The following is a chart showing the different Medicare Supplement or Medigap policies and the coverage benefits associated with each plan.
Please note that Medicare Supplements are regulated on a state basis (not a federal basis) and not all Medicare Supplements are available in each state.
Remember that all Medicare Supplements are "standardized", offering the same coverage benefits for a particular plan (such as Plan G), but the monthly premiums for a Medicare Supplement can vary depending on the insurance company - and premiums can increase over time, with approval from your state.
For more information about the Medigap offerings in your area, please either contact a Medicare representative (1-800-Medicare) or a local insurance agent representing a Medicare Supplement carrier (insurance company).
Here is a key to the chart below:
Yes = the plan covers 100% of this benefit
No = the policy doesn't cover that benefit
% = the plan covers that percentage of this benefit
Note: Please see the article below for important changes to Medigap plans: » I learned that no Medicare Supplement Plan F can be sold after 2020. If I am already enrolled in a Plan F, will I be able to keep my Medigap Plan F beyond 2020?
Medigap Benefits |
Medigap or Medicare Supplement Plans | ||||||||||
A |
B |
C |
D |
F |
F* High Deductible | G |
K |
L |
M |
N |
|
| Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up |
|||||||||||
| Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |
| Part B coinsurance or copayment | |||||||||||
| Yes | Yes | Yes | Yes | Yes | Yes | Yes | 50% | 75% | Yes | Yes*** | |
| Blood (first 3 pints) | |||||||||||
| Yes | Yes | Yes | Yes | Yes | Yes | Yes | 50% | 75% | Yes | Yes | |
| Part A hospice care coinsurance or copayment | |||||||||||
| Yes | Yes | Yes | Yes | Yes | Yes | Yes | 50% | 75% | Yes | Yes | |
| Skilled nursing facility care coinsurance | |||||||||||
| No | No | Yes | Yes | Yes | Yes | Yes | 50% | 75% | Yes | Yes | |
| Part A deductible | |||||||||||
| No | Yes | Yes | Yes | Yes | Yes | Yes | 50% | 75% | 50% | Yes | |
| Part B deductible | |||||||||||
| No | No | Yes | No | Yes | Yes | No | No | No | No | No | |
| Part B excess charge | |||||||||||
| No | No | No | No | Yes | Yes | Yes | No | No | No | No | |
| Foreign travel exchange (up to plan limits) | |||||||||||
| No | No | 80% | 80% | 80% | 80% | 80% | No | No | 80% | 80% | |
| Out-of-pocket limit** | |||||||||||
| N/A | N/A | N/A | N/A | N/A | N/A | N/A | $8,000 in 2026 ($7,220 in 2025) | $4,000 in 2026 ($3,610 in 2025) | N/A | N/A | |
| Estimated premiums as per Medicare.gov (10/20/2024) Allegheny Co., Pennsylvania | |||||||||||
| $99-$1,202 | $126-$1,214 | $158-$948 | $147-$559 | $158-$1,476 | $34-$287 | $125-$1,227 | $67-$217 | $108-$352 | $93-$397 | $90-$919 | |
| Estimated premiums as per Medicare.gov (10/20/2024) Los Angles Co., California | |||||||||||
| $120-$918 | $210-$793 | $224-$972 | $166-$586 | $181-$1,488 | $34-$297 | $166-$1,318 | $78-$397 | $138-$577 | N/A | $127-$966 | |
| Estimated premiums as per Medicare.gov 10/20/2024) Miami-Dade Co., Florida | |||||||||||
| $186-$2,117 | $244-$1,570 | $355-$1,704 | $286-$1,336 | $285-$3,031 | $71-$703 | $239-$2,278 | $96-$704 | $186-$1,021 | $315-$1,246 | $213-$1,661 | |
Medigap Benefits |
Medigap Plans | ||||||||||
A |
B |
C |
D |
F |
F* High Deductible | G |
K |
L |
M |
N |
|
* Plans F, G and J also offer a high-deductible plan in some states.
With this option, you must pay for Medicare-covered costs (coinsurance,
copayment, and deductible) up to the deductible amount of $2,950 in
2026 ($2,870 in
2025) before your policy pays anything. (Plans C and F
aren't available to people who were newly eligible for Medicare on or
after January 1, 2020.)
** For Plans K and L, after you meet your out-of-pocket yearly limit and
your yearly Part B deductible, the Medigap plan pays 100% of covered
services for the rest of the calendar year.
*** Plan N pays 100% of the Part B coinsurance, except for a copayment
of up to $20 for some office visits and up to a $50 copayment for
emergency room visits that don't result in inpatient admission.
Reminder: Since 2020, no Medicare Part C, F, and high-deductible F are no longer being offered.
As part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA),
starting in 2020, Medigap plans that cover the Medicare Part B
deductible (Plan C, Plan F, and high-deductible Plan F) will no longer be sold. Medigap
members who purchased their plans before 2020 can keep their Plan C or Plan F policies, but can expect
increasing monthly premiums as plan healthcare costs rise without the
addition of new, healthier plan members.
With the outlook of increasing
premiums, some current Medigap plan members are expected to move to more
affordable Medicare
Supplement plans. For example, you might expect people currently
enrolled in Medigap Plan F to move to
the similar Plan G (that does not cover the Medicare Part B deductible,
but has a slightly lower premium as compared to a Plan F) and if the
person stays
with the same Medicare Supplement carrier, there should be no medical
underwriting as Plan G offers less coverage (the Part B deductible) than
the Plan F.
If you live in Massachusetts, Minnesota, or Wisconsin...
If you live in one of these 3 states, Medigap policies are standardized in a different way.
- You live in Massachusetts
- You live in Minnesota
- You live in Wisconsin
https://www.medicare.gov/health-drug-plans/medigap
- Browse Medicare Part D prescription drug plans
- Browse Medicare Advantage plans (MAPD)
- Sign-up for our Medicare Part D Newsletter.
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