Best Medicare Supplement Plans in 2024
Our experts have researched 20 Medicare supplement insurance plans to recommend the best Medigap plans on the market.
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- Easy to compare plans and prices
- Also offers Part D, dental, and vision plans
- 6% discount for enrolling online
- Offers Plans A, G, N, and F (may vary by location)
- More dental coverage and benefits than other carriers
- Comes with a free SilverSneakers fitness membership
- Up to 7 percent household discount
- Excellent customer service
- 24/7 customer service
- Large provider network
- Available in most states
- Up to 7 percent household discount
- Fast claims fulfillment
- Up to 12 percent household discount
- Guaranteed renewal
- Affordable premiums
- Up to 10 percent household discount
- Over 100 years of experience
- 5 percent household discount offered in most states
- Variety of plans available
- Health and wellness benefits
- In-person support in some areas
- Variety of plans available
- Guaranteed renewal
- Instant online quotes
- SilverSneakers membership with some plans
- Several discounts available
- Endorsed by AARP
- Easy online application process
- Nationwide availability
- Online quotes available
- In-person assistance available
- Variety of plans available
How We Chose the Best Medicare Supplement Plans
Coverage matters. A lot. Finding the right coverage for your needs that doesn’t break the bank can frustrate even the most patient older adults. So we looked at important factors like plans and pricing, signup process, customer service, flexibility, and more to make the search easier. Our list is the result of our in-depth research.
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Contents
Did you know that roughly 20 percent of Medicare beneficiaries also have a Medicare supplement plan?[/citation] Medicare supplement plans, also known as Medigap, are optional plans provided by private insurance companies to help lower health care costs, including deductibles, coinsurance, and copays. As its name suggests, Medigap helps fill the gaps in Original Medicare coverage. If you’re looking for a Medigap plan, you know it can feel overwhelming. We’ve compared the top Medigap carriers to help simplify and narrow down your search so you can save on medical bills and services.
Top Medicare Supplement Insurance Plans in 2024
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Humana - Best online enrollment process -
Anthem - Best competitive pricing -
Cigna - Best customer service -
Aetna - Best for bundling coverage -
Mutual of Omaha - Best for low premiums -
Americo - Best comprehensive insurance solutions -
AARP - Best AARP member rates -
Colonial Penn - Best financial strength -
Blue Cross Blue Shield - Best household discounts -
UnitedHealthcare - Best enrollment discounts -
State Farm - Best in-person agent assistance
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1. Humana - Best online enrollment process
What we like most
- Easy to compare plans and prices
- Also offers Part D, dental, and vision plans
- 6% discount for enrolling online
HumanaOverview
Humana offers a large variety of Medicare supplement insurance plans in many areas. Navigating Humana’s website to get an online quote is simple. Its interactive comparison tool is noteworthy since you can explore Medigap, Medicare Advantage, and Medicare Part D plans and prices at a glance. It’s useful if you don’t know what plan you’re looking for. The company offers Medicare Part D prescription drug, dental, and vision plans, so you can receive all your coverage in one place.
Pros About Humana
- Offers a straightforward online process to get covered
- Offers a small discount for online-only enrollments
- Quotes include preferred and standard rates by age and gender
- Additional coverage is available in many areas for Part D, dental, and vision
- Offers a 6 percent discount when you enroll online
- Free SilverSneakers fitness program
Cons About Humana
- Some ZIP codes have limited plan choices or no choices at all
- Attained-age pricing may not appeal to some seniors
- Discounts not available in certain areas
Pricing
Humana uses attained-age pricing, which means prices will increase as you get older. The company offers competitive rates and makes it easy to compare all of your options in one place, which we appreciate. You can receive a no-obligation quote on their website. Humana even offers a 6 percent discount in most areas (not available in CA, CT, or OH) just by enrolling online, which is unique.
The Bottom Line
Humana makes enrolling online very easy, and getting additional help is stress-free if you need it. Contact a licensed Humana sales agent Monday through Friday between 8 a.m. and 8 p.m., or request to schedule a call when it’s convenient for you. With medical, prescription, dental, and vision plans, Humana earned high marks for its range of health-care offerings. If Humana offers the plan you want in your ZIP code, it’s worth serious consideration.
For more information, read our latest Humana Medicare supplement insurance review.
