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Medicare guide

6 Facts About Your Medicare Supplement Plan

6 Facts About Medicare Supplement Plans

These six facts about Medicare Supplement plans explain how Medigap really works: why plans are standardized, why timing matters so much, how insurers set prices, and what changes for 2027. Each comes from Medicare.gov or CMS.

Blake Insurance Group is an independent agency serving clients by phone, email, and online in states where we are licensed; coverage depends on the insurer, the policy, and underwriting.

Request a Medicare plan review

Tell us about your Medicare situation, and a licensed agent will follow up to review plans we offer in your area. Submitting the form does not enroll you in a plan.

Prefer a longer form? You can also request a quote with our Medicare quote form.

If the form does not load, call 888-387-3687, Monday through Friday, 9:00 to 5:00, or email info@blakeinsurancegroup.com.

1. Plans are standardized

Medigap policies are standardized and sold by private insurers to help pay Original Medicare’s deductibles, coinsurance, and copays. The lettered plans are A, B, C, D, F, G, K, L, M, and N, and a plan with the same letter has the same basic benefits from any company. Plans C and F aren’t available to people new to Medicare on or after January 1, 2020; Plans D and G offer the same benefits except the Part B deductible. Medigap doesn’t work with Medicare Advantage and generally doesn’t include drug coverage, so most people pair it with a Part D plan.

2. Timing matters most

Your best time to buy is the six-month Medigap Open Enrollment Period, which starts the first month you have Part B and are 65 or older. During it, insurers can’t refuse to sell you any policy they offer or charge more for health problems. Outside it, insurers in most states can use medical underwriting unless you have a guaranteed issue right, such as when your Medicare Advantage plan leaves your area, employer coverage that pays after Medicare ends, or you leave a Medicare Advantage plan within your first year. You generally must apply within 63 days after the other coverage ends.

3. Guaranteed issue rights

Medicare.gov describes guaranteed issue rights as situations where an insurance company can’t deny you a Medigap policy. They include your Medicare Advantage plan leaving Medicare or your area, losing employer or union coverage that pays after Medicare, leaving a Medicare Advantage plan within your first year, and your Medigap insurer going bankrupt or misleading you. Apply within 63 days after the other coverage ends.

4. How premiums are set

Medicare’s guide describes three ways insurers set Medigap premiums: community-rated, where generally everyone pays the same regardless of age; issue-age-rated, based on your age when you buy; and attained-age-rated, based on your current age, so premiums rise as you get older. Premiums for the same plan letter can differ widely between companies, so compare several.

5. 2027 limits are rising

Medigap figures for 2026 and 2027
Item20262027
Plan K out-of-pocket limit$8,000$8,360
Plan L out-of-pocket limit$4,000$4,180
High-deductible Plan F, G (and J) deductible$2,950$3,050

Sources: Medicare.gov and CMS notices, October 2025 and October 2026.

Plan K and L cap your out-of-pocket costs for Medicare-covered services, while high-deductible Plans F and G trade a lower premium for a yearly deductible. Compare total yearly cost, premium plus expected out-of-pocket spending, rather than premium alone when choosing among them.

6. Some plans cover emergencies abroad

Original Medicare generally doesn’t cover care outside the U.S., Part D doesn’t cover drugs bought abroad, and Medigap Plans C, D, F, G, M, and N include a limited foreign travel emergency benefit. Some Medicare Advantage plans cover emergencies abroad; check your plan.

Medigap and drug coverage

Medigap doesn’t include drug coverage, so most people add a Part D plan. Part D has a $2,100 out-of-pocket cap in 2026, and the 2027 base beneficiary premium is $41.33.

Medicare charges late penalties if you delay without other qualifying coverage. Medicare.gov says the Part B penalty is 10% for each full 12-month period you could have had Part B but didn’t, usually for as long as you have Part B. The Part D penalty is 1% of the national base beneficiary premium for each month without creditable drug coverage after a 63-day gap; the base premium is $38.99 in 2026 and $41.33 in 2027. You can generally delay Part B without penalty if you have group coverage from current employment, and sign up within eight months after that coverage or employment ends.

