Medigap
Private insurance policies that fill the 'gaps' in Original Medicare coverage — paying for Part A and B deductibles, coinsurance, copayments, and in some plans, foreign travel emergencies.
Sold by private insurers, standardized by federal law into 10 plan types (A through N). Best time to buy is during your Medigap Open Enrollment (the 6 months starting when you enroll in Part B at 65) — guaranteed issue with no medical underwriting.
→ Medigap does not include drug coverage — pair with a Part D plan.
Also known as
Related terms
- Medicare Advantage
A private health plan that combines Medicare Part A and Part B coverage and often includes Part D (prescription drugs), sold by insurance companies approved by Medicare, offering an alternative to Original Medicare.
- Medicare Part A
The component of Original Medicare that covers inpatient hospital care, skilled nursing facility care (following a hospital stay), hospice care, and limited home health services.
- Medicare Part B
The component of Original Medicare that covers outpatient care, doctor visits, preventive services, ambulance services, and durable medical equipment.
- Medicare Part D
The component of Medicare that provides prescription drug coverage through private plans approved by Medicare.
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Frequently asked questions about Medigap
What is Medigap insurance?+
Medigap is extra insurance you can buy from private companies. It helps pay for costs that Original Medicare does not cover. These include deductibles, copayments, and coinsurance for doctor visits and hospital stays. Some plans even help if you have a medical emergency while traveling outside the U.S.
Who can get Medigap plans?+
Generally, you can buy a Medigap policy if you have Original Medicare (Part A and Part B). The best time to buy is during your Medigap Open Enrollment Period. This period starts the month you turn 65 and are enrolled in Medicare Part B. During this time, you can buy any policy sold in your state, regardless of your health.
How do I apply for Medigap?+
You apply for Medigap directly through private insurance companies that sell these plans. You will need to choose a plan that meets your needs and budget. It's a good idea to compare different plans and prices. You can call insurance companies or visit their websites to get quotes and apply.
How much does Medigap cost?+
The cost of Medigap plans can vary a lot. It depends on the plan you choose, the insurance company, and sometimes your age and health. You pay a monthly premium to the private insurance company for your Medigap policy, in addition to your Medicare Part B premium.