FYI: Consider adding a vision plan to your Medigap coverage. Check out vision plans for seniors (including Humana) before making your final choice.
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2. Anthem - Best competitive pricing
What we like most
- Offers Plans A, G, N, and F (may vary by location)
- More dental coverage and benefits than other carriers
- Comes with a free SilverSneakers fitness membership
AnthemOverview
Anthem lets you compare the rates for Medicare supplement insurance, Medicare Advantage, and prescription drug plans all in one place for one-stop shopping. You can also view rates for dental and vision coverage and decide if you want to add either to your plan. The carrier offers Medigap plans A, G, and N, along with Plan F for those who first became eligible for Medicare before 2020.
Pros About Anthem
- Offers a 5 percent household discount
- Offers a small discount for monthly electronic funds transfer or if you pay your premium for the entire year
- Various other discounts may be available in your area
- Downloadable PDFs show rates for tobacco users and rates broken down by age and gender
Cons About Anthem
- Plan choices are limited in some areas
- Attained-age pricing means older seniors might find better prices with community-rated plans
Pricing
Anthem recalculates your age each year and adjusts your premium accordingly. Like typical insurers, it also considers factors such as ZIP code, gender, tobacco use, and whether it is your open enrollment period. The company also offers several discounts, including a household and annual payment discount, so there are ways to save.
The Bottom Line
Anthem gives a wealth of information on their Medicare supplement plans to help you make a decision. The company also offers Medicare Advantage, Medicare Part D, vision, and dental plans, so you can receive all of your coverage in one place. We appreciate that the company offers many different discounts to help older adults save on their Medigap plans.
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3. Cigna - Best customer service
What we like most
- Up to 7 percent household discount
- Excellent customer service
- 24/7 customer service
CignaOverview
Cigna is a Fortune 500 company that offers competitive Medicare supplement insurance rates. If seniors or other Medicare beneficiaries would like coverage for prescription drugs, they can also purchase a separate Medicare Part D plan through Cigna and streamline the number of insurers they work with.
Pros About Cigna
- They offer a 7 percent household discount in most states when more than one person in your household enrolls in Medigap insurance
- A 5 percent discount is offered when you enroll online
- Customer service is based in the U.S., available via phone 24/7, 365 days a year
- Enrollment in Cigna’s Healthy Rewards program is free and offers additional savings in areas such as weight management, massages, and wellness products
Cons About Cigna
- Not all plans are available in all states
- Pricing methods differ from region to region
- Only offers Plans A, G, and N*
- The process of getting online quotes can be challenging, depending on your state
*For individuals first eligible for Medicare before 2020, Plan F and High-Deductible Plan F are also available.
Pricing
Cigna’s rates are competitive, but its pricing approach depends on state law. For example, Washington state law mandates community-rated pricing for all Medicare supplement insurance policies. In other words, everyone on Cigna Medigap Plan A in a certain area or ZIP code generally pays the same monthly premium regardless of their age (differences do occur due to factors such as tobacco use).
Prices may be determined differently in other areas. For example, in parts of Virginia, Cigna uses attained age-related pricing for Plan A. That means the younger you are, the less you pay for your plan.
Did You Know? You must be enrolled in Original Medicare (Part A and Part B) to qualify for a Medicare supplement insurance plan. If you’re eligible for Medicare this year, be sure to explore our annual Medicare enrollment guide.
The Bottom Line
Cigna has a good reputation and an extensive reach. It offers a decent choice of Medicare supplement insurance plans in a wide range of locations, and beneficiaries can pair plans with a prescription drug plan if they want. Older adults can’t go wrong with this company, although the process of getting specific information online isn’t the best. Visit our Cigna Medigap review to learn more about this company’s plans.
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4. Aetna - Best for bundling coverage
What we like most
- Large provider network
- Available in most states
- Up to 7 percent household discount
AetnaOverview
Aetna is another reputable insurer offering Medicare supplement insurance plans, and the process of getting quotes online is a breeze. You just need to fill out a simple form with your state, ZIP code, date of birth, gender, and plan start date. You submit it, and, presto, the quotes for all available plans are listed.
Aetna makes things even easier by including both regular rates and household-discount rates. You can also see what each plan covers at a glance. However, tobacco users should expect to pay more than these quotes, as the fine print states. The quotes also only apply during open enrollment or guaranteed-issue periods. And if you’re looking to bundle coverage, check out Aetna’s dental options (their plans made it onto our best dental plans for seniors).
