The short answer
Plan G covers more and costs more each month. Plan N covers almost as much, costs less each month, and asks you to pay a few small copays. Both let you see any doctor in the country who takes Medicare. If you are healthy and do not visit the doctor often, Plan N often saves money. If you want the fewest surprises, Plan G is the simpler choice.
There is no wrong answer here. Both plans are solid. The goal is to match the plan to how you use care and to the prices in your ZIP code. If you want the basics on how Supplements work first, start with our Medicare Supplements page.
Plan G and Plan N side by side
The benefits for each plan letter are set by federal law, so Plan G from one company covers the same things as Plan G from another. Here is what each plan pays after Original Medicare pays its share.
| What it covers | Plan G | Plan N |
|---|---|---|
| Part A hospital deductible and coinsurance | Covered in full | Covered in full |
| Part B deductible | You pay it | You pay it |
| Part B coinsurance (the 20 percent) | Covered in full | Covered, but you may pay a small copay for some office visits and for an emergency room visit if you are not admitted |
| Part B excess charges | Covered | Not covered |
| Skilled nursing facility coinsurance | Covered | Covered |
| Foreign travel emergency | 80 percent, up to plan limits | 80 percent, up to plan limits |
| Monthly premium | Usually higher than Plan N | Usually lower than Plan G |
| Choice of doctors | Any doctor who takes Medicare | Any doctor who takes Medicare |
Source: Medicare.gov, compare Medigap plan benefits. The Part B deductible amount for this year is on our Medicare costs page.
What Plan G does
With Plan G, you pay the yearly Part B deductible and your monthly premium. After that, Medicare-covered care usually costs you nothing more. There are no copays at the doctor, no copays at the hospital, and no bills for excess charges.
Plan G fits people who want to know their costs ahead of time. Many of our clients with ongoing health needs, or who simply do not want to think about medical bills, choose Plan G. It is the most popular Supplement for people who became eligible for Medicare after 2020, when Plan F closed to new enrollees.
What Plan N does
With Plan N, you also pay the Part B deductible and a monthly premium. The difference is two things. First, you may pay a small copay for some office visits and for an emergency room visit that does not lead to a hospital stay. Second, Plan N does not pay Part B excess charges.
In return, the premium is usually lower than Plan G from the same company. If you see the doctor a few times a year, the copays often add up to less than the premium you save. We can run that math with you using the actual prices in your ZIP code.
What are Part B excess charges, and do they matter here?
An excess charge is an extra fee a doctor who does not accept Medicare assignment is allowed to bill, up to 15 percent above Medicare's approved amount. Most doctors accept assignment, so most people never see one. You can check any doctor on Medicare.gov Care Compare. Look for "accepts Medicare-approved amount as full payment."
In the Kansas City area, excess charges are not common, but they do happen, most often with certain specialists. If your doctors accept assignment, this difference between Plan G and Plan N may not matter to you. If you want to never worry about it, Plan G removes the question.
Which one fits you?
Here is how we help clients decide. Think about the three questions below, then compare the real prices.
- How often do you see a doctor? A few visits a year points toward Plan N. Monthly visits or several specialists point toward Plan G.
- Do your doctors accept Medicare assignment? If yes, excess charges are not a concern, and Plan N becomes more attractive.
- How big is the price gap? If Plan N saves you only a little each month, Plan G is often worth it. If the gap is large, Plan N may be the smarter buy.
Many people assume Plan G is always the "safe" choice. It is a good choice, but Plan N is not risky. Both cover the big costs, like a long hospital stay, in full.
What Plan G and Plan N cost in Kansas City
Each company sets its own price. Your premium depends on the company, your age, your ZIP code, and whether you use tobacco. Prices on the Missouri side of the state line are not the same as prices on the Kansas side, even for the same plan letter. Prices also go up over time.
Because the benefits are identical for each letter, the smart move is to compare companies for the same plan. We do that for free. Both states also offer free tools: the Missouri Department of Commerce and Insurance has a Medigap rate shopper, and the Kansas Insurance Department Medicare Supplement Shopper's Guide explains how prices are set.
Missouri or Kansas: your state changes the rules
Both states give you a six-month Medigap Open Enrollment Period that starts the first month you have Part B and are 65 or older. During that window, no company can turn you down or charge you more for your health.
After that, the two states split. Missouri has a yearly anniversary rule that lets you switch to the same plan letter with another company without health questions. Kansas has no such rule, so your first choice in Kansas matters more. We explain both in Missouri vs Kansas rules and Kansas Medigap rules.
Do not forget a drug plan
Neither Plan G nor Plan N covers prescriptions. Most people pair their Supplement with a separate Part D drug plan. We check your medicines and your pharmacy against the plans we offer, so the drug plan fits as well as the Supplement does.
Get Plan G and Plan N quotes for your ZIP code
Send us your name, number and ZIP code. A licensed local agent will call with prices from the companies we work with, and we will explain the trade-offs with no pressure.
Call us first
Before you buy, drop, or switch a Supplement, talk with a local agent. It is free, and the price of a plan is the same with or without us. Call (816) 307-6165 or book a free review.
Sources
- Medicare.gov: Compare Medigap plan benefits
- Medicare.gov: Care Compare (check whether a doctor accepts assignment)
- Kansas Insurance Department: Medicare Supplement Shopper's Guide (Rev. 2026)
- Missouri Department of Commerce and Insurance: Medigap insurance
- Missouri regulation 20 CSR 400-3.650 (anniversary rule)
Reviewed by a licensed Cole Insure agent. Last checked October 2026.
Questions people ask us
Is Plan G or Plan N better for someone in Kansas City?
Neither one is better for everyone. Plan G has fewer copays and covers excess charges. Plan N usually has a lower premium but adds small copays. The right pick depends on how often you see a doctor and the price gap in your ZIP code.
Do Kansas City doctors charge Part B excess charges?
Most do not. A doctor who accepts Medicare assignment agrees to Medicare’s amount as full payment. Only doctors who do not accept assignment can bill up to 15 percent more. You can check your doctors on Medicare.gov or ask us to look.
Can I switch from Plan G to Plan N later?
You can apply at any time, but outside your Medigap Open Enrollment Period the company can ask health questions in Missouri and Kansas. Missouri’s anniversary rule only covers same-letter switches, so Plan G to Plan N still needs underwriting.
Does Plan N have a network?
No. Plan N and Plan G both work with any doctor or hospital in the country that accepts Medicare. There is no network and no referral needed to see a specialist.
Does my Plan G or Plan N premium stay the same?
No. Prices can go up each year as you age and as the company’s costs rise. That is why we review your plan every year and compare what other companies charge for the same letter.
What does a Medicare Supplement cost in Kansas City?
It depends on the company, your age, your ZIP code and tobacco use. The same Plan G can cost very different amounts from different companies. We quote the companies we work with for free, with no obligation.
