WHY People Say NEVER GET Medicare Supplement Plan N in 2023
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Why do some people say never get Medicare supplement plan N in 2023. This is a very important medigap question. The medigap plan g vs plan n is a huge debate about the benefits. Medigap plan g has a deductible and a copayment. The medicare supplemental plans are the best plans. Aetna and Cigna sell a Medsupp plan N. The medicare advantage plan is not better than a plan n. The Medicare plan n is not for everyone but it does cover hospital and doctor.
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Disclaimer: This video is for entertainment purposes only. If you want advice on Medicare or any of its plans, please speak to a licensed agent, whether it is me or another licensed agent. No advice should be taken from this video. If you don't speak to me about your individual concerns, I can't give you my 100% opinion.
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I talked my wife into N as we both signed up at the same time. N has been fine for us (PA and Eagles SB 2023). The Dr. Copay is often less than 20 for us. We don't see a doctor anywhere near 20 times a year. But, this big differences between G and N is that number you have for G you pay no matter what. N can be lower---if your copay is under 20 and if you go to Dr less than 20 times. Plus, the rate increases for N are less than for G, which will, over the years, just make N more and more of a good deal.
N in Florida is $189.32 G $219.10 thereabouts. With copays on N you’re not saving nothing. Plus $50 for emergency room. Well over that of plan G.
@@WillEnAngel2008 It all depends on your zip code. Seems the northeast and maybe Florida, you can save more on the N plan. What also more important is to get the correct company. You need to check the rate/price stability of the company for the the last 10 years to give you an indication your rate will be more stable. Also going with a national big company tends to give more price stability that's been in the Medicare program 10 years or more.
@@WillEnAngel2008I’m getting ready to go on Medicare. I live in Florida and if the rates are as high as you state then they can forget it! I get most of medical care from the Indian health service anyway. I go to the doctor 4 times a year and get my bloodwork done each time and get all of my medications each month. None of it costs me a dime. Probably just stick with original Medicare.
@@WillEnAngel2008 I live in Tallahassee (pretty sure that is N Florida) and pay only $135 for plan N vs the cheapest plan G at $188. (United Healthcare). Don't take my word go to their website and check for yourself
For $30 more a month for G you would be a fool not tot ask it
My wife and I both went with N plans, for my wife the N was $500.00 cheaper than G for a year and for me it was $400.00 cheaper. We live in Pennsylvania so no excess charges. I see 3 dr. two I see once a year and the other twice a year. My wife has a total of 6 visits each year so at $20.00 each visit it's only $200.00 so we saved $700.00 with N plans.
Hey Paul- Pennsylvania… my home state. Born in Philadelphia and raised in Delaware county. glad to hear you’re saving money!! Are you Pittsburgh or Philly? Will the Eagles 🦅 pull it off in 2023?
@@medicare365 I'm just 20 miles south of Erie, and not a Pittsburgh fan!!!
WOW! bravo, for for saving so much!
Late to the party. My wife and I switched from F supplement to N with a different carrier several years ago and saved a substantial amount. I think the excess charge issue has been over hyped as has been posted they only apply to small percentage of doctors that accept Medicare and some states prohibit the practice.
Copay is an issue but unless you go to the doctor multiple times a month it is not a big deal. You need to approach choosing a supplement with a view to the long term. Over many years which choice do you think will result in the lowest total cost. G and N are both good choices but we are betting our lifetime cost with N will be lower.
In my 3rd year with N. Costs me about $90/month. Prescription coverage is $5/month. Dental plan is about $10/month. Glad I chose N.
Thanks for sharing. Hope you watched the entire video.
Nice lucky you. In NY plan N is currently 228.50 + another 35 for drugs....
What state
Where do you get dental for $10 a month
We've had people get surgeries that would have cost over $100,000 on Plan N's with no problem! While many people lean towards G's simply for less variability in costs, a N is also incredibly comprehensive!
Mean people?
