
Medigap costs can be a significant expense for many seniors, but understanding the options can help you make informed decisions.
In 2024, Medigap Plan F will no longer be available to new enrollees. This change is a result of the Medicare Access and CHIP Reauthorization Act of 2015.
The cost of Medigap premiums varies depending on factors such as age, location, and health status. For example, a 65-year-old non-smoker in California may pay around $150 per month for Medigap Plan G.
Some Medigap plans have higher deductibles, which can reduce premiums but increase out-of-pocket costs. Medigap Plan G, for instance, has a $226 deductible in 2024.
Medigap Costs
Medigap costs can vary significantly depending on the plan type and your age. A 65-year-old female nonsmoker in Atlanta can expect to pay between $109 and $225 for a Medigap Plan A, which is the basic benefits included in every Medigap plan without any extras.

The cost of a Medigap Plan G, which offers the highest-coverage option available to new Medicare members, can range from $129 to $364 per month. However, a High-deductible Medigap Plan G can be as low as $42 to $78 per month.
Here's a rough idea of what you might expect to pay for a Medigap Plan F by age:
Keep in mind that these prices are averages and can vary depending on your location, health, and other factors.
G
Plan G is a popular Medigap plan, and understanding its costs can help you make informed decisions about your healthcare expenses.
The costs for Plan G vary depending on the region you live in. For example, in Albany, the cost is $305.19 per month, while in Buffalo, it's $264.80 per month.
In Long Island, Plan G costs $406.26 per month. If you live in NYC Proper, the cost is also $406.26 per month.
Here's a breakdown of the costs for Plan G in different regions:
In some regions, like Rochester and Syracuse, Plan G costs $293.07 per month. This is a relatively affordable option compared to other regions.
It's essential to note that these costs are subject to change, so it's crucial to review your policy regularly.
Costs of Medicare Supplements
Medicare Supplement costs can be a significant factor in your decision-making process.
The cost of Medigap plans varies by type, with Plan F being one of the most expensive options. According to Example 3, the average cost of Medigap Plan F by age, a 65-year-old's monthly premium is $157.16, while a 97-year-old's premium is $480.33.
Medigap plan rates can also be affected by your location. As shown in Example 4, the average cost of Medicare Supplement Insurance Plan F by state in 2023, California has the highest average monthly cost at $222.84, while South Dakota has the lowest at $125.09.
Medigap plan premiums can be more expensive for older beneficiaries, especially if they wait until after their Medigap Open Enrollment Period to sign up for a plan. This is because insurance companies can charge higher premiums based on their health.
The cost of Medigap plans can also vary depending on the type of plan you choose. As shown in Example 1, Medigap Plan G, which offers the highest-coverage option, has a monthly premium range of $129-$364.
Here's a breakdown of the average monthly cost of Medigap Plan F by age, as shown in Example 3:
Keep in mind that these costs are averages and can vary depending on your individual circumstances.
Premiums and Pricing
Medigap premiums can vary based on age, health status, tobacco usage, company, pricing method, state law, and other factors.
You'll generally pay lower premiums for high-deductible plans or plans with less coverage, like Plan K or Plan L. Conversely, a plan that covers more, such as Plan G, tends to have a higher premium.
Premiums can be unintuitive, with a high-coverage plan like Plan G priced below Plan A, which offers only basic coverage.
Medigap plan rates can increase with age, with the average cost of Medicare Supplement Insurance Plan F increasing from $157.16 per month at age 65 to $480.33 per month at age 97.
Here's a breakdown of the average monthly cost of Plan F by age:
Insurance companies can charge higher premiums based on health status if you sign up for a Medigap plan after your Medigap Open Enrollment Period.
Cost Comparison Chart
Medigap plan premiums can vary significantly depending on the plan type and your location. For example, a 65-year-old female nonsmoker in Atlanta can expect to pay between $109 and $225 per month for Medigap Plan A.