Pros About Aetna
- Offers Plans A, B, D, G, and N*
- Available in most states
- Chart shows beneficiaries how much their premiums could go up as they age
- The process of getting online quotes is simple
- A 7 percent household discount is offered in most areas if your spouse or partner also enrolls in a plan
Cons About Aetna
- Older seniors may not like the attained-age pricing model
- Medigap medical plans are not offered in Alaska, Connecticut, Hawaii, Maine, Massachusetts, New York, Washington state, and Washington D.C.
*For individuals first eligible for Medicare before 2020, Plan C, Plan F, and High Deductible Plan F are also available.
Pricing
Aetna typically uses attained-age pricing. Using Aetna’s simple online quote tool, we compared rates for women living in Virginia (ZIP code 24016) at different ages to give you an idea of how prices change. If a 65-year-old female enrolled during open enrollment or guaranteed issue times to get the preferred rate, she would pay about $111 per month for Plan G, while a 75-year-old female would pay around $139 per month. Just remember: Prices will vary by age, location, gender, and other factors such as tobacco use and household discount.
The Bottom Line
Aetna gives consumers a lot of information online, reducing the time they must spend on the phone. The company’s attained-age pricing may mean that seniors end up paying significantly more as they age, but this practice is comparable with many insurers. The main takeaway is to get an idea of what you’ll pay not just for the next year but for 10 or even 20 years from now.
Read our review of Aetna’s Medigap plans for more information.
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5. Mutual of Omaha - Best for low premiums
What we like most
- Fast claims fulfillment
- Up to 12 percent household discount
- Guaranteed renewal
Mutual of OmahaOverview
Mutual of Omaha, like Aetna, has a very easy process for getting quotes online. All you need to do is fill out your information, and you’ll immediately get the rates for available plans. Rates are competitive, and Mutual of Omaha has a good reputation. It has offered Medicare supplemental insurance since 1966 — when Medicare started.
Pros About Mutual of Omaha
- Easy online process to get quotes
- Offers a household discount of up to 12 percent
- Ninety-eight percent of Medicare claims are paid within 12 hours, according to the company
- Plans offered in all states except Massachusetts
- Offers other insurance options, including long-term care insurance
Cons About Mutual of Omaha
- Not available in every state
Pricing
Mutual of Omaha generally uses attained-age-rated pricing. This means that prices will increase as you age. Mutual of Omaha’s online quote tool makes it simple to compare prices, so you can get an idea of how much your premiums will increase as you get older. Overall, the company offers low premiums and transparent pricing, which we appreciate.
The Bottom Line
Mutual of Omaha offers affordable rates, especially if you qualify for the 12 percent household discount. This insurer has been in the Medicare supplemental business since 1966 and has made a name for itself as a company that looks out for its customers rather than Wall Street. It is owned by its policyholders.
Want to learn more? Check out our latest Mutual of Omaha Medigap review.
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6. Americo - Best comprehensive insurance solutions
What we like most
- Affordable premiums
- Up to 10 percent household discount
- Over 100 years of experience
AmericoOverview
With over 100 years of experience in the insurance industry, Americo is currently one of the largest, independent, privately-held insurance companies in the United States. Americo goes above and beyond in offering full-service health and financial solutions. In addition to Medicare supplement insurance plans, Americo provides vision and life insurance (term, universal, and whole) along with retirement annuities.
Pros About Americo
- Affordable premiums
- Instant plan pricing available online
- Option to bundle Medigap, life, vision, and retirement plans
- Financial Stability Rating of “A” for Excellent by A.M. Best
- Household discount of up to 10 percent
Cons About Americo
- Americo is not available in all states
- Offers only Plans A, G, and N*
- No Medicare Part D plans available
- Online application process can be confusing
*For individuals first eligible for Medicare before 2020, Plan F and High-Deductible Plan F are also available.
Pricing
Americo offers affordable Medicare supplement insurance plan pricing. Keep in mind that factors such as age, gender, where you reside, and tobacco use may affect plan premiums. If your spouse or partner is also looking for a Medigap plan, Americo offers up to a 10 percent household discount. In comparison, UnitedHealthcare’s and Blue Cross Blue Shield’s household discount is only 5 percent.
