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Plan F vs Plan N in Washington
How the two standardized plans differ, who each fits, and how many insurers sell each in Washington.
Benefits side by side
| Benefit | F | N |
|---|---|---|
| Part A hospital coinsurance, plus 365 extra hospital days after Medicare benefits end | 100% | 100% |
| Part A hospice care coinsurance or copay | 100% | 100% |
| Part B coinsurance or copay (the 20%) | 100% | 100%* |
| Medicare preventive care Part B coinsurance | 100% | 100% |
| First 3 pints of blood | 100% | 100% |
| Skilled nursing facility care coinsurance | 100% | 100% |
| Part A deductible | 100% | 100% |
| Part B deductible | 100% | – |
| Part B excess charges | 100% | – |
| Foreign travel emergency (up to plan limits) | 80% | 80% |
| Yearly out-of-pocket limit | – | – |
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
| Plan | Most you could owe for covered care in a year | What you pay along the way | Part B excess charges | Emergency care abroad |
|---|---|---|---|---|
| Plan G | $283 (the Part B deductible) | Nothing | Covered | 80% after $250 |
| Plan N | $283 plus copays | Up to $20 for some office visits, up to $50 for ER visits that don't lead to admission | Not covered | 80% after $250 |
| High-deductible Plan G | Up to $2,950 | You pay until the deductible is met, then nothing | Covered after the deductible | 80% after $250 |
| Plan K | Up to $8,000, plus the Part B deductible | 50% of most costs until the limit | Not covered | Not covered |
| Plan L | Up to $4,000, plus the Part B deductible | 25% of most costs until the limit | Not covered | Not covered |
| Plan A | $1,736 per hospital benefit period, plus $283 | Part A deductible and skilled nursing coinsurance | Not covered | Not covered |
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.