@@ChristopherRuhmins haha thank you for catching the typo
Plan N has been excellent. We would not have any other plan. We would NEVER get a Medicare Advantage Plan.
I am 75 - took plan F which was OK at the time I started medicare (aarp/uhc) and now my new rate in July would be 347/monthly - AARP UHC allowed me to move from plan F to plan N without underwriting (Ga) I cannot pass the health questions now - I could have younger. they accepted a G application with underwriting - but at a higher rate than even plan F. I am happy with being able to get plan N at age 75. I wish I had called Medicare 365 - I did it all on my own which I am sure was a mistake. I have watched all your videos - all very educational.
my plan N rate is 163.75 (exactly half of plan F) - I feel very fortunate not to be stuck with plan F the rest of my life. When the change was made to eliminate plan F sales to new people the government should have allowed all of us to have a one time switch since that changed everything related to the health pool but it didn't happen. I go to the doctors a lot but there is no way I will be paying more for plan N than I am for plan F.
I just started plan N in April. I have only paid one $20 copay to my eye doctor so far. My Primary and my Specialist doctors are not collecting them!
Am curious to know if you ever got a bill for the Primary or Specialist??
Not if it’s preventative. Copays can be $0-$20.
Great stuff I'm glad you are bringing the truth about MA It should be avoided unless you simply can't afford a supplemental
Thank you
I have plan G. If I switch to plan N, do I need medical underwriting?
i am about to turn 65 but am delaying part b because my spouse is still working full time in for a company that employs hundreds of people and that health insurance is covering us. But when i do elect part b, i would never ever go on a medicare advantage plan for all of the reasons that you hear about or can read about all over the net. The High Deductible G is decent if (a) you are in a financially comfortable position to cover potentially two overlapping periods when you need to pay out of pocket or (b) if you are having a hard time paying the $90-$160 per month of an N or G plan. Otherwise, N or G is the way to go, at least in 2022-2023.
Thanks for the comment
66 years old and on "N" from humana for years [2015]. Monthly is a huge $243 per month. I called a salesman and all he would talk about is the Humana all in one plan for $66 a month, but with a huge OOP. He said G and N are both no good..... [for him?] How can I get my plan N cost down?
Before I turned 65 I asked people what they had. Most of them had advantage plans because I think they were just pushed into them and they didn’t bother to investigate what it means. If it’s on TV advertised every day you should wonder who benefits from it. Not you!
In NYC, the cheapest Plan N is $215 and cheapest Part D is $12 per month.
NYC is expensive & crowded, but with so many hospitals and doctors in 1 area, and easy commute, we are aging in place.
Sounds like a plan
I go on Medicare this coming April 24. I am retired from the state of TN and eligible for a non-age related supplement but it starts at 154/mo which seems high. From what I have found so far, most age related plans stay fairly close to that rate. My wife is already on a an age related supplement that is on slightly over 100/mo. Wondering if the state plan is worth it in the long run.
Can you tell me about Plan D compared to Plan N? They both look the same to me. Might the Plan D be better than the N Plan? No one seems to talk about the D Plan. Can you tell me why?
I'm on Plan N. I go to the doctor maybe once every couple of years. That will change, I'm sure, but still. Also, Plan G premiums rise much faster every year than Plan N premiums do. Most medical care doesn't incur excess charges. All in all, Plan N is a FAR better value for most people.
How much plan G and N premium cost in Oregon?
My problem with plan N is when I call a doctor office to ask if they take Medicare assignment (whether or not I get charged excess charges) I am told “yes we do”. It always turns out the billing people have no clue what “assignment “ means and they interpret the question as “yes we take Medicare “. Then I end up with a bill for excess charges.
What if you go into hospital for surgery and during your stay you get visited by 2 drs daily, do you still pay $20 per visit?
No, they’d covered by the hospital deductible
Trying to decide between G and N. The only thing that keeps me from going with N is the excess charge. You never know when this might happen. It may be rare, but could be the future trend.
