--- title: "Getting Started With Medicare: Medigap Plugs the Holes" description: Original Medicare offers many benefits but has some gaps. One solution is through a Medicare Supplement Insurance policy (also known as Medigap). image: https://www.living50.com/hubfs/Plain%201024x512/Copy%20of%20Getting%20Started%20With%20Medicare%20Medigap%20Plugs%20the%20Holes.jpg --- - [Home](https://www.living50.com) - [Money](https://www.living50.com/blog/tag/money) - [RetireSmart](https://www.living50.com/blog/tag/retiresmart) - [Managing Money](https://www.living50.com/blog/tag/managing-money) - [Housing](https://www.living50.com/blog/tag/housing) - [Affording Long-term Care](https://www.living50.com/blog/tag/affording-long-term-care) - [Medicare](https://www.living50.com/blog/tag/medicare) - [Generosity](https://www.living50.com/blog/tag/generosity) - [Lifestyle](https://www.living50.com/blog/tag/lifestyle) - [Mindset](https://www.living50.com/blog/tag/mindset) - [Relationships](https://www.living50.com/blog/tag/relationships) - [Love & Dating](https://www.living50.com/blog/tag/dating) - [Grandparenting](https://www.living50.com/blog/tag/grandparenting) - 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The most prominent gap is there is no limit on out-of-pocket expenses, which encompass deductibles, copayments, and coinsurance. ## Medigap to the Rescue One way to fill many of these gaps is through a Medicare Supplement Insurance policy (also known as Medigap) sold by private insurers. Medigap policies come in several different versions but must adhere to strict government standards. These standards allow easier comparisons between policies and protect consumers from unscrupulous insurers. ## What Can Medigap Cover? The main benefit of Medigap policies is "capping" out-of-pocket expenses for approved Medicare services. However, there are several other benefits that a Medigap policy may pay for all or part: - Medicare Part A coinsurance and hospital costs (up to an additional 365 days after Medicare benefits are used) - Medicare Part B coinsurance or copayment - Blood (first 3 pints) - Part A hospice care coinsurance or copayment - Skilled nursing facility care coinsurance (for limited stay, not long-term care) - Part A deductible - Part B deductible - Part B excess charges - Foreign travel emergency care Medigap plans usually don't cover things like [vision,](https://www.living50.com/blog/10-tips-to-take-care-of-your-eyesight-in-the-digital-age) [dental services,](https://www.living50.com/blog/age-proof-your-mouth-with-these-healthy-teeth-tips) or hearing aids. Medigap policies are classified by letter (A-D, F, G, and K-N) and offer various types and levels of coverage. For example, below is a comparison of Medigap plan C and plan G: | **Benefits** | **Plan C Coverage** | **Plan G Coverage** | | --- | --- | --- | | Part A coinsurance and hospital costs | 100% | 100% | | Medicare Part B coinsurance/copayment | 100% | 100% | | Blood (first 3 pints) | 100% | 100% | | Part A hospice care coinsurance/copayment | 100% | 100% | | Skilled nursing facility care coinsurance | 100% | 100% | | Part A deductible | 100% | 100% | | Part B deductible | 100% |   | | Part b excess charges |   | 100% | | Foreign travel emergency care | 80% | 80% | While the above plans differ slightly, there would likely be price differences between plan types and companies offering the policies. Also, the states of Massachusetts, Minnesota, and Wisconsin classify Medigap policies differently. More complete descriptions and comparisons of plan types can be found in the Medicare publication [Choosing a Medigap Policy: A Guide to Health Insurance for People with Medicare](https://www.medicare.gov/sites/default/files/2022-03/02110-medigap-guide-health-insurance.pdf). [![Planning and Paying for Long-Term Care: What Are My