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What is Medigap, when can I buy it, and what does it cost?

Health insuranceBuying a policyChecked Nov 6, 2026

From K.Actuary, founded by Sangmin Kwon, ASA · sources checked 2026-11-06 · Source: Medicare.gov View original ↗

In short

  1. Medigap helps pay your share in Original Medicare.
  2. The time to buy is the 6 months after you start Part B at 65 or older.
  3. After that, a company may say no or charge more.

What this means

Medigap is extra insurance you buy from a private company. It helps pay your share of costs under Original Medicare. That means copayments, coinsurance and deductibles. You generally need both Part A and Part B to buy it [1]. When you buy matters more than anything else here. Federal law gives you a 6 month Medigap Open Enrollment Period. It starts the first month you have Part B and are 65 or older [2].

In that window a company must sell you any medical policy it offers. It cannot use your health history to turn you down. It cannot charge you more for a health problem you already have. It cannot make you wait for cover to start, except for cover tied to that problem [2]. The window comes once. Medicare.gov says it does not repeat each year [2]. After it closes you may pay more. Fewer policies may be open to you. A company may turn you down if you do not pass its health questions [2].

Some cases are protected anyway. They are called guaranteed issue rights, or Medigap protections. Your state may give you more rights. Medicare.gov says to check with your State Insurance Department [2]. Under 65. You may not be able to buy Medigap until you turn 65. That is the case when you have Medicare through a disability or End-Stage Renal Disease. Federal law does not make companies sell to people under 65. Some states do [2].

What it costs. The Medicare.gov pages quoted here do not give prices. We have no official price chart we can show for your state yet.

Your next step

If you are inside the 6 months after your Part B starts, apply within that window, because a company must sell to you then. Outside it, ask whether your state gives you a protection that still requires the company to sell.

Check it yourself

Read the «What's Medicare Supplement Insurance (Medigap)?» and «Get ready to buy» pages at medicare.gov, then compare the same lettered plan across companies using medicare.gov's Medigap tool and your state insurance department's rate guide.

Where this comes from (2)

  1. [1] Medicare.gov · checked 2026-11-06

    Medicare Supplement Insurance (Medigap) is extra insurance you may be able to buy from a private health insurance company to help pay your share of out-of-pocket costs in Original Medicare , like copayments , coinsurance , and deductibles . Generally, you must have Original Medicare — Part A (Hospital Insurance) and Part B (Medical Insurance) — to buy a Medigap policy.
  2. [2] Medicare.gov · checked 2026-11-06

    Under federal law, you get a 6 month Medigap Open Enrollment Period. It starts the first month you have Medicare Part B and you're 65 or older. … An insurance company can't refuse to sell you any of the medical policies it offers. They also can't use medical underwriting to decide whether to accept your application or deny you coverage due to pre-existing health problems. … Insurance companies can't charge you more b…

How we found this

We matched your question to 2 official sources, quoted the exact lines, and re-checked each quote against its source on 2026-11-06.

What we don’t know yet

Your own plan or notice may say something different. If your letter cites another rule, send it and we will look again.

Every answer is checked against the official rule it quotes.

Information only — not legal advice. Your plan, insurer or agency decides.

This answer quotes the official sources listed above, with the date we checked them. Your own policy, notice and state rules control. We are not your lawyer or your insurer. We don’t file, argue or negotiate claims for you — you send any letter or form yourself.

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