Medigap Plan N vs. Plan G — Which One Fits You in 2025?
By Daniel Petkevich
Jul 14, 2025
An overview of the pros and cons of Plan N and Plan G.
The 30-Second Snapshot
Speak with a Medicare Advocate
Plan G = almost-all-inclusive. You pay the small Part B deductible ($257 in 2025) and nothing else.
Plan N = lower monthly premium, but you handle:
Up to $20 copay for doctor visits.
Up to $50 copay for ER visits that don’t lead to admission.
Any Part B excess charges (extra fees some doctors can bill above Medicare’s rate).
Where They’re Identical
Both plans pay 100 % of hospital coinsurance, skilled-nursing coinsurance, the Part A deductible, blood, hospice coinsurance, and 80 % of foreign-travel emergencies. Coverage is federally standardized, so a Plan G (or N) from one carrier is medically the same as any other.
What Plan G Gives You That Plan N Doesn’t
No visit copays. Zero at the doctor, zero at the ER.
Protection from excess charges. If a provider bills more than Medicare allows (legal in 42 states), Plan G pays the overage. Plan N leaves it to you.
Set-and-forget budgeting. Once you’ve met the Part B deductible, your out-of-pocket cost is $0 for the rest of the year.
Why People Choose Plan N Anyway
15-25 % cheaper premiums in many ZIP codes. In New York, for example, the average Plan N quote is about $260/month versus $325+ for Plan G.
States like New York and Connecticut ban excess charges, wiping out one of Plan N’s risks.
Healthy retirees who see the doctor only a few times a year may pay less in copays than they save in premium.
A Quick Math Check
Add your annual Plan N premium.
Estimate doctor & ER copays (be honest!).
Add a small buffer in case a provider hits you with excess charges while traveling.
If that total is still below the Plan G premium, Plan N wins. Otherwise, Plan G’s peace of mind is probably worth the extra dollars.
Switching Later? Know the Rules
After your six-month Medigap Open-Enrollment window, moving between plans usually means medical underwriting. If your health changes, you might not be able to land Plan G’s richer benefits later—so weigh the long game before defaulting to Plan N.
Bottom line:
Pick Plan G if you want zero surprises, travel often, or live in a state that allows excess charges.
Pick Plan N if premiums are sharply lower in your area, you’re healthy, and you’re comfortable with the small copays.
Still Unsure? Let’s Run the Numbers Together
Our licensed Medicare advocates can pull side-by-side quotes in minutes and calculate your break-even point. Call 888-376-2028 or book a time that works for you—no cost, no pressure.
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