noted their premiums were expensive or cost more than they would like.
There are three different rating systems that can affect how Medigap insurers determine premiums: community rating, issue-age rating, or attained-age rating. Community rating means the same premium is charged to everyone, regardless of age or gender.
Here are the three rating systems in more detail:
- Community rating: The same premium is charged to everyone, regardless of age or gender.
- Issue-age rating: The premium is based on the age of the beneficiary when they purchase the Medigap policy.
- Attained-age rating: The premium is based on a beneficiary’s current age, so the premium goes up as they get older.
Nine states require premiums to be community rated among policyholders ages 65 and older.
Medigap Enrollment and Plans
You have a limited time to apply for a Medicare supplement policy, during the Open Enrollment Period, which can't be longer than six months after your Medicare Part B coverage starts.
If you have prior creditable coverage, you're exempt from the pre-existing condition waiting period, which is six months for conditions diagnosed or treated before the application.
You can apply for a Medicare supplement policy outside of your Open Enrollment Period, but insurance companies may use medical underwriting to decide whether to accept your application.
Medigap Enrollment Varies by State
Medigap enrollment varies significantly from state to state. Hawaii has the lowest enrollment rate, with only 9% of traditional Medicare beneficiaries having a Medigap policy.
In Iowa, a whopping 67% of traditional Medicare beneficiaries have a Medigap policy, the highest rate in the country. This is in stark contrast to Hawaii, where enrollment is less than one-tenth of that rate.
Eleven states have more than 50% of their Medicare beneficiaries enrolled in Medigap plans. These states are likely to be in the Midwest and plains states, where fewer beneficiaries are enrolled in Medicare Advantage plans.
If you're considering a Medigap plan, it's essential to check the enrollment rates in your state. This will give you a better idea of what to expect and how to plan accordingly.
Medicare Supplement Open Enrollment
Medicare Supplement Open Enrollment is a crucial time to apply for a Medicare supplement policy. You have a one-time opportunity to enroll in a policy without health underwriting, which means insurance companies can't deny you coverage due to pre-existing conditions.
During this period, insurance companies can impose a pre-existing condition waiting period, but it can't be longer than six months. Any health condition diagnosed or treated within six months prior to applying for a Medicare supplement policy will be included in the waiting period.
If you've had prior creditable coverage, such as insurance or Medicaid, within the past six months, the waiting period must be waived. This is a big advantage if you're applying for a Medicare supplement policy during your Open Enrollment Period.
If you fail to apply for a Medicare supplement policy within your Open Enrollment Period, you may lose the right to a Medicare supplement policy without regard to your health. This means you'll have to go through the underwriting process, which could result in higher premiums or even denied coverage.
You can apply for a Medicare supplement policy outside of your Open Enrollment Period, but insurance companies can use medical underwriting to decide whether or not to accept your application. This means you'll have to disclose your health conditions and may face higher premiums or even denied coverage.
Medicare Plans vs. Medicare Advantage
Medicare Advantage plans combine the benefits of Original Medicare with additional benefits, like prescription drug coverage. This means you'll have to use doctors and hospitals within the plan's network, which can limit your choices.
A person with a Medicare Advantage plan may pay a premium, copays, and a deductible. These costs can add up quickly.
Medicare Supplement plans, on the other hand, are a supplement to Original Medicare. They help cover healthcare costs that Original Medicare doesn't cover, like coinsurance, copayment, and deductibles.
You can see any doctor or hospital that accepts Medicare with a Medicare Supplement plan, giving you more flexibility.
Frequently Asked Questions
What are the disadvantages of Plan N?
Plan N comes with some out-of-pocket costs, including small copays for doctor visits and emergency room visits, as well as an annual Part B Deductible. If you don't use health services, you'll still need to pay the monthly premium.
Is there a maximum out of pocket for Medigap Plan N?
Yes, there is a maximum out-of-pocket limit for Medigap Plan N, which is $20 per office visit. Plan N pays the remainder of any Part B coinsurance charges beyond this limit.
Is Plan N cheaper than Plan G?
Plan N is generally cheaper than Plan G, but it comes with out-of-pocket costs for doctor visits and emergency room visits.
What are the copays for Plan N in 2024?
For Plan N, copays in 2024 are $20 for office visits and $50 for emergency room visits not resulting in inpatient admission.
Sources
- https://www.dfs.ny.gov/consumer_health_insurance/supplement_plans_rates/plans
- https://www.insurance.ca.gov/01-consumers/105-type/95-guides/05-health/03-medsup/list-of-companies.cfm
- https://www.kff.org/medicare/issue-brief/key-facts-about-medigap-enrollment-and-premiums-for-medicare-beneficiaries/
- https://www.ncdoi.gov/consumers/medicare-supplement-medigap-plans
- https://www.blueshieldca.com/en/medicare/medicare-plan-types/medicare-supplement-plans
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