Plan G offers more predictable out-of-pocket costs, while Plan N generally has a lower monthly premium in exchange for some cost-sharing. Both provide strong standardized Medigap coverage, but those differences can add up over time.
That's why choosing between them isn't simply about which plan offers more coverage. The better value depends on the premium difference where you live, how much cost-sharing you're comfortable with, and how important predictable medical bills are to you.
Below, we'll compare Plan G and Plan N side by side using 2026 Medicare benefits, Florida premium examples, copays, excess charges, rate considerations, and an annual cost example to help you see where each plan may make more sense.
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Once you've met your annual Part B deductible ($283 in 2026), Plan G covers the remaining Medicare cost-sharing that Plan G is designed to cover.
That includes the Part A hospital deductible ($1,736 in 2026), Part B coinsurance, skilled nursing facility coinsurance, foreign travel emergency care up to plan limits, and Part B excess charges — the extra amount some providers can charge above what Medicare approves.
Plan N covers many of the same gaps as Plan G, but leaves you responsible for some office and ER copays and Part B excess charges in exchange for a generally lower premium.
You still pay the Part B deductible ($283 in 2026), plus a copay of up to $20 for some office visits and up to $50 for ER visits that don't result in an inpatient admission. Plan N does not cover Part B excess charges.
That $20 is a maximum for some office visits — not a flat charge applied automatically every time you receive any Medicare-covered care. Whether a specific visit triggers the copay depends on the type of service.
Beyond those differences, the two plans' standardized benefits are otherwise substantially the same, subject to what Medicare covers and each plan's terms. See our full Plan N in Florida guide for more detail on this plan specifically.
Plan G vs. Plan N at a Glance
Feature
Plan G
Plan N
Part A deductible
Covered
Covered
Part B deductible
Not covered
Not covered
Part B coinsurance
Covered in full
Covered, with copays
Doctor visit copay
$0
Up to $20
ER copay
$0
Up to $50 (waived if admitted)
Part B excess charges
Covered
Not covered
Monthly premium
Higher
Lower
Network restrictions
No Medigap network — use providers that accept Medicare
No Medigap network — use providers that accept Medicare
If you want the fewest bills to manage and don't want to think about excess charges, Plan G is the more predictable choice.
If you're comfortable with occasional small copays in exchange for a lower monthly premium, Plan N is worth serious consideration — but frequent doctor visits alone do not automatically make Plan G the better value. The annual premium difference should still be compared against your expected copays.
Understanding Part B Excess Charges
Excess charges can happen when a provider accepts Medicare patients but doesn't accept Medicare assignment, allowing them to charge up to 15% more than Medicare's approved rate.
Plan G covers this cost. Plan N does not.
Whether this matters to you depends on the providers you actually use, not a statewide average. Before assuming it will or won't affect you, ask a provider directly whether they accept Medicare assignment — most do, but participation varies by provider and specialty, and it's the one variable Plan N leaves genuinely open-ended.
Plan N generally costs less than Plan G, but your actual premium will depend on factors such as your age, ZIP code, sex, tobacco use, and insurance company.
Here are sample Florida Blue premiums we pulled from Medicare.gov on August 27, 2026 for a female, non-tobacco applicant:
Age
Plan G
Plan N
65
$234–$333/month
$193–$274/month
70
$270–$382/month
$223–$317/month
75
$309–$438/month
$258–$367/month
These are Florida Blue examples, not statewide averages. Your actual rate may be different.
How We Collected These Rates
Quote date: August 27, 2026
Applicant: Female, non-tobacco, ages 65, 70, and 75
Carrier: Florida Blue
Source: Medicare.gov
Discounts: Available discounts may affect your final premium
We used Florida Blue as a consistent benchmark to show how Plan G and Plan N pricing compares at different ages. Other insurers may charge more or less.
Choose your age to see example Florida Blue premiums.
PLAN G$234/monthPay more each month
$0 office copays
$0 ER copays
Part B excess charges covered
PLAN N$193/monthSave about $41/month
Up to $20 for some office visits
Up to $50 for ER visits that don't result in inpatient admission
Part B excess charges aren't covered
The Difference
$41/monthPlan N premium savingsThat's about $492 per year in this example.
Would you rather keep the $41 each month with Plan N, or pay it toward Plan G for fewer out-of-pocket costs when you receive care?
Switching Plans Later
Choosing the cheaper plan now doesn't guarantee an easy switch later.
A common assumption is: "I'll start with Plan N to save money, and switch to Plan G later if I need more coverage." That's not always possible without medical underwriting.
Switching Medigap plans or carriers is a different process from Medicare's annual enrollment periods. Medicare's Annual Enrollment Period and Medicare Advantage Open Enrollment Period govern Medicare Advantage and Part D changes — they don't give you a yearly window to switch Medigap plans without underwriting.
Outside your initial Medigap Open Enrollment Period or a qualifying guaranteed-issue situation, an insurer can generally use medical underwriting to evaluate an application to switch plans or carriers — meaning your health at the time of the switch, not just today's premium, can affect whether and how you're able to move.
