Medicare

Medicare Supplement (Medigap)

Predictable costs with the freedom to see any Medicare doctor

Overview

Original Medicare doesn't pay all of the cost for covered services & supplies. Medicare Supplement Insurance (Medigap) policies — sold by private insurance companies & standardized by the federal government — help pay some of the remaining costs like copayments, coinsurance, & deductibles.

What Medigap is

Medicare Supplement Insurance — usually called Medigap — is a private policy that works alongside Original Medicare Parts A & B. Medicare pays its share of an approved medical claim first, & your Medigap plan then pays part or all of the remaining costs, such as deductibles, coinsurance, & copayments.

Because Medigap benefits are standardized by the federal government (Plans A, B, D, G, K, L, & N), the coverage inside a specific plan letter is identical from one carrier to the next. Only the price, customer service, & carrier reputation vary.

What Medigap covers

Depending on the plan letter you choose, a Medigap policy can help pay for:

  • Part A hospital coinsurance, plus an additional 365 days after Medicare benefits are exhausted
  • Part B coinsurance or copayments (usually 20%)
  • The first 3 pints of blood
  • Part A hospice care coinsurance or copayment
  • Skilled nursing facility coinsurance
  • The Part A hospital deductible
  • Part B excess charges (Plan G)
  • Foreign travel emergency care up to plan limits

Who is eligible

  • Must be enrolled in Medicare Part A & Part B
  • Best time to apply is during your 6-month Medigap Open Enrollment Period, which begins the month you turn 65 & are enrolled in Part B
  • Outside that window, most carriers require medical underwriting & may decline coverage
  • Not available to anyone currently enrolled in a Medicare Advantage plan

Why someone chooses Medigap

Medigap is built around freedom & predictability. You can see any doctor or hospital in the U.S. that accepts Medicare, referrals aren't required for specialists, & — outside of your monthly premium — most beneficiaries have very few surprise costs. It's often the right fit for people who travel, split time between states, or want the smallest possible out-of-pocket exposure.

Important benefits & limitations

  • Plan G & Plan N are the most popular choices in Florida
  • High-deductible Plans F & G are available with a 2026 deductible of $2,950 before benefits begin
  • Plans C & F are only available to those first eligible for Medicare before January 1, 2020
  • Medigap does not include prescription drug coverage — you'll typically add a standalone Part D plan
  • Medigap Select policies may limit hospital services to a specific geographic area
  • You can't have Medigap & a Medicare Advantage plan at the same time

Enrollment tip

During your 6-month Medigap Open Enrollment Period, insurance carriers cannot refuse to sell you a policy, charge you more because of health problems, or make you wait for coverage to start. Applying outside that window may require answering health questions.

Key highlights

  • Standardized federal benefits — Plans A, B, D, G, K, L, N (Plans C & F only for those first eligible before 2020)
  • Pairs with Original Medicare Parts A & B
  • See any doctor or hospital in the U.S. that accepts Medicare
  • No referrals needed for specialists
  • High-deductible Plans F & G available with a 2026 deductible of $2,950
  • Plan G & Plan N are the most popular choices in Florida

What it covers

Part A hospital coinsurance

All standardized Medigap plans cover Part A hospital coinsurance plus an additional 365 days after Medicare benefits are exhausted.

Part B coinsurance or copay

Plans A, B, D, G, & F pay 100%; Plans K & L pay 50% / 75% respectively; Plan N pays 100% after small copays.

Blood (first 3 pints)

Covered on every standardized plan; Plans K & L cover 50% / 75%.

Part A hospice coinsurance

Covered on every plan; Plans K/L cover 50% / 75%.

Skilled nursing facility coinsurance

Covered on Plans D, G, K (50%), L (75%), N, C, & F.

Part A deductible

Fully covered by Plans B, D, G, N, C, & F; 50% by Plan K & 75% by Plan L.

Part B deductible

Only Plans C & F cover it (available only to those first eligible before 2020).

Part B excess charges

Covered 100% by Plans G & F.

Foreign travel emergency

80% up to a $50,000 lifetime maximum on Plans D, G, N, C, & F, after a $250 annual deductible.

Standardized Medigap benefits at a glance

BenefitABDGKLN
Part A hospital coinsurance + 365 extra days
Part B coinsurance / copayment100%100%100%100%50%75%100%*
Blood (first 3 pints)50%75%
Part A hospice coinsurance50%75%
Skilled nursing facility coinsurance50%75%
Part A deductible50%75%
Part B deductible
Part B excess charges100%
Foreign travel emergency
Out-of-pocket annual limit$8,000$4,000

*Plan N pays 100% of the Part B coinsurance but you pay up to $20 for some office visits & up to $50 for ER visits that don't result in inpatient admission. Plans C & F are only available to people first eligible for Medicare before January 1, 2020, & cover the Part B deductible. High-deductible Plans F & G require you to pay $2,950 in 2026 before benefits begin. Medigap Select plans may limit hospital services & doctors to a geographical area.

Frequently asked questions

Does Medigap include prescription drugs?+

No. You'll typically add a standalone Part D drug plan alongside your Medigap policy.

When's the best time to enroll?+

During your 6-month Medigap Open Enrollment Period, which starts the month you turn 65 & enroll in Part B — no medical underwriting during this window.

Can I have both Medigap & Medicare Advantage?+

No. If you join a Medicare Advantage plan, you can't use or be sold a Medigap policy.

Are Plan F & Plan C still available?+

Only if you were first eligible for Medicare before January 1, 2020. Everyone else typically chooses Plan G or Plan N, which cover almost everything Plan F did except the Part B deductible.

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