The Bottom Line
With budget-friendly premiums, instant plan pricing, and an impressive household discount, Americo delivers value for your money. Americo is a solid carrier for comprehensive health and financial needs if you’re looking to bundle other insurance options.
Ready to learn more about Americo’s Medicare supplement insurance plans? Head to our Americo Medigap review for additional details on this company.
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7. AARP - Best AARP member rates
What we like most
- 5 percent household discount offered in most states
- Variety of plans available
- Health and wellness benefits
AARPOverview
AARP offers Medicare supplement insurance plans through UnitedHealthcare. To get rate estimates for an AARP Medigap plan, all you have to do is type in your ZIP code. For example, eight plans show up for ZIP code 24016, and the rates assume you are turning 65 in the month shown and do not use tobacco products. In many areas, older adults can get plans such as K and L that other insurers may not offer.
Pros About AARP
- They offer a large selection of plans, including A, B, D, G, K, L, and N*
- You can apply to join AARP at the same time you apply for a Medicare supplement insurance plan
- You have more flexibility to switch to another Medigap plan if you qualify
- An enrollment discount is offered in many states of up to 30 percent starting at age 65 and decreasing by 3 percent thereafter
- A 5 percent household discount is offered in most states
- Free gym membership through Renew Active
Cons About AARP
- Premiums may be a bit pricier than at other insurers due to the community-pricing model
- AARP membership is required
*For individuals first eligible for Medicare before 2020, Plan F and Plan C may also be available.
Pricing
AARP plans can be a bit pricier than other plans. The company uses a community-rated pricing model, meaning that a 65-year-old would theoretically pay the same as a 75-year-old for the same plan in the same area. However, many AARP customers get discounts when they enroll, although the amount of the discount decreases as they age. In this respect, the pricing model is similar to age attainment. If you’re not an AARP member, check out our guide to AARP memberships to learn more.
To access AARP plans, you must be an AARP member, and the yearly fee is $16. Your spouse or partner can receive free membership with yours, and AARP membership gets you a wide variety of discounts on movie tickets, car rentals, eyewear, and much more.
FYI: You can save on membership fees by signing up for Automatic Renewal, which costs $12 for the first year.
The Bottom Line
Many seniors trust AARP, and its UnitedHealthcare plans are very popular. The community pricing model means that premiums for some younger seniors may be a bit more than what they’d pay with another company, but age-related discounts could help offset that. Furthermore, many insurers do not offer less popular plans such as K or L, so if you’re looking for one of these plans, AARP Medicare supplement insurance plans are a great option.
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8. Colonial Penn - Best financial strength
What we like most
- In-person support in some areas
- Variety of plans available
- Guaranteed renewal
Colonial PennOverview
Colonial Penn has been in business since 1879. While it is a financially strong company, its premiums tend to cost more than those offered by other insurers. It’s also quite challenging to gather adequate information online on your own. For example, to get quotes from Colonial Penn online, you will be prompted to fill out a form, and an agent will contact you. You aren’t able to easily view and compare quotes online like you can with other companies. Alternatively, you can call the company directly to receive a quote and learn more.
*For individuals first eligible for Medicare before 2020, Plan C, Plan F, and High-Deductible Plan F are also available.
Pricing
Colonial Penn’s prices are typically higher than competitors, and the company uses attained-age pricing. The younger you are, the less you pay. Because this insurer’s rates are already somewhat high, seniors may find themselves priced out at some point as they age.
The Bottom Line
Colonial Penn is not a bad Medigap insurance company by any means. It is financially sound, and it offers all of the available Medigap plans. Depending on where you live and your preferences, you may also be able to meet in person with an agent to discuss plans. That in-person support can be invaluable for some older adults. On the other hand, Colonial Penn does charge higher premiums.
Find out how Colonial Penn Medicare supplement insurance plans stack up against other carriers by checking out our in-depth review of Colonial Penn’s Medicare supplement plans.
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9. Blue Cross Blue Shield - Best household discounts
What we like most
- Instant online quotes
- SilverSneakers membership with some plans
- Several discounts available
Blue Cross Blue ShieldOverview
Blue Cross Blue Shield (BCBS) is a network of many smaller companies spread out across the country. Customers purchase Medicare supplement insurance policies from these smaller companies, and the process is not always easy. Finding a local carrier and information about available Medigap plans can be confusing.
