Medigap (Medicare Supplement) Plan 2026 FAQs

I missed the enrollment period and didn’t change my Medigap plan, do I have to wait until the next Annual Enrollment Period? 

• If you are already enrolled in a Medigap plan you are free to change to another plan at any time of year. Under most conditions you will be required to medically qualify by answering questions about your medical history.  If you qualify, you can change anytime.  All carriers have different qualifying questions, so check with us to help determine your eligibility.  

How do I know how to choose a Medigap plan?  

• Medicare has standardized all the Medigap plans that were introduced in 1992. They are now labeled with a letter which indicates what combination of coverage is offered.  So once you determine which letter plan fits your needs it will be exactly the same coverage with all insurance companies that offer the plan.   

• Plans F, G and N are the most common plans in most areas and some also include High Deductible plans as well.    

• Plan F and C are no longer available to new Medicare beneficiaries, but people born before January 1, 2020 are still eligible.   

• Availability varies by location and certain states do not use the same standardized plans. 

  
  

Why did my premium go up? 

• Rates usually increase as healthcare costs rise and people use more care

• When one carrier raises rates, others usually follow

• Most increases are about 5%–10% per year, though this varies year to year

• Medigap rates are not locked in for life

• Changing plans may require medical underwriting (health questions)

• If you qualify, switching may help lower your costs

Contact us for more information about Medigap increases.

Can I have a Medicare Advantage plan and a Medigap policy at the same time? 

• No you cannot.  You must choose one or the other and remain in that plan for the remainder of each year unless you have a Special Enrollment Period (like moving out of state) or until the Annual Enrollment Period (from October 15 – December 7).     

Can I have my premium paid from my Social Security check like my Prescription Drug plan is being paid?  

• No, Medigap policies are billed separately from Original Medicare. You pay your premium directly to the insurance company offering the Medigap policy. It's important to pay your premiums on time to maintain coverage. 

Does Medicap cover prescription drugs?  

• No, Medigap plans do not cover prescription drugs.  You will need to enroll in a stand-alone Medicare Part D prescription drug plan when you go into Medicare, unless you have other credible coverage, or face penalties later on when you want to enroll.  Contact us for more information about sources of credible coverage.

If you have any additional questions, contact our team today!