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New Medicare Supplement in AZ: Plan N

by on Apr. 14, 2010, under Health

Beginning in June, new “modernized” Medicare supplement plans will be sold, including two new plans, M and N.  In Arizona, insurance companies don’t seem interested in Plan M, but they are offering Plan N.  Plan N is an interesting development for seniors because it will have a monthly premium that will be 25-30% less than Plans C, F, and G.

Seniors who buy a Plan N Medicare supplement will pay $20 dollars (or 20%, whichever  is less) when they go to the doctor.  They will pay $50  for an emergency room visit. Medicare and their supplement will pay the rest of the doctor bill or emergency room bill.  Except for these co-pays, all other bills are covered by Medicare paying first and the supplement paying the balance of the bills, including hospitalization, physical therapy, lab tests, etc.  The only other out-of-pocket cost for the senior is the Medicare Part B deductible, which is $155 each year.

The modernized Medicare supplements, which begin in June, offer seniors more options for their Medicare coverage. But the real impact may be felt this fall when the Annual Election Period allows seniors to change their Medicare Advantage plans – or dis-enroll from a Medicare Advantage plan and go back to Medicare.  Plan N, with a monthly premium of $80 to $89 per month, might be attractive to seniors who are accustomed to paying $0 – $140 per month for their Advantage plan, but want better coverage through a Medicare supplement.

If/when Medicare Advantage plans raise their premiums and co-pays, seniors will move back to Medicare and Medicare supplements in droves.  Plan N will be an attractive, lower-cost Medicare supplement.

Here is a summary of changes coming to Medicare supplements after June 1, 2010:

1. Plans E, H, I and J will be eliminated.
2. Plan G will be modified. Home Care benefit will be removed and excess charges covered at 100%.
3. Lower cost Plans M and N will be offered. Co-pays for doctor and ER visits will be included in these new plans.
4. Companies offering Plan A must offer Plan C and Plan F.
5. A hospice benefit will be included in all new plans being introduced.

For more information, check out http://arizonamedicarenews.com

FOR MORE INFORMATION ON MEDICARE CHOICES IN ARIZONA, checkout my website.



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  • Robin

    So what’s the catch?  They can’t offer a lower premium and pay for everything.  There’s the inpat deductible which is over a $1000 this year and what about the 20% after Part B benefits.  What about Skilled Nursing or Extended Care Fac benefits especially after 100 days.  or Inpat benefits after 365 days?  Just to name a few of my questions.

  • medicareblogger

    Medicare Supplements cover many of the “gaps” in Medicare, including the inpatient Part A deductible of $1100.  Medicare pays the first 20 days of skilled nursing and the supplement will pay the co-pays after that.
    Plan F (which offers the fullest coverage) will pay all of the 20% Part B co-insurance while Plan N will require the patient to pay $20 for each doctor visit (and $50 for an emergency room visit).  This is why Plan N will have a lower premium than Plan F.
    There’s no catch.  Medicare supplements offer the maximum coverage of the “gaps” in Medicare.  If companies don’t make enough profit, they raise their rates.
     

  • Diana

    My hubby just signed up on Plan N this week.  His premium dropped from 153.00 mo. for Plan F to 92.00 a mo. for Plan N.  Plan N also does NOT cover Part B excess charges.  This is not mentioned above, and in 2011 the Part B deductible.  Plan G is exactly like Plan F except for the Part B deductible, which Plan G does not pay.  Premium comparison for Plan G for 71 year old male is 137.00 for nonsmoking rates.  

    • medicareblogger

      Thanks for sharing your research into Plan N rates as compared to Plan F.
      I had to delete the name of the company you mentioned because that company has told me twice not to mention their name in this blog.  They are  concerned that what is written about them might be construed to be an advertisement, and they have very strict rules about that.

  • http://www.comparemedicaresupplements.org medigap

    The best thing about the plan N is the guarnteed issue.  So ypu don’t have to worry if you qualify or not.  Some Companies rates are actually going down starting June1 !