However, the company is very reputable and offers several types of insurance. This is perfect for seniors and other Medicare beneficiaries who want to stick to one carrier for all of their health care needs. Blue Cross Blue Shield also offers a 5 percent household discount in many areas, making it a solid choice for couples or spouses.
Pros About Blue Cross Blue Shield
- A 5 percent household discount is offered in many places
- Smaller discounts for annual lump-sum payments and automatic bank withdrawal payments
- You can often buy extra coverage such as vision or dental through the same company at the same time you purchase Medigap
- Offers a variety of plans available in some areas
Pricing
Ask your local Blue Cross Blue Shield insurers how they approach pricing, as pricing models and costs will vary by local carrier. To receive an accurate quote, it’s best to fill out an online form or call the company. In general, Blue Cross Blue Shield pricing is fairly competitive.
The Bottom Line
If you’ve had good experiences with your local Blue Cross Blue Shield company and use it for other types of insurance, then enrolling with the company again for Medigap insurance may make sense.
If you’re new to Blue Cross Blue Shield, finding a local company for Medicare supplement insurance may be confusing. If you do find a company, the process of exploring your options online should be straightforward.
Visit our Blue Cross Blue Shield Medigap review for an inside look at this company.
Pro Tip: Knowledge is power! Our comprehensive insurance guide shares the important facts on everything from medical and dental insurance to life and long-term care coverage.
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10. UnitedHealthcare - Best enrollment discounts
What we like most
- Endorsed by AARP
- Easy online application process
- Nationwide availability
UnitedHealthcareOverview
UnitedHealthcare is the same company that offers the AARP plans. In fact, when you go to the UnitedHealthcare Medicare plan website and input your ZIP code, the results open under the AARP/UnitedHealthcare banner.
Pros About UnitedHealthcare
- Rate estimates are easy to get — just enter your ZIP code
- Variety of plans should be available in your area
- Offers an enrollment discount in many states of up to 30 percent starting at age 65 and decreasing by 3 percent every year thereafter
- Offers a 5 percent household discount in most states
- Renew Active program that includes a free gym membership
- Dental, vision, hearing, and driver-safety discounts
Cons About UnitedHealthcare
- Process may be confusing for seniors who don’t realize the AARP connection
- Premiums may be a bit pricier, but the community-rated model does offer a measure of protection against rate hikes
- Prices are competitive in some geographical areas, not in others
Pricing
UnitedHealthcare uses a community-rated pricing model. Its prices can be competitive, depending on where you live. Compare quotes from other insurers to see just how comparable they are.
The Bottom Line
UnitedHealthcare Medicare supplement insurance insurance is the same as AARP Medicare supplement insurance insurance. These plans are popular, and enrollment is easy. The insurer gets high marks for a hassle-free process, but if the price is your main consideration, compare quotes from other insurers to see how competitive UnitedHealthcare’s premiums are in your area.
Check out our UnitedHealthcare Medigap review to learn more about this carrier’s plans.
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11. State Farm - Best in-person agent assistance
What we like most
- Online quotes available
- In-person assistance available
- Variety of plans available
State FarmOverview
If you already have a relationship with a State Farm agent for other insurance policies, you may prefer to stay with this insurer. Fortunately, you can get Medicare supplement insurance quotes online even if you’re not a current customer. Select your state under the State Farm “Get a Health Quote” bar, and fill out the small form.
The rates can be a bit pricey, but you can easily access quotes online to compare rates. If you decide to enroll in a State Farm Medigap plan after viewing your quote, you can fill out a contact form, and a State Farm agent will get in touch with you shortly. You can also find an agent in your area and call to initiate the process.
Pros About State Farm
- Agents can assist you in person, online, or via phone
- Other insurance policies are available, including life, homeowners, small business, renters, and vehicle insurance
- A variety of plans are available, including A, C, D, N, and G
Pricing
Ask your agent which pricing method the local office uses. In many areas, attained-age pricing is used, so rates will increase as you age. State Farm may be more expensive than other options, but it’s best to receive a quote before making a decision.
The Bottom Line
If you already have a State Farm agent you enjoy working with, then it could be a good idea to get your Medicare supplement insurance policy from this insurer. We recommend that you still get quotes from at least two other insurers to ensure you’re satisfied with the premium prices you’ll pay. State Farm Medigap rates tend to be a bit pricier than those from many other insurers, so you must decide whether having a history and in-person support is worth it. Find out why State Farm made it onto our list of the best life insurance policies.