Great point. Sounds like you made your decision. Let me know if I can help.
Check your state. Some states prohibit excess charges which takes away one of the advantages of G. Of course if you travel a lot, there is no guarantee that you will always see a provider in a state that prohibits excess charges even if that is your home state.
As Gary said, check your state. There are 8 that do not allow it. Also, as you mentioned, it is very rare and there is help on the government website to check ahead. But even if it occurred, the amount would be small.
It is the guaranteed issue that worries me about plan G, the premiums might go up like a rocket.
My understanding is that excess charges with only come from a physician who does not accept Medicare at all! And probably 95% of doctors do accept Medicare so the chances are that any doctor you go to won't be charging you an excess charge
I was just wondering. If you've had an advantage plan for several years and are still in good health, say at 72', can you be prevented from moving into another plan. Even with "underwriting"?
If you are determined to change, you can always move to another city outside the current plan's coverage area. That would trigger guaranteed issue rights, and you can switch to whatever plan you want. If you live in NYC, you rent a room in New Jersey, trigger guaranteed issue rights, switch plan, three months later move back to NYC.
Thankyou!
Some people are on the advantage because that’s all they can afford. And they hope they will remain healthy. Also some have VA benefits, and that will work in addition to advantage. For most that don’t fall into those categories, this guy is spot on.
I agree with you for plan N.
This “excess” fee is not common?
And would we know in advance to stay away from those Doctors/hospitals?
Thanks for the great videos❗️
Yes, exactly
I went with N - seems best for me. G would be fine, and overall costs likely rather close, but thinking of potential future premiums, betting G will rise faster
Great, helpful video! Thank you!
Appreciate it
I pay $8/mo for my drug plan. One drug, even with the drug plan costs $257 for 90 days (straight purchase would cost $587). I use Good Rx and get that drug for $76 for 90 day supply. The other three cost me $0, $0, and $6 using the drug plan that ,with Good RX ,would cost $17 for 90 days. Shop your drugs!
Definitely shop your drugs. Great comment
In your spreadsheet comparisons of MOOP of the advantage plans to plan G, N or HDG you should include the drug, vision, dental and hearing premiums since they are included in the advantage plan, makes for a more apples to apples comparison.
He did
Loved the video. My wife and I are on a New Jersey Plan N. I sure I missed it but did you explain why people say "never get" a plan N...
I'm on the UnitedHealthcare supplement plan N via AARP, and I was given a notice that my monthly is going up to $242.00 ! ....and that's the N plan, not G. Maybe because I live in zip code 10024 NYC? This is really outrageous and I don't know what to do.
Yes. NYC sucks for Medicare. They keep voting for socialism in that state. Everyone gets bad service and higher prices. Woohoo! 🥳
Great points. Brian, are the drugs plans the same offerings from all firms? If you get Mutual of Ohama G then you also get the drug plan from MOO? thanks
No. You can get any drug plan you want if you’re on a Plan G
@@medicare365 So the drug plan is offered by ?????
Doesn’t seem like the moops include the mandatory B premium. I could be wrong.
One thing I'm confused about: How is the $226 deductible for Plan G,N applied? On my current employer plan I pay a $35 copay for my primary doctor visits. Assume their actual fee is $200, and my insurer is paying $165. Under Plan G,N would I pay the entire $200 for my first doctor visit of the year? Then $26 for the next visit, then up to $20 copay with Plan N?
Yes, the 240.00 part B deductible in 2024 would need to be met first under G and N. The part A deductible $1632 for in hospital care is covered in full by N and G.
I have va healthcare and going on medicare in a couple years . The Va is decent but can have long wait times . I am leaning to an advantage for backup to the VA . I am looking at kaiser as they have some great facilities in my area . The premium is zero and caps out at $2900 . Anything big i will head to the VA anything small i may just head to kaiser . The VA does do compmete blood work at a physical which Medicare does not which i find out . Many dogs get yearly blood work .
