An overview of Medicare supplement insurance (Medigap)

 

As you may have read in other sections of this site, Original Medicare (Parts A and B) won't cover all your health care expenses, and you are expected to pay a share of the products and services it does cover. For some of the expenses it does not pay, many people purchase Medicare Supplement Insurance plans, sometimes known as "Medigap" plans.

Medicare supplement insurance plans aren't a government benefit, like Original Medicare. They are insurance plans sold by private companies. Whether or not you buy a plan is up to you.

Ten standard plans are available, labeled "A" through "N," although not all plans are available in all states. For information about Medicare supplement insurance plans available in your area, contact your State Health Insurance Assistance Program (SHIP).

Not all plans are available in all states.

Medicare supplement insurance costs

Medicare supplement insurance premium

As a general rule, the more generous the benefits, the higher the premium. However, premiums for Medicare supplement insurance plans can vary widely from insurer to insurer, and your Medicare supplement insurance plan premiums may change over time.

Medicare supplement insurance cost sharing

Medicare supplement insurance deductible

Some companies offer high-deductible versions of Plan F. With these plans, you'll pay the plan's deductible first, before the plan begins paying any of your expenses. Plans C and F pay the Medicare Part B deductible.

Medicare supplement insurance copays

Plan N may require copays for Part B office visits (up to $20) and trips to the emergency room (up to $50).

Medicare supplement insurance coinsurance

Plans K and L use coinsurance to split costs between you and the insurance company until you reach your out-of-pocket limit.

Watch our Medicare supplement plan video.

<span style="font-size:10px">View Decision Guide</span>

This simple chart shows you how the different parts of Medicare work together.

View Decision Guide

Which Medicare plan is right for you?

Original Medicare (Parts A & B)

A federal health insurance program for people 65 and older, and for those younger with a qualifying disability or special circumstances.

Part A

Medicare Part A

Helps cover hospital stays and skilled nursing services, plus other skilled care—including hospice care.

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Part B

Medicare Part B

Helps pay for doctor visits and other outpatient services, like lab tests and diagnostic screenings.

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Optional add-ons to Original Medicare

Original Medicare doesn't cover everything and it doesn't include prescription drug coverage. You may want a Medicare plan offered by private insurance companies to fill the gap:

Part D

Part D (Prescription Drug Plan)

Plan costs, drugs covered and pharmacy choices vary.

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Medicare Supplement

Medicare Supplement Insurance Plan (Medigap)

Pays for some of the costs Original Medicare (Parts A and B) does not play. Benefits vary. You must have Original Medicare to apply for a Medicare supplement insurance plan.

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OR

Medicare Advantage (Part C)

Costs and benefits vary by plan and location.

Part C

Medicare Advantage

Includes the same coverage you would get with Original Medicare and may include extras like vision, hearing and dental care, as well as gym memberships, often for no additional cost. Most plans include prescription drug coverage. You must be enrolled in Original Medicare and continue to pay your Part B premium.

Part A + Part B + Part D + Extras

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Included Additional Add-Ons to Medicare Advantage


Vision

Dental

Fitness

Optional add-ons to Medicare Advantage

Not all Medicare Advantage plans offer prescription drug coverage. If the Medicare Advantage plan you're interested in does not include drug coverage, you may choose to switch to a Medicare Advantage plan that offers drug coverage. Some Medicare Advantage plan types (PFFS plans) allow members to enroll in a standalone Part D prescription drug plan, as well.

Part D

Part D (Prescription Drug Plan)

Plan costs, drugs covered and pharmacy choices vary.

Learn More