Frequently Asked Questions (FAQs)

We get a lot of questions about Medigap policies, and you’re not alone if you have a few of your own. Here are answers to some of the most common ones we hear.

Do Medigap plans cover prescription drugs?

No, they do not. Medigap policies are designed to supplement Original Medicare (Parts A and B), which do not include coverage for most prescription drugs you take at home. To get help paying for your medications, you will need to enroll in a separate Medicare Part D Prescription Drug Plan.

Can my spouse and I be on the same Medigap policy?

Medigap policies are sold to individuals only. This means you and your spouse cannot share a policy. You will each need to enroll in your own separate Medigap plan, and you can even choose different plans or different insurance companies if you wish.

If I move to another state, can I keep my Medigap policy?

Yes, one of the great benefits of Medigap is that your policy is generally guaranteed renewable and portable. This means you can keep your plan even if you move to a different state. You just need to notify your insurance company of your new address and continue to pay your premiums.

What is the difference between Medigap Plan G and Plan F?

For many years, Plan F was the most popular plan because it covered everything, including the Part B deductible. However, a change in federal law means Plan F is no longer available to anyone who became eligible for Medicare on or after January 1, 2020. Plan G is now the most similar and comprehensive option for new enrollees, with the only difference being that you must pay the annual Part B deductible yourself.

How do insurance companies set their Medigap prices?

Companies use one of three pricing methods. “Community-rated” means everyone in an area pays the same premium, regardless of age. “Issue-age-rated” bases your premium on your age when you first buy the policy. “Attained-age-rated” policies start with a lower premium that increases as you get older. It’s important to ask which method a company uses as it can affect your costs over time.

Where can I get official government information?

Always rely on official sources for the most accurate information. For official information on Social Security, visit the Social Security Administration (SSA). Healthcare program details are available at Medicare.gov. For general consumer protection, consult the Consumer Financial Protection Bureau (CFPB).

Tax information and forms can be found at the Internal Revenue Service (IRS).

Disclaimer: This article provides general information for educational purposes only and is not intended as financial, legal, or tax advice. Please consult with a qualified professional for advice tailored to your specific situation. Program rules and regulations can change, so always verify information with the appropriate government agency.