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Plan F vs Plan N in Washington

By Vadim Marusin, licensed Medicare insurance agent in Washington (WAOIC #1365574). Insurer data checked against the state chart current as of October 8, 2026.

How the two standardized plans differ, who each fits, and how many insurers sell each in Washington.

Benefits side by side

BenefitFN
Part A hospital coinsurance, plus 365 extra hospital days after Medicare benefits end100%100%
Part A hospice care coinsurance or copay100%100%
Part B coinsurance or copay (the 20%)100%100%*
Medicare preventive care Part B coinsurance100%100%
First 3 pints of blood100%100%
Skilled nursing facility care coinsurance100%100%
Part A deductible100%100%
Part B deductible100%–
Part B excess charges100%–
Foreign travel emergency (up to plan limits)80%80%
Yearly out-of-pocket limit––
100% = the plan pays the full benefit. – = not covered. Plan N pays the Part B coinsurance except copays of up to $20 for some office visits and up to $50 for ER visits that don't lead to an inpatient admission. Plans K and L pay 100% after the yearly out-of-pocket limit and the Part B deductible. 2026 amounts: Part A deductible $1,736, Part B deductible $283, high-deductible F and G deductible $2,950. Plans C and F: only for people first eligible for Medicare before Jan. 1, 2020. Source: OIC/SHIBA standardized plan chart, 2026.

Plan F

Plan F pays everything Original Medicare doesn't, including the Part B deductible and excess charges. Only people first eligible for Medicare before January 1, 2020 can buy it.

Fits: People already eligible before 2020 who want no out-of-pocket costs for covered care. Compare its premium with Plan G's: the gap is often more than the Part B deductible.

Plan N

Plan N covers the same hospital, skilled nursing and Part B coinsurance as Plan G, except for copays of up to $20 for some office visits and up to $50 for emergency room visits that don't lead to admission. It doesn't pay Part B excess charges.

Fits: People whose doctors accept Medicare assignment and who want a lower premium than Plan G in exchange for small copays.

What each leaves you paying

PlanMost you could owe for covered care in a yearWhat you pay along the wayPart B excess chargesEmergency care abroad
Plan G$283 (the Part B deductible)NothingCovered80% after $250
Plan N$283 plus copaysUp to $20 for some office visits, up to $50 for ER visits that don't lead to admissionNot covered80% after $250
High-deductible Plan GUp to $2,950You pay until the deductible is met, then nothingCovered after the deductible80% after $250
Plan KUp to $8,000, plus the Part B deductible50% of most costs until the limitNot coveredNot covered
Plan LUp to $4,000, plus the Part B deductible25% of most costs until the limitNot coveredNot covered
Plan A$1,736 per hospital benefit period, plus $283Part A deductible and skilled nursing coinsuranceNot coveredNot covered
2026 Medicare amounts, premiums not included. Plan N has no yearly cap on its copays or excess charges. Source: CMS 2026 Medicare amounts; OIC/SHIBA standardized plan chart.

Plan pages: Plan F · Plan N · All comparisons

Common questions

What's the difference between Plan F and Plan N?

They differ on: Part B coinsurance or copay (the 20%); Part B deductible; Part B excess charges.

How many insurers sell Plan F and Plan N in Washington?

15 sell Plan F and 16 sell Plan N on the current state chart.

Sources

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