What Is Medigap?
Original Medicare (Part A and Part B) covers most — but not all — the costs of approved health-care services and supplies. After you meet your deductible, you pay your share of the expenses as you get them. There’s no limit to what you’ll pay out of pocket in a year unless you have other coverage, such as Medigap.2 Medigap fills in the potentially costly gaps of Original Medicare — and provides some much-needed peace of mind.
To sign up for a Medicare supplement insurance plan, you must be enrolled in Medicare Part A and Part B. Then, you can start Medigap shopping! Ten Medigap insurance plans are each assigned a letter of the alphabet (although Wisconsin, Minnesota, and Massachusetts do things slightly differently). Each Medicare supplement insurance plan is standardized, which means, for example, the basic benefits you receive under Medigap Plan G are the same in Kentucky as in California.
Want to learn more about different Medicare supplement insurance plans and what benefits they offer? Visit our 2023 guide to Medigap.
What Does Medicare Supplement Insurance Cover?
As you explore Medicare supplement insurance plans, it’s crucial to consider which benefits are most important to your health and wellness. The 10 Medigap plans (A, B, C, D, F, G, K, L, M, and N) all offer varying levels of coverage. Key factors include:
- Part A deductible
- Part A hospice care copayment or coinsurance
- Part B deductible, excess charges, copayment, or coinsurance
- Skilled nursing facility care coinsurance
- Blood transfusions
- Foreign travel emergencies
- Out-of-pocket limits
Use the Medicare.gov Medigap policy search to find the companies selling the plan of your choice in your ZIP code. From there, compare the premium prices and other factors important to you. For example, you may want to consider customer support, in-person agents, whether you already have policies with the company, or whether you can purchase additional policies such as a Part D plan or dental insurance. It can be tricky to change your Medicare supplement insurance plan once you enroll, so choose carefully and think about potential rising premium costs down the road.
Are Medigap and Medicare Advantage the Same?
Although the names sound similar, Medicare Supplemental plans are not Medicare Advantage plans. Medicare Advantage plans (also known as Medicare Part C) are ways to get Medicare benefits, while a Medigap policy only supplements Original Medicare. If you have a Medicare Advantage Plan, it’s illegal for anyone to sell you a Medicare supplement insurance policy unless you’re switching back to Original Medicare3.
FYI: Some Medicare Advantage plans may cover dental, vision, and prescriptions. If you’re deciding between Medigap and Medicare Advantage, visit our Medigap and Medicare Advantage comparison guide.
Why Should Seniors Consider Medicare Supplement Insurance Plans?
The reality is that original Medicare pays only about 80 percent of your hospitalization and medical office costs. Medicare supplement insurance plans help keep your costs predictable.
Seniors and other Medicare beneficiaries should consider Medicare supplement insurance plans for these reasons:
- They’re guaranteed renewable as long as you pay your premiums on time and don’t misrepresent information on your application.
- They lower the cost of copays, coinsurance, deductibles, and other charges.
- You have more flexibility to travel out of the country and have medical costs covered under certain plans.
- You can choose any doctor or hospital that accepts Medicare.
How Much Do Medicare Supplemental Insurance Plans Cost?
Medicare supplement insurance plan costs depend on several factors, such as:
- Whether it is your open enrollment period.
- Whether you’ve paid your premiums on time.
- The particular insurer.
- Your age, gender, tobacco use in the past 12 months, and ZIP code.
- The plan itself. Generally, the more things a Medigap policy covers, the higher the premium.
If you’re unsure how these factors will affect your finances, we have you covered! Let’s take a closer look at a few of the key components mentioned above that impact Medicare Supplemental Insurance pricing. As you shop for a Medicare supplement insurance plan, consider how these will positively (or negatively) affect your monthly premium.
Medicare Supplement Insurance Enrollment
Pay close attention to the calendar as you near your Medicare eligibility window. Your six-month Medigap open-enrollment period begins the month you turn 65 and enroll in Medicare. If you choose to sign up for Medicare supplement insurance outside the open enrollment period, you may incur a late penalty or higher rates, or be denied coverage altogether. There are certain exceptions to that rule, however, which we’ll cover below in greater detail.