Although you can't accurately predict the premium when you are 100, if you look at the costs for new entries when they are 100 years old, you will see that the Plan N is much lower per month than either the Plan F or the Plan G.
This is true
Reaching 100 should be celebrated but noooo. Its troubling !!
@@user-ef6yk5yv9e It ain't over 'til it's over. I read an article somewhere about life insurance companies using 110 for a max. It used to be 95.
The biggest advatage of N over G is that rate increases over time will be much less than G.
Tell ‘em Chuck
There should always be a footnote for Skilled Nursing Care(SNC). I don't think the majority of people enrolling realize to qualify for SNC, you must be an in-patient in the hospital for 3 consecutive midnights (or more). Having an out-patient (observation) stay doesn't count, and this is becoming more common. This is a Medicare rule and is explained in the Medicare handbook.
There has been some relaxing of the 3-midnight stay rule during COVID, but who knows if relaxing will last and when it'll terminate.
Bottom line: You cannot count on the skilled nursing care being paid for by these plans. Likely not covered by Advantage Plans either, although some plans may waive the 3-midnight rule.
Good info on the gap plans, thx. Why did you not include the monthly premium of part B. My understanding is that it is around $174 per month? Maybe your answer will be because Advantage and Medigap plans all require the Part B premium of $174 per month? Or maybe you didn’t include Medicare B $174 per month premium because it is not required to have part B? I am confused, please address this part B premium and why it is not mentioned or in your spread sheet, even though it would in most cases almost double yearly Premiums/expense.
I have plan N through United. My plan started out at $145 now $ 175. Part D started out $30 now 0 cost. 2years ago i had a back fusion of 4 vertebrae. I was in a rehabilitation center for three weeks. I never got a bill for anything not even the deductible. I may have paid it on other treatments because i went through so much therepy. It's getting kind of expansive now. I cant change due to I'd have to go through underwriting. Im 72, have controlled diabetes, and take four medications. I'm in basically good health but passed the expiration date. 😅 So I'm stuck with the pricing and if I wanted to change I'd probably be denied. Im happy with the plan. It's a bit scary about how I'll manage the increase each year.
Wait..i thought You can shop n switch for another insurance company with less $ premium with same or less level coverage anytime of year with no underwriting.
@@user-ef6yk5yv9e depending on what state you live in.
You left out a Advantage plan WITH a separate Hospital Indemnity Plan attached. (mine is $26/mth) Covers 100% of hospital (just like a G&N plan) for just $26/mth. Why didn't mention that option... ??since THAT IS exactly how most Medicare broker advise taking an Advantage Plan....
I may be wrong but aren't you stuck in your specific area if you have an advantage plan. My area had one hospital and if I get into a situation that needs me to go to a major health facility I would want that option without paying some strange out of network charges.
@@scottb6269 Nope... My MI advantage plan allows full coverage if I am traveling (not permanently living) to another state.
So which do you recommend N or G ? I see you have a video, Top 3 reasons why you don't want G ? 2. AARP a trusted senior advocacy organization sells Medicare Advantage through United Healthcare. Some people, because it comes from AARP, take their Medicare Advantage plan as gospel. Your thoughts ?
I wouldn’t take any advantage plan as Gospel. They’re benefits can turn on a dime. Plan G and Plan N benefits stay the same and will always stay the same, no matter what company or state.
If you watch this video. I think you will get your answer.
Top 3 Medicare Supplement Plans vs Medicare Advantage | WHO WINS?
th-cam.com/video/kW5tMM7MHSE/w-d-xo.html
Be careful for anything AARP offers - very politically motivated organization.
My father had what I think was a high-deductable G plan. He paid $51 mo. premium.
He recently was in the hospital for a major procedure and they billed him for the room at $250 per night for 3 days.
