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Medigap cost comparison

Plan G, Plan N and high-deductible Plan G all cover the same services and the same doctors. What differs is the premium and who pays first — so the only honest comparison is a full year of your own premiums and your own expected use.

  • Your quoted premiums
  • A full year
  • Ranks all three

Run the numbers

Your premiums, your year


Quotes and expected use

Use the monthly premiums you have actually been quoted for your age and ZIP, not an average.

Please complete “Plan G premium”.

Please complete “Plan N premium”.

Usually a quarter to a third of standard Plan G.

Please complete “High-deductible Plan G premium”.

Only Plan N charges a copay for these.

Please complete “Office and outpatient visits you expect this year”.

The Plan N copay is waived if the visit ends in an admission.

Please complete “Emergency department visits you expect”.

Roughly what Medicare would leave you to pay: the Part B deductible, the 20% coinsurance and any hospital deductible. This is what the high-deductible plan makes you meet first.

Please complete “Medicare cost sharing you would face with no supplement”.

The figures update as you type once JavaScript is on. Without it, the worked example beside this form and the full table below give the same answer.

A year with each plan

Plan N — $1,811 a year

On these numbers Plan N costs least over twelve months. $293 separates it from High-deductible Plan G.

Plan G — premiums + Part B deductible
$2,033 a year
Plan N — premiums + deductible + copays
$1,811 a year
High-deductible Plan G — premiums + deductible met
$2,104 a year
Plan N copays in that total
$210 (8 × $20 office, 1 × $50 emergency)
High-deductible Plan G deductible met
$1,600 of $2,900
Gap between cheapest and dearest
$293 a year

All three cover the same Medicare-approved services and the same doctors. The difference is only who pays first, so a heavy year swings this comparison hard — run it again with a worse year.

How the totals are built

Three plans, three different first payers


Every total below is twelve months of premium plus whatever that plan leaves you to pay. Nothing else is guessed.

Plan G = premium × 12 + Part B deductible
Plan N = premium × 12 + Part B deductible + visit copays
High-deductible G = premium × 12 + the deductible you actually meet

The high-deductible column is the one that moves. In a quiet year it is usually the cheapest thing on the page; in a year with a hospital stay you meet the full $2,900 and it is usually the dearest. Run it twice — once for a good year, once for a bad one — and choose the answer you could live with.

What each plan actually covers

The standardised benefits behind the arithmetic. Every insurer sells the same three columns; only the premium changes.
BenefitPlan GPlan NHigh-deductible G
Part A hospital coinsurance and 365 extra daysCoveredCoveredAfter the deductible
Part A hospital deductibleCoveredCoveredAfter the deductible
Part B coinsurance — the 20%CoveredCovered, minus copaysAfter the deductible
Part B annual deductibleYou payYou payYou pay
Office visit copayNoneUp to $20After the deductible
Emergency visit copayNoneUp to $50After the deductible
Part B excess chargesCoveredYou payAfter the deductible
Skilled nursing coinsuranceCoveredCoveredAfter the deductible

Before you switch

What people ask about supplements


No. A Medicare Supplement has no network at all. Any provider who accepts Medicare accepts any supplement, from any company, in any state. The only differences between the three are premium and who pays first.

Because Plan G is standardised by law, the benefit is identical whoever sells it — so the only things you are comparing are the price, the rate-increase history and the service. That is the whole reason this comparison is worth doing on price.

It is waived if you are admitted as an inpatient. The calculator counts every emergency visit you enter, so if you expect to be admitted, lower that number.

It is a trade. You take the risk of a bad year in exchange for a much lower premium. Run the calculator twice — once with a quiet year and once with the full deductible met — and see whether you could comfortably absorb the second answer.

The extra a provider may bill when they do not accept Medicare's approved amount. Plan G covers them; Plan N does not. They are rare in some states and banned outright in others, so ask locally before you weight it heavily.

2026 plan year

The figures this calculator uses


Sample figures for the 2026 plan year. Medicare and the Marketplace reset these every autumn.

Part B deductible (2026 sample)
$257 a year
High-deductible Plan G deductible (2026 sample)
$2,900 a year
Plan N office copay
Up to $20 a visit
Plan N emergency copay
Up to $50, waived if admitted

Every figure above is a sample for the 2026 plan year on a demonstration site. Medicare publishes the real ones each autumn at Medicare.gov, and they change every year.

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