Plan G — full first-dollar except Part B deductible
Plan G covers Part A and Part B coinsurance, Part A deductible, hospice, skilled nursing facility coinsurance, foreign travel emergency, and Part B excess charges. The only routine cost left to the member is the annual Part B deductible.
- Part A & B coinsurance, hospital costs up to 365 additional days
- Skilled nursing facility coinsurance
- Foreign travel emergency to plan limits
- Part B excess charges (the gap between Medicare-approved and what providers can charge)
Plan N — lower premium, small copays
Plan N has a lower premium than Plan G, in exchange for office-visit copays (up to $20) and ER copays (up to $50, waived if admitted). Plan N does NOT cover Part B excess charges.
- Office visit copay up to $20; ER copay up to $50 (waived if admitted)
- Does not cover Part B excess charges
- Best for low utilizers and those whose providers do not bill excess
High-Deductible Plan G
High-deductible Plan G has a much lower monthly premium but you pay all Medigap-covered costs until you meet the annual deductible (~$2,800 in 2026 example). Best for healthy enrollees who can self-fund the deductible and want catastrophic-style coverage.
- Premium typically 50–70% lower than standard Plan G
- Annual deductible must be met before benefits begin
- Same standardized benefits as Plan G after deductible
What's NOT included
Medigap is a hospital and medical supplement only. Drug coverage requires a separate Part D plan. Vision, dental, hearing, long-term care, and over-the-counter items are not covered—pair with separate coverage if needed.
- Part D drug coverage required separately
- No dental, vision, hearing, or long-term care
- Cannot be combined with a Medicare Advantage plan