Original Medicare costs Medigap helps with

Original Medicare and Part D costs in 2026
Item2026 amount
Part A hospital deductible$1,736 per benefit period
Part A coinsurance, days 61–90$434 per day
Skilled nursing facility, days 21–100$217 per day
Part B standard premium$202.90 per month
Part B deductible$283 per year
Part D deductible (maximum)$615
Part D out-of-pocket cap$2,100
InsulinNo more than $35 for a month’s supply

Sources: CMS (Nov. 2025, Apr. 2025) and Medicare.gov. 2027 Part A and B amounts had not been announced as of Oct. 22, 2026; CMS usually publishes them in mid-November. Higher-income beneficiaries pay more for Parts B and D.

Enrollment periods

Medicare enrollment periods
PeriodWhenWhat you can do
Initial Enrollment Period7 months around your 65th birthday monthSign up for Parts A and B, and join a plan
Annual Open EnrollmentOctober 15 – December 7Join, switch, or drop Medicare Advantage or drug plans; coverage starts January 1
Medicare Advantage Open EnrollmentJanuary 1 – March 31One change: switch MA plans or return to Original Medicare (and add a drug plan)
General Enrollment PeriodJanuary 1 – March 31Sign up for Parts A and B if you missed your IEP; penalties may apply
Special Enrollment PeriodsAfter qualifying eventsFor example, moving or losing employer coverage
Medigap Open Enrollment6 months from the first month you have Part B and are 65+Buy any Medigap policy sold in your state without health questions

Source: Medicare.gov, October 2026.

Checking a plan and insurer

  • Networks. Confirm your doctors and hospitals are in the plan’s network.
  • Drugs. Check each prescription on the plan’s formulary and its tier.
  • Costs. Compare premiums, deductibles, copays, and the out-of-pocket maximum.
  • Agent license. Confirm the agent is licensed in your state through your state insurance department.
  • Star Ratings. Review the plan’s rating on Medicare.gov’s Plan Finder.

What an independent agency does

An independent insurance agency is licensed to sell policies from several insurance companies. Instead of quoting one company's products, an independent agent can compare options from the insurers the agency represents, explain the differences in coverage, and help you re-shop at renewal. The insurance company, not the agent, makes underwriting and claim decisions.

Blake Insurance Group is an independent agency. We work with clients by phone, email, and online in states where we are licensed, and we will tell you which insurers we can quote for your situation.

How we work

Blake Insurance Group serves clients by phone, email, and online in states where we are licensed. The insurers and plans we can offer depend on our appointments and your location; a company named on this page may not be available through us.

How to verify an insurer or agency

Before buying through any website or app, confirm who is selling you the policy and who will issue it:

  1. Find the licensed agency or insurer named in the site's footer, terms, or license page.
  2. Look up the agency or producer on your state insurance department's license search, or through the National Insurance Producer Registry (NIPR).
  3. Look up the insurer on your state insurance department's company search to confirm it is authorized in your state.
  4. Save the insurer's name and policy number once issued, since that is who handles claims.

A legitimate service will make this information easy to find. Be cautious if you cannot identify the licensed entity.

Sources

We checked the facts on this page against the sources below in October 2026. Plans, prices, and rules change, so confirm current terms before you buy.

What to have ready for a Medicare review

These details help an agent quote accurately.

  1. Medicare card. Your Medicare number and Part A and B start dates.
  2. Doctors. Names of doctors and hospitals you want to keep.
  3. Prescriptions. Drug names, doses, and pharmacies.
  4. Current coverage. Any plan, employer, or Medicaid coverage you have.
  5. ZIP code. Plans differ by county.

Medicare Supplement facts FAQs

Are all Medigap Plan G policies the same?

The benefits are the same for a given letter; premiums and customer service differ by company.

When is the best time to buy Medigap?

During your six-month Medigap Open Enrollment Period, starting the first month you have Part B and are 65 or older.

Can I buy Plan F?

Only if you were eligible for Medicare before January 1, 2020.

Does Medigap cover prescriptions?

No. Add a Part D plan.

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Your next step

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Blake Insurance Group
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Blake Nwosu, Owner and Principal Agent
Blake Nwosu Owner & Principal Agent

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