Florida provides a six-month open enrollment period to Medicare beneficiaries under 65 who qualify because of disability or end-stage renal disease. Premiums for this group are often higher than for applicants enrolling at 65, and carriers aren't always required to offer every plan letter to this group the same way they do at 65.
These applicants also receive another Medigap Open Enrollment Period when they turn 65, giving them another opportunity to compare plans and carriers.
Steps to Help You Decide Between Plan G and Plan N
If you're still unsure which plan makes more sense, don't base the decision on the plan letter alone. Here's how we'd narrow it down.
1. Get Actual Plan G and Plan N Quotes for Your ZIP Code
Start with what the two plans would actually cost you. Premiums can vary considerably by insurance company, age, location, and available discounts.
Don't assume Plan N is automatically the better value simply because its premium is lower. What matters is how much lower.
2. Calculate the Annual Premium Difference
Take the monthly difference between Plan G and Plan N and multiply it by 12.
For example, at age 65 in our sample, Plan G costs about $41 more per month than Plan N — that's roughly $492 more per year for Plan G's additional coverage. That gives you a much better number to compare against Plan N's potential office and ER copays.
3. Decide How Much You Value Predictable Costs
With Plan G, after you've met the Part B deductible, you generally have very little Medicare-approved cost-sharing to think about.
Plan N can save you money in premiums, but you'll accept some additional out-of-pocket costs and the possibility of Part B excess charges. Neither approach is automatically better — some people would rather pay more each month for predictability, while others would rather keep the premium savings.
4. Check Whether Your Doctors Accept Medicare Assignment
Plan N doesn't cover Part B excess charges, so ask the doctors and specialists you regularly use whether they accept Medicare assignment.
If they do, excess charges generally aren't an issue with those providers. If they don't, include that possibility when comparing Plan N with Plan G.
5. Think Beyond Today's Premium
Don't choose a plan based solely on which company is cheapest today. Compare several insurers and consider available discounts, customer service, and the company's rate history where that information is available.
Also remember that changing Medigap plans later may require medical underwriting.
6. Compare the Tradeoff, Not Just the Coverage
Once you have real quotes, ask yourself one final question: is the additional annual premium for Plan G worth paying for fewer out-of-pocket costs and more predictable medical bills?
If the answer is yes, Plan G may be the better fit. If you'd rather keep the premium savings and are comfortable with Plan N's cost-sharing, Plan N may offer the better value.
If both plans still feel too expensive, High Deductible Plan G is a third option worth knowing about — it trades a much lower premium for a higher annual deductible before coverage kicks in.
Editorial methodology: Medicare benefit and cost-sharing figures on this page were checked against Medicare.gov, Florida-specific rules were checked against Florida Statute §627.6741 and Florida OIR guidance, and sample premiums were obtained through Medicare.gov for a single benchmark carrier as described above.
Bottom Line
Plan G and Plan N are both strong options, but the better value depends on the premium difference available to you and how much you value predictable out-of-pocket costs.
Start by comparing actual Plan G and Plan N quotes for your age and ZIP code. Then calculate the annual premium difference and decide whether Plan G's additional coverage is worth that extra cost to you. Also consider Part B excess charges and the possibility that switching Medigap plans later could require medical underwriting.
The goal isn't simply to find the plan with the lowest premium or the most coverage — it's to find the tradeoff that makes the most sense for you.
Is Medicare Plan G or Plan N better for long-term savings?
Plan N can offer better long-term savings for people who don’t mind occasional copays and are generally healthy. It typically has lower monthly premiums and may experience slightly lower rate increases year over year. That said, if you want zero surprises and full coverage, Plan G is still the gold standard.
Can I switch from Plan N to Plan G later?
Yes - but you may have to pass medical underwriting unless you're within a guaranteed issue period. That means a health history review could impact your ability to change plans, so it’s worth choosing carefully upfront or timing your switch strategically. *Note* Florida Blue Members can switch from Plan N to Plan G without underwriting.
Do doctors charge Part B excess charges often?
Not often. In fact, most providers who accept Medicare also accept the “Medicare assignment,” which means they don’t bill excess charges. Florida, for example, has plenty of participating providers, so it’s rarely an issue for Plan N members.
Are Plan G and Plan N benefits the same no matter which company I choose?
Yes. Medicare Supplement plans are standardized by the federal government. That means Plan G is identical in coverage whether you buy it from Florida Blue, Mutual of Omaha, Cigna, Aetna, or any other carrier. The only real differences are in price, customer service, and rate history.
Why are Plan G and Plan N so much more popular than other Medigap plans?
They offer the best value-to-coverage ratio. Plan G covers almost everything, while Plan N delivers nearly the same at a lower cost. Other plans either offer too little coverage (like Plan A) or are no longer available to new enrollees (like Plan F). G and N hit the sweet spot for most Medicare beneficiaries.
With almost 20 years of experience, Matt Kiggins is a senior editor at Florida Insurance Guide. He provides detailed advice on Florida Medicare, life insurance, and dental coverage across forty-five states. As a reputable authority in the industry, Matt specializes in health plan selection. He holds a resident 2–15 Florida Health & Life Agent License(# P116762) and is a co-founder of Policy Guide, an insurance agency in Pensacola, FL.