Options?](https://no-cache.hubspot.com/cta/default/7364579/interactive-131296267099.png)](https://www.living50.com/hs/cta/wi/redirect?encryptedPayload=AVxigLLTP5ovFsLdab2decR5l5Jgkt5zHhkB09rKAkD1L1QeR9UBJzMTZg0Ptz%2B0SZ8uMaA5xNM8129WNs2Q9yZjxQtKU%2FRwcvI6cGFXPzwnihfKij6nx%2B7oMeSQgcses1VfZ3tTiWB8iIKdWqCm%2FmqMcqiAxJTs9SCX21TLhIX9flJa8EKhqqwk96yPm9qdqxyxL5S5qOftLujTwLeknyZzHzsgzEvV2w%3D%3D&webInteractiveContentId=131296267099&portalId=7364579) ## How Does Medigap Work? With Original Medicare and a supplemental Medigap policy, Medicare will first pay its share of covered costs. Then, the Medigap policy pays all or part of any remaining cost. The percent of the remaining cost paid depends on the type of policy purchased. Medigap can only be purchased to supplement Original Medicare. Medicare beneficiaries who have Medicare Advantage or Medicaid cannot also have Medigap coverage. [![NAVIGATING MEDICARE SIMPLE IDEA, COMPLEX REALITY  ](https://no-cache.hubspot.com/cta/default/7364579/interactive-131286894411.png)](https://www.living50.com/hs/cta/wi/redirect?encryptedPayload=AVxigLKIkBczcKIZrJ9koING2nCxumBOQpKs4OC2l05e%2F0D9uWrlvDABVJNtkzMAg%2FSFoXr9ynOFcLdB%2FeKH9GLf9Mu0%2FsQlFCZR9X7OaDYv5K4lXkjR54QbI2zaXkbQDuJkgmmvmVF2kSaXgMb2qFsVxthshHZ6c1wuaVYIevEYnL3tvo9ewlZEx0v2411%2B1dS0PbNTWhk35Vd74%2F3uiE%2FqHC6H9FtJgjXoBZJbTuGr4g%3D%3D&webInteractiveContentId=131286894411&portalId=7364579) ## Buying a Medigap Policy Here's a four-step process for buying a Medigap policy. The purchase must occur during the Medigap Open Enrollment Period, which covers the six months beginning when a person turns 65 and is enrolled in Part B. Medigap coverage may not be available for purchase outside this period. Still, if it is, it may cost more. Some people don't sign up for Part B at age 65 because they are still covered by company or union healthcare insurance. In this case, their six-month Medigap Open Enrollment Period begins when they eventually enroll in Part B. 1. Step One: Decide on the type of Medigap coverage. Reading official Medicare publications or researching plan types on the web can be good sources of information. Information can also be found by calling 1‑800‑MEDICARE (1-800-633-4227) to learn about coverage options and the Medigap policies in the local area. Also, health insurance brokers can be helpful in better understanding the options. These professionals can be found via a web search. However, getting a recommendation from an existing trusted advisor like an attorney or financial planner might result in a better fit. 2. Step Two: Find insurers who offer Medigap policies. Some ways to find them are: - Use the [Medicare website](https://www.medicare.gov/medigap-supplemental-insurance-plans/)to find a Medigap policy. - Contact the State Health Insurance Assistance Program (SHIP) for Medigap policy information. - Contact the State Insurance Department about complaints against companies selling Medigap in the state. Then, steer away from those companies. - Online research - Ask for recommendations from trusted family, friends, or advisors 3. Step Three: Get quotes from various companies and compare policies. Make sure the policies are the same type. Even within the same policy type, prices vary between insurance companies. For example, a company may or may not set prices based on age. They also may have different discounts based on various criteria. 