Basic Benefits for Supplement Plan N

Supplement plans are required to cover a set of standardized basic benefits set by the government. These Supplemental benefits provide additional coverage to what is covered by Original Medicare Part A (hospital insurance) and Part B (medical insurance and doctor visits).

Medicare Part A Hospital Coinsurance or Deductible

  • For hospital stay days 1 - 60, Plan N pays $1340, the Part A deductible amount
  • For hospital stay days 61 - 90, Plan N pays $335 per day
  • For hospital stay days 91 - 150, Plan N pays $670 per day
  • For an additional 365 days, Plan N pays 100% of approved expenses
  • After the additional 365 days, Plan N pays $0 per day

Medicare Part A Skilled Nursing Facility Coinsurance

  • For nursing facility stay days 1 - 20, Plan N pays $0 per day
  • For nursing facility stay days 21 - 100, Plan N pays up to $167.50 per day
  • After 100 days nursing facility stays, Plan N pays $0 per day

Medicare Part B Coinsurance or Copay

  • Plan N pays $0 until you meet your $185 Part B deductible
  • After Part B deductible is met, Plan C typically pays 20% of the coinsurance. Original Medicare Part B covers the other 80%

Blood Coverage

  • For the first 3 pints of blood, Plan N pays 100% of the cost
  • After the first 3 pints of blood, Plan N pays $0 of the cost because Original Medicare covers 100%

Additional Benefits for Supplement Plan N

Additional benefits may vary by State. Below are the additional benefits covered by Plan N for each State:

Alabama

Monthly Premium
$0-$522
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Alaska

Monthly Premium
$84-$492
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Arizona

Monthly Premium
$88-$531
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Arkansas

Monthly Premium
$78-$516
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

California

Monthly Premium
$105-$840
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Colorado

Monthly Premium
$0-$533
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Connecticut

Monthly Premium
$160-$294
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Delaware

Monthly Premium
$0-$3,201
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

District of Columbia

Monthly Premium
$83-$662
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Florida

Monthly Premium
$127-$946
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Georgia

Monthly Premium
$0-$2,175
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Hawaii

Monthly Premium
$88-$557
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Idaho

Monthly Premium
$117-$386
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Illinois

Monthly Premium
$86-$590
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Indiana

Monthly Premium
$0-$545
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Iowa

Monthly Premium
$69-$546
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Kansas

Monthly Premium
$83-$567
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Kentucky

Monthly Premium
$0-$566
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Louisiana

Monthly Premium
$0-$831
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Maine

Monthly Premium
$171-$338
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Maryland

Monthly Premium
$0-$770
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Michigan

Monthly Premium
$86-$618
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Mississippi

Monthly Premium
$0-$1,130
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Missouri

Monthly Premium
$122-$853
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Montana

Monthly Premium
$0-$732
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Nebraska

Monthly Premium
$79-$704
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Nevada

Monthly Premium
$0-$620
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

New Hampshire

Monthly Premium
$120-$730
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

New Jersey

Monthly Premium
$97-$666
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

New Mexico

Monthly Premium
$69-$551
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

New York

Monthly Premium
$220-$483
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

North Carolina

Monthly Premium
$0-$673
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

North Dakota

Monthly Premium
$0-$574
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Ohio

Monthly Premium
$78-$477
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Oklahoma

Monthly Premium
$73-$551
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Oregon

Monthly Premium
$101-$586
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Pennsylvania

Monthly Premium
$0-$615
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Rhode Island

Monthly Premium
$91-$565
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

South Carolina

Monthly Premium
$70-$457
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

South Dakota

Monthly Premium
$75-$1,512
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Tennessee

Monthly Premium
$75-$1,379
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Texas

Monthly Premium
$74-$577
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Utah

Monthly Premium
$77-$509
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Vermont

Monthly Premium
$123-$494
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Virginia

Monthly Premium
$71-$467
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Washington

Monthly Premium
$140-$218
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

West Virginia

Monthly Premium
$70-$600
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Wyoming

Monthly Premium
$76-$583
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Learn More About Medicare Supplement Insurance

See our Medicare Supplement FAQ page to learn more about supplemental insurance coverage.

Some information shown on this page has been sourced from www.medicare.gov