That’s because there is a $2700 deductible with that plan and needs to be met before 100% coverage. That’s the way it works. Great for many. Low premium. Have the $2700 available as needed. If not you’re in the money. 👍👍👍
Medicare Part A has a $1,632 in-patient deductible for the first 60 days.
I am 62 on an advantage plan and I am in relatively good health. I’ve been admitted to a hospital may be three times in my life and the last time was over 20 years ago. My advantage plan gives back $120 a month off of the regular Medicare premium. So with no extra monthly cost and higher cost for potential hospital stays and specialists, which I don’t use. I roll the dice and save money rather than worrying about the worst case scenarios.
Thanks for the comment! Yes, everyone has a different scenario and it's not one size fits all.
62 is young, you might want to reconsider at 65.
If 62 feels like 42, then 82 should feel like 62 which feels like 42.
I'm also on a Advantage plan in southeast Michigan and it's a local company I really didn't have much choice because I'm on disability and the Medigap plans or terribly expensive for someone in my position I feel that they're going to be pretty good as far as not requiring referrals and for me to be able to go to decent facilities if I have a major illness. However when I turn 65 I do plan to get a Medigap plan during my open enrollment where I won't have to go through underwriting because I figured out that if I admitted to the hospital for quite a while then I would have to pay approximately $6,500 out-of-pocket if I stay there long enough and if I ended up staying over the new year and then the new year would charge me another 6500 if I was there for several days and then I would be in serious financial trouble! The one thing that can help in that I really should do is to get an Indemnity plan that helps cover some of those expensive and they are pretty inexpensive per month and that would help me in that kind of situation. So I kind of recommend looking into those so you can cover your deductibles and co-pays especially if you are hospitalized or go to a Skilled Nursing Facility.
@Savannah-ed4rv, low-income people may possibly qualify for Medicaid or financial assistance from your state to help out with medical expenses.
Do you like Plan N
I will be on Medicare starting in 2023. I plan on getting a plan N. Is there underwriting when I first sign up?
@@brianquigley382
No. 😎😎😎
Absolutely!! 🙋♀️🙋♀️
Yes.
I know you are under pressure to put out new videos with fresh topics, but this title "WHY People Say NEVER GET ..." does not at all represent the actual content of the video, and is complete clickbait BS. Do better.
What is the price in Florida for plan G for an 85 year old
Florida is a huge state. Different prices in every city
Very Expensive!! 😩😩😩
It does depend on zip code but will be very expensive in all areas.
Boca Raton, Miami, Wellington being the highest. 😩😩😩
can you go back and forth from N to G without underwriting?
Most of the time… no
First, in my area (Western Pennsylvania), the Advantage Plan I am looking at charges $225 per "STAY" not per "day" with a MOOP of $5500. Second who goes to the doctor 20 times in one year? In my area a N plan would cost about $30-$50 less saving almost $360 to $600 per year. That is enough to pay for a Part D and maybe a dental plan. You really have to see what is available in your area, the generalizations do not help much. Not everyone can afford the most expensive plan and the costs keep rising every year. Once on a G plan can you switch to a lower cost N plan? Probably not.
You can switch in California once a year. It has the “birthday rule”
@@mimi1o8Here you can only switch to another plan N and that's going through underwriting first. I don't know if anyone else beside me called several insurance providers that sell medigap plans but its amazing how many different quotes you get. I got quotes from five different providers for a plan G and a plan N. Each company gave me quotes from different insurances providers. None of the insurance providers were the same and all were different prices.
What happens with your supplemental plan when you move to a different state?
You can keep it. Price can change
@@medicare365 Thanks.
Is the $2700 deductible adjusted as the years go by?
It can be … yes
@@medicare365 What is the history? Is it relatively new?
Yes. Usually adjusted according to the COLA!! Always increases. 🙋♀️
No can be!! It increased $150 or so can’t remember exactly from 2022 to 2023. LOL. But still a decent choice for many. Much better than advantage. Cover the deductible if occurs and then 100% coverage. Low premium. Some years $$$ in your pocket. Other years max out of pocket reasonable. LOL.
