The cost of a Medigap plan can vary due to several factors, including the type of plan you enroll in, where you live, and the company selling the plan.
Private insurance companies sell Medicare supplement insurance (Medigap) policies. These plans help pay for some healthcare costs not covered by Original Medicare (Parts A and B).
Some examples of the costs that Medigap may cover include:
- deductibles
- coinsurance
- copays
- excess costs
- healthcare costs during foreign travel
- blood (first 3 pints)
Monthly premiums
Each Medigap policy has a monthly premium. The exact amount can vary by individual policy. Insurance companies can set monthly premiums for their policies in three different ways:
- Community rated: Everyone that buys the policy pays the same monthly premium regardless of age.
- Issue-age rated: Monthly premiums are tied to the age at which you first purchase a policy, with younger buyers having lower premiums. Premiums don’t increase as you get older.
- Attained-age rated: Monthly premiums are tied to your current age. That means your premium will go up as you get older.
If you’d like to enroll in a Medigap plan, it’s important to compare multiple policies that are offered in your area. This can help you determine how premiums are set and how much you can expect to pay per month.
The Medigap monthly premium is paid in addition to other monthly premiums associated with Medicare. These can include premiums for:
Deductibles
Medigap itself isn’t typically associated with a deductible. However, if your Medigap plan doesn’t cover the Part A or Part B deductible, you’re still responsible for paying those.
Medigap Plan F and Plan G do have a high-deductible option. The monthly premiums for these plans are typically lower, but you’ll have to meet a deductible before they start to cover costs.
For 2024, the deductible is $2,800 for these plans.
Coinsurance and copays
Like deductibles, Medigap itself isn’t associated with coinsurance or copays.
You may still have to pay certain coinsurance or copays associated with Original Medicare if your Medigap policy doesn’t cover them.
Out-of-pocket limit
Medigap Plan K and Plan L have out-of-pocket limits, which are the maximum amounts you’ll have to pay out of pocket.
In 2024, the Plan K and Plan L out-of-pocket limits are $7,060 and $3,530, respectively. After you meet the limit, the plan pays 100% of the cost of covered services for the rest of the year.
Out-of-pocket costs
There are some health-related services that aren’t covered by Medigap.
If you need to use these services, you’ll have to pay for them out of pocket. These may include:
The following table shows a cost comparison of monthly premiums for the different Medigap plans in four sample cities across the United States in 2024.
| Washington, D.C. | Des Moines, IA | Aurora, CO | San Francisco, CA | |
|---|---|---|---|---|
| Plan A | $103–$1,371 | $107–$296 | $105–$310 | $107–$201 |
| Plan B | $141–$378 | $156–$429 | $177–$417 | $160–$224 |
| Plan C | $176–$437 | $163–$534 | $168–$576 | $187–$273 |
| Plan D | $128–$254 | $145–$242 | $152–$243 | $144–$240 |
| Plan F | $178–$442 | $134–$570 | $161–$577 | $162–$313 |
| Plan F (high deductible) | $34–$91 | $33–$62 | $35–$75 | $32–$82 |
| Plan G | $128–$418 | $100–$495 | $134–$564 | $140–$238 |
| Plan G (high deductible) | $28–$86 | $33–$103 | $35–$89 | $35–$68 |
| Plan K | $58–$145 | $55–$154 | $61–$145 | $59–$123 |
| Plan L | $97–$269 | $100–$323 | $117–$276 | $94–$175 |
| Plan M | $130–$416 | $86–$149 | $146–$146 | N/A |
| Plan N | $99–$388 | $84–$390 | $94–$550 | $109–$188 |
The prices shown above are based on a 65-year-old male who doesn’t use tobacco. To find prices specific to your situation, enter your ZIP code in Medicare’s Medigap plan finder tool.
Medigap is a type of supplemental insurance that you can purchase to help pay for health-related costs that aren’t covered by original Medicare. There are 10 different types of standardized Medigap plan.
The cost of a Medigap plan depends on the plan you choose, where you live, and the company from which you purchase your policy. You’ll pay a monthly premium for your plan and may also be responsible for some deductibles, coinsurance, and copays.
You can enroll in a Medigap plan during the initial enrollment period, which begins when you turn 65 andenroll in Part B. If you don’t enroll during this time, you may not be able to enroll in the plan you want, or it may cost more.