Here are the price ranges for each Medigap plan type available to a 65-year-old female nonsmoker in Atlanta:
As you can see, the prices vary significantly depending on the plan type. For instance, Medigap Plan G has a price range of $129-$364, while Medigap Plan K has a price range of $59-$112.
The age of the beneficiary can also impact the cost of a Medigap plan. For example, the average cost of Medigap Plan F by age shows that premiums are lowest for beneficiaries at age 66 ($153.29 per month) and highest for beneficiaries at age 97 ($480.33 per month).
Here's a rough idea of how premiums change with age:
- At 65, the average monthly cost of Plan F is $157.16.
- At 66, the average monthly cost of Plan F is $153.29.
- At 67, the average monthly cost of Plan F is $155.34.
Location is another factor that can affect the cost of a Medigap plan. For example, the average cost of Medicare Supplement Insurance Plan F by state in 2023 shows that premiums vary significantly depending on the state. In Alabama, the average monthly cost of Plan F is $184.39, while in Alaska, it's $163.22.
Here's a list of the average monthly costs of Plan F by state:
- Alabama: $184.39
- Alaska: $163.22
- Arizona: $197.29
- Arkansas: $159.45
- California: $222.84
- Colorado: $209.36
- Connecticut: N/A
- Delaware: $210.70
- Florida: $253.61
- Georgia: $195.88
- Hawaii: N/A
- Idaho: $217.94
- Illinois: $172.42
- Indiana: $184.05
- Iowa: $153.40
- Kansas: $177.74
- Kentucky: $183.39
- Louisiana: $173.33
- Maine: $102.95
- Maryland: $206.20
- Massachusetts: N/A
- Michigan: $180.45
- Minnesota: $147.00
- Mississippi: $164.08
- Missouri: $280.26
- Montana: $159.33
- Nebraska: $186.62
- Nevada: $206.80
- New Hampshire: $201.88
- New Jersey: $228.04
- New Mexico: $148.79
- New York: $216.33
- North Carolina: $170.75
- North Dakota: $188.22
- Ohio: $176.77
- Oklahoma: $165.39
- Oregon: $235.07
- Pennsylvania: $188.59
- Rhode Island: $206.88
- South Carolina: $165.37
- South Dakota: $125.09
- Tennessee: $158.92
- Texas: $193.43
- Utah: $178.67
- Vermont: $176.58
- Virginia: $165.39
- Washington: $198.18
- West Virginia: $173.26
- Wisconsin: $161.42
- Wyoming: $170.10
Setting Company Prices
Medicare Supplement Insurance companies set their prices in different ways, which can affect how much you pay for your coverage.
One way premiums are set is community-rated, where everyone pays the same monthly premium, regardless of age.

If you purchase a plan at a younger age, you'll generally pay lower premiums than someone who buys the same plan at an older age.
Community-rated plans are often referred to as "no age-rated" plans.
In some cases, premiums are based on your current age, which means costs will go up as you age.
Premiums can also be based on your age when you purchased the plan, known as issue-age-rated.
Here are the different pricing methods used by Medicare Supplement Insurance companies:
Some states require certain pricing methods for Medicare Supplement Insurance, so not all options are available everywhere.
Sign Up Early for Lowest Prices
Sign up early for the lowest Medigap prices. You can get the best price and easiest enrollment experience by signing up for a Medigap plan during your Medigap open enrollment period, which lasts for six months.
This period starts once you're 65 and enrolled in Medicare Part B. It's a one-time opportunity, so make sure you take advantage of it.

Insurance companies aren't allowed to factor your health or medical history into your price during this period. This means you'll get a more affordable rate, no matter your health status.
After the period ends, prices may go up or you may be denied coverage due to your health status or medical history. So, it's essential to sign up early to avoid these potential issues.
In some states, you may be able to buy a Medigap plan if you're under 65 and living with a disability, but you'll need to check with your State Health Insurance Assistance Program (SHIP) for more information.
Medigap Plans and Coverage
Medicare Supplement (Medigap) Plan D offers coverage for out-of-pocket costs, including copayments, coinsurance, and deductibles, that Original Medicare doesn't cover.
