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Plan G vs Plan N in Washington

Plan N trades a lower premium for small copays. Whether that trade pays off depends on the gap between the two premiums at your insurer, and how often you see a doctor.

The only differences

Plan G Plan N
Part B deductible ($283 in 2026) You pay You pay
Office visit copay None Up to $20 for some visits
ER visit not leading to admission None Up to $50
Part B excess charges Plan pays You pay
Everything else Plan pays Plan pays

Both plans pay the Part A hospital deductible, hospital and skilled nursing coinsurance, hospice and 80% of foreign travel emergencies.

Finding your break-even

Get Plan G and Plan N quotes from the same insurer and find the monthly difference in the left column. The right column is roughly the number of $20 copay visits you'd need in a year before Plan G costs less overall.

Plan N costs this much less per month (hypothetical)Yearly saving$20 copays before Plan G pays off
$20$24012
$30$36018
$40$48024
$50$60030
$60$72036
$80$96048
Hypothetical premium differences, for illustration only. Ask for both quotes from the same insurer, then find your row. Break-even counts $20 office copays only and ignores ER copays and excess charges.

How to decide

Lean toward Plan N if you see a doctor a few times a year, your doctors accept Medicare assignment, and the premium difference you're quoted is large.

Lean toward Plan G if you see specialists often, you want no bills at all after the Part B deductible, or you get care from providers who don't accept assignment.

Washington makes this a lower-stakes choice

In most states, choosing Plan N is hard to undo: moving up to Plan G later can mean medical underwriting. In Washington, anyone with Plan N can switch to any insurer's Plan G at any time with no health questions. Starting with N and moving to G if your needs change is a real strategy here.

Insurers selling Medicare Supplement Plan N in Washington

Sources

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