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Plan N vs High-deductible Plan G 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

BenefitNG
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 deductible––
Part B excess charges–100%
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 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.

High-deductible Plan G

High-deductible Plan G has Plan G's benefits after you've paid a yearly deductible ($2,950 in 2026) for Medicare-covered costs. Until then you pay what Original Medicare doesn't. The premium is a fraction of regular Plan G.

Fits: Healthy people with savings who mainly want protection against a big hospital year.

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 N · High-deductible Plan G · All comparisons

Common questions

What's the difference between Plan N and High-deductible Plan G?

They differ on: Part B coinsurance or copay (the 20%); Part B excess charges; High-deductible Plan G pays nothing until you've paid $2,950 of covered costs (2026).

How many insurers sell Plan N and High-deductible Plan G in Washington?

16 sell Plan N and 6 sell High-deductible Plan G on the current state chart.

Sources

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