Plan D covers 100% of Medicare Part B excess charges, which can be a significant benefit for those with high medical expenses.
Supplement Plans vs Original Medicare
Medigap plans are designed to help you pay some of the out-of-pocket costs associated with Original Medicare.
Original Medicare has its own set of costs, including Part B, which can be compared side-by-side with other plans.
Medicare Supplement Insurance Plan D is one option available to help fill in some of the gaps of Medicare, with its own coverage, costs, and benefits.
Original Medicare's costs can add up quickly, so it's essential to understand what's covered and what's not.
Medicare Supplement plans like Plan D can help you pay some of the out-of-pocket costs associated with Original Medicare, but benefits and costs vary depending on the plan selected.
A and B
Medicare Supplement Plan A offers just the Basic Benefits, which may not be enough to cover all your healthcare expenses.
Plan A is a good starting point, but it's essential to consider your needs and budget before deciding on a plan.
Medicare Supplement Plan B covers Basic Benefits plus a benefit for the Medicare Part A deductible, which can be a significant out-of-pocket expense if you need to spend time in a hospital.
This additional coverage can provide peace of mind and financial protection, especially if you're prone to hospital stays.
K and L
K and L plans are cost-sharing plans that offer lower monthly premiums, but you'll still need to pay a percentage of the coinsurance.
These plans pay a percentage of the coinsurance instead of the full amount, leaving you responsible for the rest.
Once the out-of-pocket limit is reached, these plans pay 100% of covered services for the rest of the calendar year.
Are All Supplement F Plans the Same?
Medicare Supplement Insurance Plan F is standardized by the federal government, which means the 9 basic benefits of Plan F will be the same no matter where you live or what Medicare Supplement Insurance company you buy it from.
Plan F is the only Medicare Supplement plan to provide coverage for each of the 9 benefit areas. These areas include Medicare Part A coinsurance and hospital costs, Medicare Part B coinsurance and copayments, and Medicare Part A deductible.
Here are the 9 benefit areas covered by Plan F:
- Medicare Part A coinsurance and hospital costs (100% coverage)
- Medicare Part B coinsurance and copayments (100% coverage)
- Medicare Part A deductible (100% coverage)
- Medicare Part A deductible (100% coverage)
- Medicare Part B excess charges (100% coverage)
- Medicare Part A hospice care coinsurance and copayments (100% coverage)
- Skilled nursing facility care coinsurance (100% coverage)
- First three pints of blood used for a transfusion (100% coverage)
- Foreign travel emergency care (100% coverage)
Out-of-Pocket Expenses
Out-of-pocket expenses can be a significant concern for many Medicare beneficiaries. Plans G, C, or F may be a good option if you prefer to have more coverage and less out-of-pocket expense.
These plans typically have a higher premium but offer the most supplemental coverage, paying up to 100% of your out-of-pocket costs for many Medicare-approved services. This can provide a lot of peace of mind, especially for those who value financial security.
Copayment (also known as a copay) and coinsurance are a type of cost sharing, where you pay a set amount or percentage of the Medicare-approved amount each time. A copay is a flat amount, such as a $20 copay for each in-office doctor visit.
Understanding Medigap Costs
Medigap costs can be complex, but understanding the basics can help you make informed decisions. The average cost of Medigap Plan F varies by age, with premiums lowest for beneficiaries at age 66 ($153.29 per month) and highest for beneficiaries at age 97 ($480.33 per month).
The age you sign up for a Medigap plan also affects the cost. If you wait until after your Medigap Open Enrollment Period to sign up, insurance companies can charge you a higher premium based on your health. This is because insurance companies can use medical underwriting to determine your Medigap plan costs during this time.
Medicare Supplement Insurance companies use three different age-related pricing models to determine their Medigap plan rates, which can affect the average price of a given plan.
Cost Factors
Medicare Supplement Insurance plan premiums can be affected by several cost factors. Age is a significant factor, with premiums increasing as you get older.