Plan G premiums will go up a lot more than Plan N. If in later years you want to switch to N to save on premiums, you may not be able to because of underwriting! I look for companies to stop offering Plan G all together.
Based on practical and real experience , with supplemental Plan G you would safe money on the long run. No referral needed , no copayments. All these agents trying to get you to the advantage plan because they will make more and High commission than if you sign for the supplemental plan G. Them agents may convince you to sign for the advantage because they would make more money (commissions) if you sign for the advantage plan.
What agents are you talking about? Did you even watch the video?
Why is this so complicated. I don't understand what you are talking about. It does not make since to me.
Bottom line is Plan G and Plan N are the most popular Medigap plans for a reason. Tomorrow I have a video about these two plans coming out. You can always call my office if you need additional help.
You forgot to talk about what MACRA has done to Plan G. Expect higher premium increases each year with G, thanks to MACRA.
ill get plan N in 3 years...cant see both of us going to the DR more than say 10 times each..for sure not 20
One problem with N is if the company you use decides to stop selling N you’re screwed and going to most likely be forced into an Advantage plan with G you’re guaranteed to get another G if that happens.
That’s just not true.
@@medicare365I was told N is not guaranteed and if you lost it you would have to go through underwriting unlike G which is guaranteed. Is that wrong? I have to pick next year
Mine is 2 something
I don't like the 15% excess charge for plan N. You are leaving yourself vulnerable. I know it is easy enough to check when seeing doctors and specialists for regular appointments, but if you get hospitalized and have a surgery, most of the time you have zero say in who treats you. There really is no way to check in those circumstances and that is when they get you.
My understanding is that Plan N covers Part A costs, which would apply to costs that are incurred in the hospital, including when you're an inpatient. The requirement to pay excess charges is only for *outpatient* doctor visits if the doctors don't accept Medicare assignment. I'd welcome a correction if that's not the case.
You are correct. Excesses charges, so far, have been nothing but a scare tactic. @@dmulvany
Plan N need to pay Part B Excess Charge.
Excess charges are extremely rare. I guess it is possible more doctors may charge them, but right now, it is typically only doctors such as psychologists and perhaps institutions like the Mayo Clinic. Also, the 15% excess charge is not calculated on the doctor’s bill, it is calculated on the Medicare approved amount, which is lower. One thing that is never mentioned is that the Plan G, which is the most comprehensive plan, is also the Guaranteed Issue plan. This means Plan G will have a larger percentage of very sick people that the insurance company is required to accept. Plan N, on the other hand, has a higher percentage of healthy people because many have to medically qualify. Because of this, the premium increases on Plan G tend to be at a considerably higher percentage rate and your cost shall rise faster than on Plan N. Anyone considering which plan to go with, Plan G or Plan N, should factor this in their decision making.
@@MaryBethMcCoy Well said!!
May I ask, if you have time, Brian, would you comment on Mary Beth's comment? My concern, going into Medicare next year, that the likelihood of greater premium increases, over the future years, will probably be higher on the "G", for the reason Mary Beth states, as it's the GI plan that has replaced Plan 'F', so those folks, who are not doing as well medically, will cause (force) the insurance companies to recoup their costs, with higher premiums.
Thank you for doing these videos!! They are great to have for reference!!
I have plan N for 3 years in south Florida. Have never come across one excess charge. Unheard of. 🙋♀️🙋♀️
I save $60 a month with N over G. Maybe 7/8 doctor visits a year only. No brainer. Excellent coverage.
Basically unheard of. 98% of docs USA accept Medicare assignment. No excess charges. 🙋♀️
@@MaryBethMcCoy I realize this post is from a year ago, but Mayo Clinic does not charge the excess charge, as they accept Medicare assignment. I use Mayo Clinic AZ for my health care and received this information from the billing department.