FYI: Want to learn more about different Medicare supplement insurance plans and what benefits they offer? Visit our guide to the Best Medigap plans in 2024.
Medicare supplement insurance Insurance Carrier
To protect consumers, every Medicare supplement insurance policy is standardized. That means no matter which state you live in, the basic Medigap plan benefits will be the same across the board.4 Unfortunately, Medicare supplement insurance pricing is not standardized, which makes it critical to compare costs to ensure you select a policy that meets your medical and budgetary needs.
Location
Your ZIP code plays a major role in Medicare supplement insurance rates because of cost-of-living variations and clusters of senior citizen communities. If you live in Miami, for example, you’ll pay significantly more than if you live in Fort Worth, Texas. You may save money by going with a Medicare Advantage (Part C) Plan instead of getting Medigap insurance.
If you live in Connecticut, Maine, Massachusetts, or New York, your Medicare supplement insurance options also come with an extra level of security. These states must offer all Medicare beneficiaries ages 65 and older either continuous or annual guaranteed open enrollment. That means you can’t be denied coverage due to your medical .
Age
As you research Medigap plans, it’s crucial to ask how the company rates its policies. Insurers in many states use attained-age policies: The younger you are, the less you pay. Some insurers, however, such as AARP from UnitedHealthcare, use a community-based approach. Whether you’re 65 or 85, the premium will be the same. Keep in mind that even community-based premiums can still increase from year to year due to factors such as inflation.
In eight states — Arkansas, Connecticut, Maine, Massachusetts, Minnesota, New York, Vermont, and Washington — insurers must use community ratings. These insurers can still charge different rates depending on tobacco use, ZIP code, and other factors, but they cannot charge more for someone who is older or has more health issues. If you or your partner are shopping for Medicare supplement insurance plans, you can inquire about possible household discounts through the carrier.
When Is the Best Time to Enroll in Medigap?
Open enrollment is typically the best time to get a plan. This six-month period automatically starts the first month you have Medicare Part B (medical insurance) and are 65 or older. During this period, you get what insurers call the “preferred” rate regardless of any pre-existing conditions you may have. Enroll outside this period and you may have to pay “standard” rates. It’s also possible for your application to be rejected if you seek Medicare supplement insurance outside the open enrollment period.
There are, however, special enrollment exceptions, and you may still qualify for Medicare supplement insurance without incurring hefty penalties. In these situations, an insurance company can’t deny you a Medigap policy, place conditions or exclusions for pre-existing conditions, or charge you more for a Medicare supplement insurance policy because of a past or present health problem.6
Suppose you’re waiting to enroll in Medicare Part B and Medigap because you (or your spouse) are currently working and have group health insurance coverage. In that case, you still have a penalty-free Medicare supplement insurance open-enrollment period past your 65th birthday since open enrollment begins when the employer’s coverage ends — when you retire, for example.
Guaranteed issue rights (also called Medigap protections) are rights you have in certain situations even if your open-enrollment period ends. You have a guaranteed issue right if you’re currently in a Medicare Advantage plan that is leaving Medicare or stops giving care in your area, for example. You’re guaranteed the right to buy a Medicare supplement insurance plan sold by any insurance company in your state.
Medicare Supplement Plans for Every Need
We know that insurance plans aren’t one-size-fits-all. That’s why we’ve put together our top picks for different needs and lifestyles:
- Best Medigap plans for healthy seniors
- Best Medigap plans for low-income seniors
- Best Medigap plans for seniors with cancer
- Best Medigap plans for those with diabetes
Learn More About Medicare and Medigap Coverage
If you are looking to learn more about Medicare and Medicare supplement insurance coverage, check out the video below for an Introduction to Medicare from the Senior Living YouTube channel. Here, you will find information about different plan types and Medigap, as well as alternative sources for Medicare information.
KFF. (2020). A Snapshot of Sources of Coverage Among Medicare Beneficiaries in 2018.
Medicare.gov. (2022). How does Medicare work?
Medicare.gov. (2022). Medigap & Medicare Advantage Plans
Medicare.gov. (2022). How to compare Medigap policies
Kaiser Family Foundation. (2018, Jul 11). In All But Four States, Seniors on Medicare Can Be Denied a Medigap Policy Due to Pre-existing Conditions, Except During Specified Windows of Opportunity.
Medicare.gov. (2022). Guaranteed issue rights