For example, a 65-year-old beneficiary pays an average of $1,885.89 per year for Plan F, while a 97-year-old beneficiary pays an average of $5,806.58 per year, a difference of $4,920.69. This is a significant increase, and it's essential to consider this when choosing a Medigap plan.
There are three different age-related pricing models that Medicare Supplement Insurance companies use to determine their Medigap plan rates. Each type of cost model can affect the average price of a given plan.
For instance, a 66-year-old beneficiary pays an average of $1,839.45 per year for Plan F, which is lower than the 65-year-old beneficiary's premium. This is because the pricing model used by the insurance company takes into account the beneficiary's age.
Other factors such as gender, smoking status, health, and where you live can also affect Medigap plan rates. However, these factors are not explicitly mentioned in the article section facts provided.
Here's a table showing the average annual cost of Medicare Supplement Insurance Plan F by age:
K
Medigap Plan K is a cost-sharing plan that pays a percentage of the coinsurance instead of the full amount, leaving you responsible for the rest. This type of plan can be a good option for those who want a lower monthly premium.
The cost of Medigap Plan K varies by location, as shown in the chart below.
Plan K pays 50% of most benefits, which means you'll be responsible for the other 50%. This can be a good option for those who want a lower premium but still want some coverage.
In some areas, Plan K can be quite affordable, with prices starting as low as $59. However, prices can vary significantly depending on the location and insurance company.
Once you reach the out-of-pocket limit with Plan K, the plan pays 100% of covered services for the rest of the calendar year. This can provide peace of mind and help you budget for your healthcare expenses.
N
Medigap Plan N offers a unique combination of benefits and costs. It covers Medicare Part B coinsurance once the Part B deductible is met.
One of the key features of Plan N is that you pay copayments for covered doctor office and emergency room visits in exchange for a mid-level premium. This means you'll pay less in premiums upfront, but you'll pay more out of pocket for certain services.

The cost of Plan N varies depending on your location and insurance provider. According to the data, the average cost of Plan N can range from $200 to over $400 per month.
Here's a breakdown of the average cost of Plan N by insurance provider:
It's worth noting that these costs are averages and can vary depending on your specific situation and location.
Medigap Insurance
Medigap Insurance helps fill in some of the gaps of Medicare by covering out-of-pocket costs associated with Original Medicare.
Medicare Supplement plans, also known as Medigap, are designed to pay some of the costs that Medicare doesn't cover.
Benefits and costs of Medigap plans vary depending on the plan selected, so it's essential to compare options available where you live.
Medicare Supplement Insurance Plan D is one of the available options, offering coverage and costs that can be compared to other plans.
Frequently Asked Questions
How much will Medicare premiums increase in 2024?
The Medicare Part B premium will increase by $9.80 in 2024, rising to $174.70 per month. This represents a 6% increase from the 2023 premium of $164.90.
What is the plan G deductible for 2024?
For 2024, the Plan G deductible is $2,800. This is the same as the deductible for Plan F's High Deductible option.
How much is Medicare Plan G for 2024?
Medicare Plan G has a $2,800 deductible in 2024, with additional costs for premiums and services not covered by the plan. Check the final page of this document for a detailed comparison of benefits by plan letter.
What is the disadvantage of Plan G?
The main disadvantage of Medicare Plan G is that it doesn't cover the Part B deductible, dental, vision, or prescriptions, leaving you with out-of-pocket expenses for these essential services. This means you'll need to consider additional coverage to fill these gaps in your Medicare plan.
What is the average Medigap monthly premium?
The average Medigap monthly premium is $217, with prices varying across states. Learn more about how Medigap premiums differ by state.
Sources
- https://www.nerdwallet.com/article/insurance/medicare/medigap-cost
- https://www.healthline.com/health/medicare/medigap-plans-cost
- https://www.dfs.ny.gov/consumer_health_insurance/supplement_plans_rates/plans
- https://www.uhc.com/medicare/shop/estimate/ms-costs.html
- https://www.medicaresupplement.com/articles/average-cost-of-medicare-supplement-plan-f/
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