Plans K and L Compared to Plans G and N
Just because all Medigap plans must follow strict state and federal laws doesn’t make understanding them any easier. While stringent requirements may make comparing plans confusing, there is really no need to worry. We have you covered with our Medigap plan breakdowns. Today we compare plans K and L to plans G and N.
The Similarities
Like all Medigap policies, all four plans will cover your Part A coinsurance and hospital costs for up to 365 days after your Medicare benefits are exhausted. Another similarity between each plan is the absence of coverage for your Part B deductible. This means that, regardless of which plan you choose, you will be responsible for the annual $257 deductible in 2025.
The Differences
The list of similarities among the four plans is short. Fortunately, plans G and N are nearly identical. One exception is that plan G will pay for the Part B excess charge while plan N does not. Part B excess charges are those legally allowed to be charged by physicians above the Medicare-approved amount. Plan N also requires a $20 copay for each physician visit and a $50 copay for each emergency room visit, unless you are admitted as a patient.
From here, we can explain how each of the four plans approaches the remaining Medicare benefits. The following benefits are covered at 100% by plans G and N, at 50% under plan K, and at 75% under plan L:
- Part B coinsurance or copayment (except $20 copay for physician visit and $50 copay for
emergency room visit for Plan N) - First 3 pints of blood
- Part A hospice coinsurance or copayment
- Skilled nursing care facility coinsurance
- Part A deductible
While foreign travel isn’t covered by plans K or L, plans G and N will cover up to 80% of the plan’s limits after a $250 deductible. The out-of-pocket limits for 2025 are $7,220 and $3,610 for plans K and L, respectively.
Choosing the right Medigap plan will depend on your specific health needs. Trained and licensed professionals can help review your potential medical expenses and select a plan that maximizes your every premium dollar. Contact my office today for a complimentary Medigap review and to learn more about your options.