4. Step Four: Purchase a Medigap policy during the Medigap Open Enrollment Period. Note that a Medigap policyholder may pay the following separate monthly costs for Medicare: - Medicare Part B Premium - Medigap Premium - Medicare Part D (optional drug coverage) premium ## Other Medigap Facts - A Medigap policy covers one person. Couples must obtain separate policies. - If a Medigap policy covers drug costs, the policyholder cannot also have other Medicare drug coverage. - In some states, Medicare SELECT Medigap policies are available. Medicare SELECT requires the use of hospitals and (sometimes) doctors in a network except for emergency services. Those who buy Medicare SELECT have the right to switch to a standard Medigap policy within 12 months. To learn more, download our complimentary eBook, "[Navigating Medicare: Simple Idea, Complex Reality](https://www.living50.com/navigating-medicare-simple-idea-complex-reality-lp)"! [![NAVIGATING MEDICARE SIMPLE IDEA, COMPLEX REALITY  ](https://no-cache.hubspot.com/cta/default/7364579/interactive-131286894411.png)](https://www.living50.com/hs/cta/wi/redirect?encryptedPayload=AVxigLKIkBczcKIZrJ9koING2nCxumBOQpKs4OC2l05e%2F0D9uWrlvDABVJNtkzMAg%2FSFoXr9ynOFcLdB%2FeKH9GLf9Mu0%2FsQlFCZR9X7OaDYv5K4lXkjR54QbI2zaXkbQDuJkgmmvmVF2kSaXgMb2qFsVxthshHZ6c1wuaVYIevEYnL3tvo9ewlZEx0v2411%2B1dS0PbNTWhk35Vd74%2F3uiE%2FqHC6H9FtJgjXoBZJbTuGr4g%3D%3D&webInteractiveContentId=131286894411&portalId=7364579) - [Getting Started With Medicare: How Can You Prepare?](https://www.living50.com/blog/getting-started-medicare-prepare) - [Getting Started with Medicare: Part A Essentials](https://www.living50.com/blog/medicare-part-a-essentials) - [Getting Started with Medicare: Part B Essentials](https://www.living50.com/blog/medicare-part-b-essentials) - [Getting Started With Medicare: Medicare Advantage Plans](https://www.living50.com/blog/medicare-advantage-plans) - [Getting Started with Medicare: Part D – Prescription Drugs](https://www.living50.com/blog/medicare-part-d-prescription-drugs) calendar icon Nov 01, 2022 · Reading time 4 [mailto:?subject=Check%20out%20https://www.living50.com/blog/medicare-medigap&utm_medium=social&utm_source=email%20&body=Check%20out%20https://www.living50.com/blog/medicare-medigap&utm_medium=social&utm_source=email](mailto:?subject=Check%20out%20https://www.living50.com/blog/medicare-medigap&utm_medium=social&utm_source=email%20&body=Check%20out%20https://www.living50.com/blog/medicare-medigap&utm_medium=social&utm_source=email) --- [![Pete Keers](https://www.living50.com/hs-fs/hubfs/peter-keers-intro.jpeg?width=100&height=100&name=peter-keers-intro.jpeg)](https://www.living50.com/blog/author/pete-keers) ### [Pete Keers](https://www.living50.com/blog/author/pete-keers) Pete's professional experience ranges from sales, marketing, and IT positions in Fortune 500 organizations to a leadership role for a successful technology venture. With heavy financial services and medical device emphasis, he has a knack for understanding the unique needs for a wide variety of industry verticals. He holds a Bachelor of Science in Business from the University of Minnesota also earned his MBA from the University of Minnesota. Recently retired from his full-time role, Pete now spends much of his time writing about a variety of interests and passions. If you are interested in learning more about Pete and his business, Concision Communications LLC, visit his website at: https://concisioncomm.com/ - [What Is Music Therapy? And What Are the Benefits?](https://www.living50.com/blog/what-is-music-therapy-and-what-are-the-benefits) - [10 Hot Weather Safety Tips](https://www.living50.com/blog/10-hot-weather-safety-tips-for-older-adults) - [5 Ways to Safely Store Your Personal Information](https://www.living50.com/blog/5-ways-to-safely-store-your-personal-information) - [Discovering Your Roots: 11 Ways To Connect With Your Heritage](https://www.living50.com/blog/discovering-roots-connect-heritage) ![Getting Started With Medicare: Medicare Advantage Plans](https://www.living50.com/hs-fs/hubfs/Plain%201024x512/Copy%20of%20Getting%20Started%20with%20Medicare%20Medicare%20Advantage%20Plans.jpg?width=600&name=Copy%20of%20Getting%20Started%20with%20Medicare%20Medicare%20Advantage%20Plans.jpg) [Health](https://www.living50.com/blog/tag/health)[Money](https://www.living50.com/blog/tag/money)[Care](https://www.living50.com/blog/tag/care)[Video](https://www.living50.com/blog/tag/video)[Medicare](https://www.living50.com/blog/tag/medicare)[Affording