Do Medigap plans go up every year?

Asked by: Jarret Hickle  |  Last update: December 25, 2025
Score: 4.8/5 (52 votes)

Paying for Medigap Medicare doesn't pay the premiums for your Medigap policy. Premium amounts typically increase each year.

How much do Medigap plans go up each year?

Year-over-year rate increases for companies with one million or more Medigap members ranged from 0.0% to as much as 18%. For companies with between 400,000 and one million members rate increases ranged from 7.5% to 20.0%.

Do I have to renew my Medigap plan every year?

Once you buy a policy, you'll keep it as long as you pay your Medigap premiums. All standardized Medigap policies are automatically renewed every year, even if you have health problems. Your Medigap insurance company can only drop you if: You stop paying your premiums.

What is the 6 month rule for Medigap insurance?

You have the right to purchase a Medigap policy for 6 months if you move out of the area served by your Medigap plan. For example, if you bought a plan while living in another state that will not cover you in your current state, you have 6 months to replace that plan.

Why did my Medigap Premium go up?

Premiums may go up because of inflation and other factors, such as smoking status and residential area, but not due to age. Issue-age rating: The premium is based on the age of the beneficiary when they purchase the Medigap policy.

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Does Medigap insurance go up as you age?

Insurance companies set prices for Medigap policies in 1 of 3 ways: Attained-Age Rating — This is the most common way policies are priced in California. Attained age-rated policies increase in price as you age, because as you get older, you typically require more health care.

What is the downside to Medigap plans?

There are a couple of cons to consider before choosing a Medigap plan: Premiums: Medigap premiums can be pricey. Coverage: Medicare Supplement plans don't cover everything, so you'd still have to pay out of pocket for things like dental care, vision care and long-term care.

Are Medigap policies being phased out?

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) made some additional changes to the Medigap market, prohibiting insurers from issuing new policies that cover the full Part B deductible, making Plans C and F no longer available to beneficiaries who turned age 65 on or after January 1, 2020.

Which Medigap plan is most popular?

Plan G is the most popular Medigap policy, covering 39% of all policyholders (about 5.3 million people in 2023). It covers the Part A deductible and all cost-sharing for Part A and B services, but not the Part B deductible.

Why are people leaving Medicare Advantage plans?

Key takeaways: People leave Medicare Advantage plans because out-of-pocket costs vary between plans, network restrictions can cause frustration, prior authorization requests can delay care, and it can be difficult to use the additional benefits they provide.

Why is a plan G better than an advantage plan?

Medigap Plan G offers more comprehensive benefits than the Medicare Advantage plan and is more widely available. It also provides more freedom for enrollees. For example, a Medigap Plan G enrollee can visit a specialist without a referral.

What is the Medigap birthday rule?

Q: What is the "Birthday Rule" and how does it apply to the new Medigap Plans? A: If you already have Medigap insurance, you have 60 days of "open enrollment" following your birthday each year when you can buy a new Medigap policy without a medical screening or a new waiting period.

Does everyone have to pay $170 a month for Medicare?

Most people pay no premiums for Part A. For Medicare Part B in 2025, most beneficiaries will pay $185 per month. Certain factors may require you to pay more or less than the standard Medicare Part B premium in 2025.

What is the cheapest Medigap plan?

High-deductible Plan G has the cheapest monthly rate of any Medigap policy. A high-deductible Plan G policy costs just $49 per month, on average. The main downside to high-deductible Plan G is that before coverage starts, you have to pay $2,870 in medical costs, called a deductible.

What plan G does not cover?

High deductible plan G does not cover the Medicare Part B deductible. However, high deductible F and G count your payment of the Medicare Part B deductible toward meeting the plan deductible. 2Plans K and L pay 100% of covered services for the rest of the calendar year once you meet the out-of-pocket yearly limit.

What percentage of seniors have Medigap plans?

About 34% of Medicare beneficiaries in California have a medigap plan. So... roughly a 1/3rd of Medicare eligible people.

Why do people choose Medigap over Medicare Advantage?

Under Advantage plans, the government pays insurers to provide all of the care under a private policy. Medigap also allows retirees to choose their doctors. Advantage plans operate like HMOs, which control the cost of care by requiring policyholders to stay within an approved network of providers.

Can you switch from one Medigap company to another?

California, Idaho, Illinois, Nevada, Kentucky, Louisiana, Maryland, Oklahoma, and Oregon, have the Medigap Birthday Rule. If you are currently enrolled in a Medigap plan, you can change to a different Medigap plan each year around your birth month with no medical questions asked using a state-specific birthday rule.

Do I need to renew my Medigap plan every year?

Medicare supplement insurance (Medigap) automatically renews on a yearly basis. However, some insurers in certain states may decline renewal for policies that a person purchased before 1992. Medicare Supplement insurance, also called Medigap, can help an individual pay their out-of-pocket costs for Original Medicare.

Can I drop my medicare advantage plan and go back to original Medicare?

Medicare Advantage Open Enrollment Period: Between January 1 and March 31 of each year, if you already have a Medicare Advantage Plan (with or without drug coverage) you can: Switch to another Medicare Advantage Plan (with or without drug coverage). Drop your Medicare Advantage Plan and return to Original Medicare.

What does Medigap not pay for?

Medigap plans generally don't cover: Long-term care (like care in a nursing home) Vision or dental care. Hearing aids.

Why is it not a good idea to have supplemental insurance?

One of the most significant drawbacks of supplemental insurance policies is the coverage limits. For instance, with Mechanical Repair Coverage, you'll typically need to pay out of pocket until your deductible is met on your primary policy before supplemental insurance takes over to cover a costly vehicle repair.

Do Medigap premiums increase?

Paying for Medigap

Your insurance company will let you know how to pay for your monthly premium. You also have to pay your monthly Medicare Part B premium. Medicare doesn't pay the premiums for your Medigap policy. Premium amounts typically increase each year.