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Medicare Supplement Insurance

Medigap: Fill the Gaps in Original Medicare

Original Medicare covers a lot — but not everything. Medigap plans pay the out-of-pocket costs Medicare leaves behind, so you can focus on your health, not your bills.

What Is Medigap?

Medigap (also called Medicare Supplement Insurance) is private health insurance designed to work alongside Original Medicare (Parts A and B). When Medicare pays its share of a covered service, your Medigap plan pays some or all of the remaining costs — such as deductibles, copayments, and coinsurance.

Unlike Medicare Advantage (Part C), Medigap does not replace Original Medicare. Instead, it supplements it. You keep your Medicare card and can see any doctor or specialist in the country who accepts Medicare — no referrals, no networks.

What Medigap Can Cover

Medicare Part A coinsurance and hospital costs
Medicare Part B coinsurance or copayments
Blood (first 3 pints)
Part A hospice care coinsurance or copayments
Skilled nursing facility care coinsurance
Medicare Part A deductible
Medicare Part B deductible (Plan F only — no longer available to new enrollees)
Medicare Part B excess charges (Plan G & Plan F)
Foreign travel emergency coverage (up to plan limits)

Standardized Medigap Plan Types

Medigap plans are standardized by the federal government — every insurer must offer the same benefits for the same plan letter. The difference is the premium and the carrier.

Plan G

Most Popular

The most comprehensive plan available to new Medicare enrollees. Covers nearly everything except the Part B deductible.

Covers: Part A deductible, Part A & B coinsurance, skilled nursing coinsurance, Part B excess charges, foreign travel emergency
Does not cover: Medicare Part B annual deductible (~$257/year)

Plan N

Best Value

Strong coverage at a lower premium than Plan G. You pay small copays at doctor visits and the ER in exchange for a reduced monthly cost.

Covers: Part A deductible, Part A & B coinsurance, skilled nursing coinsurance, foreign travel emergency
Does not cover: Part B deductible, Part B excess charges, copays up to $20 at office visits / $50 at ER

Plan G High Deductible

Low Premium

Same benefits as Plan G but with a high deductible (~$2,870 in 2026). Ideal for healthy individuals who want catastrophic protection at a very low monthly premium.

Covers: All Plan G benefits after the high deductible is met
Does not cover: Costs below the annual high deductible

Plan F

Legacy Plan

The most comprehensive plan ever offered — covers the Part B deductible too. Only available to those who became Medicare-eligible before January 1, 2020.

Covers: Everything Plan G covers, plus the Part B annual deductible
Does not cover: Nothing — 100% of Medicare-approved costs covered

Plan F High Deductible

Legacy Low Premium

Same full coverage as Plan F but with a high deductible (~$2,870 in 2026). Only available to those who became Medicare-eligible before January 1, 2020. Offers the lowest premium of any Plan F option.

Covers: All Plan F benefits (including Part B deductible) after the high deductible is met — 100% of Medicare-approved costs thereafter
Does not cover: Costs below the annual high deductible; not available to new Medicare enrollees after Jan 1, 2020

Plan K

Cost-Sharing

Covers 50% of most gaps with an out-of-pocket limit. Once you hit the limit, Medicare and Plan K cover 100% of approved costs for the rest of the year.

Covers: 50% of Part A & B coinsurance, 50% of Part A deductible, 50% of skilled nursing coinsurance; annual out-of-pocket cap applies
Does not cover: Part B deductible, Part B excess charges, foreign travel emergency

Plan L

Cost-Sharing

Similar to Plan K but covers 75% of most gaps with a lower out-of-pocket limit.

Covers: 75% of Part A & B coinsurance, 75% of Part A deductible, 75% of skilled nursing coinsurance; annual out-of-pocket cap applies
Does not cover: Part B deductible, Part B excess charges, foreign travel emergency

Not sure which plan to choose? Plan G is the most popular choice for new enrollees — it covers nearly everything. Plan N offers strong coverage at a lower premium if you're comfortable with small copays. We'll help you compare real quotes from multiple carriers in your area.

Eligibility & Enrollment

Not Sure Which Medigap Plan Is Right for You?

Every person's health situation and budget is different. We'll compare available plans in your area, explain the trade-offs in plain language, and help you choose the coverage that fits your life — at no cost to you.

Midwest Medicare Health Services

BW Pyles Insurance Agency LLC is an independent insurance agency serving adults 65 and older in Illinois, Iowa, and Missouri with unbiased, personalized Medicare and retirement planning guidance.

Licensed Independent Insurance Agency

Contact Us

  • (309) 588-4909
  • [email protected]
  • 1220 China Road Unit A
    Macomb, IL 61455
  • Mon – Fri, 9:30 AM – 4:30 PM CT

Not Affiliated with the Federal Government or Medicare Program: BW Pyles Insurance Agency LLC and Midwest Medicare Health Services are not connected with or endorsed by the U.S. government or the federal Medicare program. We are an independent, licensed insurance agency. Medicare has neither reviewed nor endorsed the information on this website.

Plan Availability & Benefits: Not all Medicare plans are available in all areas. Plan availability, premiums, deductibles, copayments, coinsurance, and covered benefits vary by plan, carrier, and geographic location. Benefits, formularies, and plan details are subject to change each plan year. Please review the Evidence of Coverage (EOC) for complete plan details.

Enrollment Periods: Medicare has specific enrollment periods. Enrolling outside of your Initial Enrollment Period (IEP), Annual Enrollment Period (AEP: October 15 – December 7), or a qualifying Special Enrollment Period (SEP) may result in late enrollment penalties or a delay in coverage. Contact us or visit Medicare.gov for official enrollment information.

Medigap / Medicare Supplement: Medicare Supplement Insurance (Medigap) policies are sold by private insurance companies. Medigap policies do not cover prescription drugs. You must have Medicare Part A and Part B to purchase a Medigap policy. Premiums, benefits, and underwriting requirements vary by carrier and state. Guaranteed issue rights may apply in certain situations.

Medicare Advantage (Part C) & Part D: Medicare Advantage and Medicare Part D plans are offered by private insurance companies that contract with Medicare. Enrollment in a Medicare Advantage plan may affect your ability to purchase a Medigap policy in the future. Out-of-network coverage may be limited or unavailable depending on plan type. Drug formularies are subject to change. The Low Income Subsidy (Extra Help) program may be available to qualifying individuals.

No Obligation & Privacy: Requesting a quote or scheduling a consultation does not obligate you to enroll in any plan. By submitting your contact information, you consent to be contacted by a licensed insurance agent representing BW Pyles Insurance Agency LLC. We do not sell or share your personal information with unaffiliated third parties for marketing purposes.

Licensing: BW Pyles Insurance Agency LLC is a licensed insurance agency. Agents are licensed to sell Medicare insurance products in applicable states. Illinois License: 123456789 | NPN: 3345250.

For official Medicare information, benefits, and plan comparisons, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), TTY: 1-877-486-2048, 24 hours a day, 7 days a week.

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