Medigap Plans: Turning 65 Seniors Increasingly Favor Lower Cost Options

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Seniors are increasingly choosing Plan N over Plan G as rising premiums push more beneficiaries toward lower-cost options. Plan N offers the same core coverage as Plan G but requires copayments of up to $20 for some office visits and up to $50 for emergency room visits. For healthier seniors who visit doctors infrequently, the premium savings often outweigh the copayment costs.

 

When it comes to choosing Medicare Supplement plan options, new-to-Medicare beneficiaries are opting for lower cost plans according to the American Association for Medicare Supplement Insurance (AAMSI).

“Some 11,000 Americans turn 65 every day and become eligible for Medicare,” explains Jesse Slome, AAMSI’s director. “Medicare Supplement, or Medigap, remains a highly popular choice but there appears to be greater interest in lower cost options.”

Medigap Plans What Seniors BuyDuring the first six months of 2022, some 38 percent opted for Medigap Plan N. Just over half (51%) selected Plan G coverage.  Nearly six percent enrolled in a High Deductible Plan G (HDG) plan.

The Association’s report examining 2021 new enrollees reported that 36.5 percent Plan N, 55 percent selected Plan G, and 6.7 percent High Deductible Plan G.

“I expect the trend to lower cost options will continue for two reasons,” Slome predicts. “First, consumers are being bombarded with Medicare-focused television ads touting free coverage and benefits making it harder to sell coverage that costs. Second, saving money is always a winner with many seniors who live on fixed or limited budgets.”

Medigap Plans – Examples of Cost For G, N and HDG

A Chicago-area female turning 65 can expect to pay $117 monthly for Plan G from a popular Medigap insurer. The same insurer offers Plan N for $86-per-month, amounting to a $372 annual savings. A Medigap HDG plan can be obtained for as little as $32 to $45-per-month. In Chicago, men can expect to pay more for similar coverage. Around $132-per-month for Plan G, $97 for Plan N and between $37 and $48 for HDG.

Plan G covers 100% of all Medicare-covered expenses once your Medicare Part B deductible has been met for the year. First introduced in 2010 as a way to offer lower cost options, Plan N has a few additional out-of-pocket expenses that policyholders will have to pay. These can include a nominal copay for doctor or emergency room visits. Plan N can also have one facing Excess Charges.

High Deductible Plan G is a relatively new option for Medicare beneficiaries. It is only available to those who turned 65 or went on Medicare on or after January 1, 2020. The plan comes with a high deductible ($2,490 for 2022) but is highly appealing for those looking to save money and who may not anticipate many medical needs during the year.

The 2022 survey of over 3,000 new-to-Medicare enrollees selecting Medigap plan coverage was conducted for AAMSI by MedicareFAQ.com a leading national provider of Medicare insurance plans for consumers nationwide.

The American Association for Medicare Supplement Insurance advocates for the importance of insurance protection. To access the latest Medicare insurance statistics, go to www.medicaresupp.org/facts-2022.  AAMSI makes available a no-cost national online directory listing local Medicare insurance agents. The directory can be accessed via the organization’s website.


Frequently asked questions:

Why are more seniors choosing lower-cost Medigap plans?

Rising Medigap premiums have prompted many seniors on fixed incomes to weigh the trade-off between comprehensive coverage and monthly cost. Plan N, which offers lower premiums in exchange for small copayments, has grown in popularity as an alternative to Plan G for beneficiaries who are in good health and use medical services less frequently.

What is the difference between a high-coverage and lower-cost Medigap plan?

Higher-coverage plans like Plan G pay nearly all Medicare out-of-pocket costs after the Part B deductible, offering maximum predictability. Lower-cost options like Plan N have lower premiums but require copayments of up to $20 for office visits and up to $50 for emergency room visits. The better value depends on how frequently you use medical services each year.

Is Plan N a good choice for seniors in 2026?

Plan N can be an excellent choice for healthier seniors who don’t frequently visit doctors or specialists. The premium savings compared to Plan G can be significant. However, if your doctors don’t accept Medicare assignment, you may face Part B excess charges, which Plan N does not cover. Confirming your providers accept assignment before choosing Plan N is important.

Can I switch from Plan G to Plan N to save money?

Possibly, but it depends on your state and health status. Outside of your initial Open Enrollment Period, switching plans usually requires passing medical underwriting in most states. Some states with birthday rules offer an annual window to switch to a plan of equal or lesser value without underwriting. A Medicare broker can review your options based on your specific state’s rules.

What should I consider before choosing a lower-cost Medigap plan?

Consider your current health, how often you visit doctors, whether your providers accept Medicare assignment, and your financial ability to handle out-of-pocket copayments. Also factor in the insurer’s rate increase history — a lower-cost plan with aggressive annual increases could cost more than a slightly higher plan with stable pricing over several years.
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