Slightly higher out-of-pocket costs result in lower premiums for Plans M and N
Buying a Medicare supplement with a lower premium is often a trade off between adequate coverage and price.
In June of 2010 Medigap policies were re-tooled and two new plans, Medicare supplement Plans M and N, were introduced.
These plans are designed for people who are willing to pay a little more out-of-pocket in return for a lower monthly premium.
Although not as popular as Medicare supplement Plan F, Plans M and N are gaining a share of the market. Plan N, in particular has become popular for people looking for an alternative to a Medicare Advantage plan.
Following is a side-by-side comparison of Plans M and N and a discussion of who may find these plans appealing.
Medicare Supplement Plans M and N Benefits
The differences between Medicare supplement plans lies in what cost-sharing gaps are paid by the plan and which are not.
The following table highlights the differences between Plans M and N.
Medicare Supplement Plans M and N
|
||||||||||
M
|
N
|
|||||||||
Basic Plan (Part A Coinsurance up to an additional 365 days) |
x
|
x
|
||||||||
Basic Plan (Part B Coinsurance / Co-payment; 1st 3 Pints Blood; Part A Hospice Care Coinsurance / Co-payment) |
75%
|
x
|
100% except up to $20 co-pay for office visits and $50 co-pay for ER visits | |||||||
Skilled Nursing Co-payment ($144.50/day for days 21 – 100 for 2012) |
x
|
x
|
||||||||
Part A Deductible ($1,156 for 2012) |
50%
|
x
|
||||||||
Part B Deductible ($140 for 2012) | ||||||||||
Part B Excess Charges (additional 15% for providers not accepting Medicare assignment) | ||||||||||
Foreign Travel Emergency |
x
|
x
|
||||||||
Medicare supplement Plan M has the potential fro a greater amount out-of-pocket but also comes with a lower premium than Plan N.
The main differences include the amount you must pay for Part B outpatient services. Medicare requires that you pay 20% of the charge for covered services.
Plan M pays 75% of that amount, effectively requiring you to pay 5% of outpatient charges. Plan N, on the other hand, pays the 20% for all outpatient services with the exception of office visits and emergency room visits.
Office visits require a copayment up to $20 and ER visits a copayment up to $50. Both an office visit and ER visit will most likely cost you less with Plan M.
If you are hospitalized you will be required to pay $578 (or 50% of current year’s deductible) towards the Part A deductible with Plan M, while Plan N will require nothing on your part.
Both plans will require you to pay the Part B deductible and Part B excess charges.
10 Reasons to Buy a Medicare Supplement
Should you buy Medicare supplements Plan M or N?
As stated earlier, Plan F is by far the most popular plan but many people cannot afford the premium. Medicare supplement Plan A is the least expensive but most people feel the coverage is inadequate.
Either Plan M or N are good options if you would like to purchase a supplement but are on a budget. If you have disposable income in reserve and you feel because of your good health that a inpatient stay is less likely, you may be able to save some money with Plan M.
Many people who have had a Medicare Advantage plan non-renew for the following year have purchased Plan N. The copayment requirements are a familiar feature and the freedom to choose any provider that accepts Medicare is a welcome bonus.
If you are interested in either plan, here are some things to remember:
- The best time to buy is during Medigap open enrollment
- You are not subject to medical underwriting if you are entitled to Guarantee Issue Rights
- Neither plan includes drug coverage and you should enroll in a Part D plan
- As standardized plans, coverage will be the same with all companies
- The Medigap pricing model will effect future rate increases
Shopping for and comparing Medicare supplement policies is a relatively easy endeavor since plans are standardized.
If you are interested in the peace of mind of owning a supplement and want to have lower premiums, you should consider Medicare supplement Plans M and N.
what is the 2013 yearly rate for plan N . want to pay all at beginning of 2013. thanks
R. Mosley, That will depend on which company you are going to buy it from. Medicare supplement Plan N has standardized benefits but the rates will vary depending on the company.