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Plan G vs Plan N in Texas: $33.83 a Month Apart at the Floor, and What That Buys

By Anthony Orner, Independent Licensed Medicare Insurance Broker · Texas filed rates pulled September 10, 2026, CSG Actuarial · Harris County (ZIP 77532)

A 65-year-old in Harris County pays $142.78 for the cheapest filed Plan G and $108.95 for the cheapest Plan N, both from Bankers Fidelity (Atlantic Capital Life), from CSG Actuarial filings pulled September 10, 2026. The gap is $33.83 a month, $406 a year.24 Texas carriers file both letters here; their gaps run $-25.00 to $112.15, median $56.07.

What the $33.83 buys back is copays: up to $20 at some office visits, up to $50 at an ER that sends you home, and any Part B excess charge, which Texas law does not forbid. $406 a year is about 20 office copays. Fewer visits than that and Plan N wins; more, and the saving is gone before the excess-charge risk is counted.

The carrier pays the broker. The filed premium is the same with or without us.

The short version for Texas

Plan G at $142.78 is the default. Plan N at $108.95 pays off for someone who sees a doctor a handful of times a year, uses participating providers, and would still pass underwriting if they wanted to move up later. Skip Plan N at United American, where it is filed above the same carrier's Plan G.

What Each Letter Pays

BenefitPlan GPlan N
Part A deductible, $1,736PaidPaid
Hospital coinsurance, 365 extra daysPaidPaid
Skilled nursing coinsurancePaidPaid
Part B deductible, $283You payYou pay
Part B coinsurance, 20%PaidPaid after copays
Office visit copayNoneUp to $20
ER copay, not admittedNoneUp to $50
Part B excess chargesPaidYou pay
Foreign travel emergency, 80%PaidPaid

Every Texas Carrier Filing Both Letters in Harris County

Sorted by the gap between the same company's two filings, narrowest first. 7 carriers price the letters within $40 of each other; 11 charge $60 or more for the difference. The three widest gaps all belong to carriers in the dear half of the Plan G board, so the biggest "saving" from Plan N is offered by the companies whose Plan G was overpriced to begin with.

CarrierPlan GPlan NGapRatingLatest G filing
United American$218.00 #21$243.00 #24$-25.00 (-11.5%)attained age+15.2% April 2026
WPS Health Solutions$193.64 #10$163.33 #18$30.31 (15.7%)attained age+12.6% January 2026
Bankers Fidelity (Atlantic Capital Life)$142.78 #1$108.95 #1$33.83 (23.7%)attained age+9.9% August 2026
New Era Life$168.24 #4$132.03 #8$36.21 (21.5%)attained age-37.4% August 2026
USAA Life$219.98 #22$183.09 #21$36.89 (16.8%)attained age+17.0% May 2026
Members Health$155.34 #2$117.53 #3$37.81 (24.3%)attained age-7.7% September 2025
AARP / UnitedHealthcare$176.73 #6$138.60 #15$38.13 (21.6%)community rated+30.9% July 2026
Blue Cross Blue Shield$177.03 #7$137.57 #12$39.46 (22.3%)attained age+15.0% July 2026
LifeShield National$177.35 #8$132.18 #9$45.17 (25.5%)attained age+17.3% July 2026
Medico Life and Health$175.22 #5$128.63 #6$46.59 (26.6%)attained age+24.3% February 2026
Nassau Life Insurance Company$166.22 #3$119.20 #4$47.02 (28.3%)attained age+11.2% October 2025
Humana Insurance Company$217.63 #20$162.66 #17$54.97 (25.3%)attained age+18.0% April 2026
American Benefit Life$203.57 #18$146.40 #16$57.17 (28.1%)attained age+20.9% September 2026
WoodmenLife$197.75 #14$137.73 #13$60.02 (30.4%)attained age+41.6% February 2026
State Farm$196.18 #13$133.28 #10$62.90 (32.1%)attained age+17.9% June 2026
Aflac (Tier One Insurance)$202.50 #17$138.33 #14$64.17 (31.7%)attained age+20.0% March 2026
HealthSpring Insurance (HCSC)$198.20 #15$133.58 #11$64.62 (32.6%)attained age+19.0% May 2026
Insurance Company of North America (Chubb)$194.50 #12$129.58 #7$64.92 (33.4%)attained age+18.0% September 2026
Plateau Insurance$193.69 #11$127.32 #5$66.37 (34.3%)attained age
Washington National$182.38 #9$114.53 #2$67.85 (37.2%)attained age+17.9% June 2026
Mutual of Omaha$266.26 #23$185.98 #22$80.28 (30.2%)attained age+25.0% July 2026
Aetna Health Insurance$275.22 #24$189.01 #23$86.21 (31.3%)attained age+18.0% February 2026
Guarantee Trust Life$284.86 #26$180.88 #20$103.98 (36.5%)attained age+13.3% January 2026
GPM Health and Life$280.78 #25$168.63 #19$112.15 (39.9%)attained age+15.5% October 2024

CSG Actuarial filings pulled September 10, 2026, ZIP 77532, woman aged 65, non-tobacco, individual, no household discount; each carrier's lowest filed rate class. #n is that carrier's rank on the Texas board for that letter. Physicians Mutual and Old Surety Life file Plan G only and are left out.

The floor carrier is the one to read first. Bankers Fidelity (Atlantic Capital Life) holds rank 1 on both letters, so the $33.83 question can be answered inside one application without switching companies. AARP / UnitedHealthcare is the one community-rated line, $176.73 for G and $138.60 for N at every age.

