Medicare Plans

Open Medicare Plan Data.

Medigap Policy

Last Updated:

Medigap Policy refers to private Medicare supplement insurance designed to help pay healthcare costs not covered by Original Medicare.

🧠 Full Definition

Medigap Policy is private Medicare supplement insurance sold by insurance companies to help cover healthcare expenses not paid by Original Medicare.

These policies are designed to fill coverage gaps such as deductibles, coinsurance, and other out-of-pocket healthcare costs associated with Medicare Part A and Part B services.

Most Medigap policies are standardized and identified by lettered plan designs. Medigap coverage only works alongside Original Medicare and generally cannot be used with Medicare Advantage plans.

📌 Key Characteristics

  • Provides supplemental coverage for Original Medicare costs
  • Sold by private insurance companies
  • Helps pay deductibles, coinsurance, and coverage gaps
  • Uses standardized plan structures in most states
  • Only works with Original Medicare coverage

💡 Why It Matters

Understanding Medigap Policies helps beneficiaries evaluate options for reducing out-of-pocket healthcare expenses under Original Medicare.

These policies can affect:

  • healthcare cost predictability
  • coverage for Medicare deductibles and coinsurance
  • provider access flexibility
  • supplemental healthcare coverage options
  • overall healthcare financial planning

🌐 MedicarePlans.com Perspective

Medigap Policies remain one of the most popular ways to reduce out-of-pocket healthcare costs under Original Medicare. Beneficiaries comparing Medigap plans should carefully review standardized benefits, premium costs, and enrollment protections before selecting coverage.

🗣️ Example Use

“The beneficiary purchased a Medigap Policy to help cover healthcare costs not paid by Original Medicare.”

🔗 Related Terms

📚 Source Definition

Original definition sourced from the Centers for Medicare & Medicaid Services (CMS).

MEDIGAP POLICY: A Medicare supplement insurance policy sold by private insurance companies to fill “gaps” in Original Medicare Plan coverage. Except in Massachusetts, Minnesota and Wisconsin, there are 10 standardized plans labeled Plan A through Plan J. Medigap policies only work with the Original Medicare Plan. (See Gaps.)