Long-Term Care](https://www.living50.com/blog/tag/affording-long-term-care) ## [Getting Started With Medicare: Medicare Advantage Plans](https://www.living50.com/blog/medicare-advantage-plans) Some Medicare beneficiaries want more healthcare benefits than Original Medicare can offer,... Nov 14, 2022Reading time 6 ![Getting Started with Medicare: Part D – Prescription Drugs](https://www.living50.com/hs-fs/hubfs/Plain%201024x512/Copy%20of%20Getting%20Started%20With%20Medicare%20Part%20D%20%E2%80%93%20Prescription%20Drugs.jpg?width=600&name=Copy%20of%20Getting%20Started%20With%20Medicare%20Part%20D%20%E2%80%93%20Prescription%20Drugs.jpg) [Lifestyle](https://www.living50.com/blog/tag/lifestyle)[Health](https://www.living50.com/blog/tag/health)[Money](https://www.living50.com/blog/tag/money)[Care](https://www.living50.com/blog/tag/care)[Video](https://www.living50.com/blog/tag/video)[Medicare](https://www.living50.com/blog/tag/medicare)[Affording Long-Term Care](https://www.living50.com/blog/tag/affording-long-term-care) ## [Getting Started with Medicare: Part D – Prescription Drugs](https://www.living50.com/blog/medicare-part-d-prescription-drugs) When Medicare was introduced in 1965, prescription drugs were not covered. However, in... Nov 30, 2022Reading time 4 ![Getting Started with Medicare: Part B Essentials](https://www.living50.com/hs-fs/hubfs/Plain%201024x512/Copy%20of%20Part%20B.jpg?width=600&name=Copy%20of%20Part%20B.jpg) [Health](https://www.living50.com/blog/tag/health)[Money](https://www.living50.com/blog/tag/money)[Care](https://www.living50.com/blog/tag/care)[Video](https://www.living50.com/blog/tag/video)[Medicare](https://www.living50.com/blog/tag/medicare)[Affording Long-Term Care](https://www.living50.com/blog/tag/affording-long-term-care) ## [Getting Started with Medicare: Part B Essentials](https://www.living50.com/blog/medicare-part-b-essentials) Along with Medicare Part A, Part B is the other part of Original Medicare. [A recent blog...](https://www.living50.com/blog/medicare-part-a-essentials) Oct 05, 2022Reading time 3 ![Getting Started with Medicare: Part A Essentials](https://www.living50.com/hs-fs/hubfs/Plain%201024x512/Copy%20of%20Getting%20Started%20with%20Medicare%20Part%20A%20Essentials.jpg?width=600&name=Copy%20of%20Getting%20Started%20with%20Medicare%20Part%20A%20Essentials.jpg) [Lifestyle](https://www.living50.com/blog/tag/lifestyle)[Health](https://www.living50.com/blog/tag/health)[Money](https://www.living50.com/blog/tag/money)[Care](https://www.living50.com/blog/tag/care)[Video](https://www.living50.com/blog/tag/video)[Medicare](https://www.living50.com/blog/tag/medicare)[Affording Long-Term Care](https://www.living50.com/blog/tag/affording-long-term-care) ## [Getting Started with Medicare: Part A Essentials](https://www.living50.com/blog/medicare-part-a-essentials) As noted in a previous blog post,[Getting Started with Medicare](https://www.living50.com/blog/getting-started-medicare-prepare), Original Medicare consists... Sep 20, 2022Reading time 4 ##### [![Living50+](https://www.living50.com/hs-fs/hubfs/Logo_horizontal_White-1-1.png?width=200&height=117&name=Logo_horizontal_White-1-1.png)](https://www.living50.com)   ##### QUICK LINKS - [Blog](https://www.living50.com/blog) - [eBooks](https://www.living50.com/ebooks-and-more) - [Videos](https://www.living50.com/videos) - [Subscribe](https://www.living50.com/subscribe) **MORE** [Contact](https://www.living50.com/contact) [Privacy](https://www.living50.com/privacy-policy) --- © 2024 Living50+ | As an Amazon Associate we earn from qualifying purchases. 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