The Gap Grows With Age: 65 to 80 in Harris County

At 65 the cheapest lines sit $33.83 apart. At 80 they sit $50.07 apart, because 24 of the 26 Texas carriers price on attained age and the dearer letter climbs faster in dollars. A Plan N bought for the saving at 65 is worth more, in dollars, at 80, which is also when the copays tend to add up.

AgeCheapest GCheapest NFloor gapMedian GMedian NMedian gap
65$142.78 (Bankers Fidelity (Atlantic Capital Life))$108.95 (Bankers Fidelity (Atlantic Capital Life))$33.83$168.50$124.97$43.53
70$150.00 (Bankers Fidelity (Atlantic Capital Life))$114.46 (Bankers Fidelity (Atlantic Capital Life))$35.54$182.05$135.94$46.11
75$178.23 (Bankers Fidelity (Atlantic Capital Life))$136.00 (Bankers Fidelity (Atlantic Capital Life))$42.23$219.60$168.93$50.67
80$211.33 (Bankers Fidelity (Atlantic Capital Life))$161.26 (Bankers Fidelity (Atlantic Capital Life))$50.07$265.23$205.08$60.15

Medians are statewide filed medians for the letter and age; floors are the cheapest line in Harris County.

Where in Texas You Live Moves Both Numbers

Texas files 116 rating areas. The cheapest Plan N in the state is $86.47 in Anderson County, $22.48 under the Harris County floor, and that ranks 6 of 28 among the state files we hold. The gap between the letters is $26.85 in Bexar County and $33.83 in Galveston County, so the Plan N case is slightly weaker where both letters are already cheap.

CountyCheapest Plan GCheapest Plan NGap
Harris County$142.78 (Bankers Fidelity (Atlantic Capital Life))$108.95 (Bankers Fidelity (Atlantic Capital Life))$33.83
Dallas County$124.65 (Bankers Fidelity (Atlantic Capital Life))$95.11 (Bankers Fidelity (Atlantic Capital Life))$29.54
Tarrant County$124.65 (Bankers Fidelity (Atlantic Capital Life))$95.11 (Bankers Fidelity (Atlantic Capital Life))$29.54
Bexar County$113.32 (Bankers Fidelity (Atlantic Capital Life))$86.47 (Bankers Fidelity (Atlantic Capital Life))$26.85
Travis County$113.32 (Bankers Fidelity (Atlantic Capital Life))$86.47 (Bankers Fidelity (Atlantic Capital Life))$26.85
Collin County$124.65 (Bankers Fidelity (Atlantic Capital Life))$95.11 (Bankers Fidelity (Atlantic Capital Life))$29.54
Denton County$113.32 (Bankers Fidelity (Atlantic Capital Life))$86.47 (Bankers Fidelity (Atlantic Capital Life))$26.85
El Paso County$113.32 (Bankers Fidelity (Atlantic Capital Life))$86.47 (Bankers Fidelity (Atlantic Capital Life))$26.85
Hidalgo County$113.32 (Bankers Fidelity (Atlantic Capital Life))$86.47 (Bankers Fidelity (Atlantic Capital Life))$26.85
Fort Bend County$124.65 (Bankers Fidelity (Atlantic Capital Life))$95.11 (Bankers Fidelity (Atlantic Capital Life))$29.54
Montgomery County$133.86 (Members Health)$101.28 (Members Health)$32.58
Williamson County$124.65 (Bankers Fidelity (Atlantic Capital Life))$91.60 (Washington National)$33.05
Nueces County$113.32 (Bankers Fidelity (Atlantic Capital Life))$86.47 (Bankers Fidelity (Atlantic Capital Life))$26.85
Bell County$113.32 (Bankers Fidelity (Atlantic Capital Life))$86.47 (Bankers Fidelity (Atlantic Capital Life))$26.85
Lubbock County$124.65 (Bankers Fidelity (Atlantic Capital Life))$95.11 (Bankers Fidelity (Atlantic Capital Life))$29.54
Galveston County$142.78 (Bankers Fidelity (Atlantic Capital Life))$108.95 (Bankers Fidelity (Atlantic Capital Life))$33.83

Each county quoted at the ZIP covering the most of its land area, same profile as above.

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Excess Charges: Texas Allows Them

A doctor who does not accept Medicare assignment may bill up to 15% above the approved amount. Plan G pays that; Plan N does not. Texas has no state law barring the practice, unlike a handful of northeastern and midwestern states, so a Texan on Plan N carries the exposure whenever a provider is non-participating. Most Texas doctors take assignment, and the charge only applies to the Part B portion of a bill, so the dollars are usually small. They are not zero, and a Plan N holder should ask the office before a procedure.

Texans mostly vote with Plan G: 507,049 policies against 72,245 on Plan N at the December 2023 NAIC count, 14 N for every 100 G, and 326,288 still on the closed Plan F. Plan N's share here ranks 19 of 28 in our file, and the median carrier gap ranks 23 of 28, so Texas offers a relatively large discount for the letter that Texans rarely take.

2026 Filings on the Carriers Above

21 Texas carriers in the table carry a 2026 Plan G filing in CSG's records, 16 of them at 15% or more. The largest on record is New Era Life at +98.4% effective December 1, 2025. Filings land on both letters from the same company, so the gap in dollars grows with each one. The full list is on 2026 Medigap rate increases by state.

Methodology

Anthony Orner, NPN 20586791, 1309 Route 70 West, Cherry Hill, NJ 08002, 855-559-1700, licensed in Texas and 34 other states. MedicareYourself (EasyKind Medicare) is an independent brokerage with no affiliation to Medicare, CMS or any carrier. We do not offer every plan available in your area; contact Medicare.gov or 1-800-MEDICARE for all options.

Plan G vs Plan N in Texas: Questions