Medicare Part D
Medigap in Bear, DE: What Supplement Covers 2027
BEAR, Del. — If you're one of the thousands of Medicare-eligible residents here in northern New Castle County, you've probably heard the term "Medigap" tossed around at the pharmacy counter or by a friend at coffee. It sounds technical, but the idea is simple: Medigap plans are private policies designed to help pay some of the out-of-pocket costs Original Medicare leaves behind.
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Click to call 855-729-3240Key takeaways
- Original Medicare Parts A and B leave gaps like deductibles, coinsurance, and copayments, and there's no yearly cap on out-of-pocket costs.
- Medigap plans are sold by private insurers and are standardized by letter, so a given letter plan offers the same core benefits no matter which company sells it.
- Your Medigap Open Enrollment Period is a one-time, six-month window starting the month you're 65 or older and enrolled in Part B, and during this time insurers can't deny coverage or charge more based on health.
- Medigap enrollment is separate from the fall Annual Enrollment Period, and Medigap doesn't include prescription drug coverage, so you'd need to shop for a Part D plan separately.
Here's a plain-language look at what Medicare Supplement insurance does, how the lettered plans work, and where Bear residents can go for personal help.
What Medigap actually does
Original Medicare — Part A (hospital) and Part B (doctor and outpatient) — pays for a lot, but not everything. You're still responsible for deductibles, coinsurance, and copayments, and there is no yearly cap on what you could owe out of pocket.
A Medicare Supplement policy, sold by private insurers, helps fill those gaps. Depending on the plan you choose, it may cover things like the Part A hospital coinsurance, the Part B coinsurance, hospice cost-sharing, and the first three pints of blood.
What Medigap does not do:
- It doesn't include prescription drug coverage. For that, you'd add a stand-alone Part D plan.
- It doesn't cover dental, vision, hearing aids, or long-term custodial care.
- It doesn't work with Medicare Advantage. You either have Original Medicare (which can be paired with Medigap) or a Medicare Advantage plan — not both.
How the standardized letters work
This is the part that trips people up. Across most of the country, Medigap plans are standardized by letter — Plan A, B, C, D, F, G, K, L, M, and N. Every insurer that sells a "Plan G," for example, must offer the same core benefits as any other "Plan G." The difference between carriers is usually price, customer service, and whether they offer small extras.
A few important notes from Medicare.gov:
- Plans C and F are only available to people who became eligible for Medicare before January 1, 2020.
- Plans K and L have lower premiums but come with cost-sharing and an out-of-pocket limit.
- Plan N has copays for some office and ER visits.
- Massachusetts, Minnesota, and Wisconsin standardize their plans differently. Delaware uses the standard federal lettering.
Bear is in New Castle County — here's what that means for availability
Medigap availability and pricing are regulated at the state level in Delaware, and specific plan offerings are set by each private insurer. Bear sits in New Castle County, where residents choose from the same menu of standardized letter plans offered elsewhere in the state. For an up-to-date list of Medigap policies sold in Delaware, Medicare.gov's plan finder lets you enter your ZIP code and see current offerings side by side.
If you also want prescription drug coverage — which Medigap doesn't include — you'd shop separately for a Part D plan in New Castle County.
The best time to buy: your Medigap Open Enrollment
This one is worth circling on the calendar. Your Medigap Open Enrollment Period is a one-time, six-month window that starts the month you're 65 or older and enrolled in Part B. During that window, insurers cannot deny you a policy or charge you more because of your health.
Miss it, and in most states — Delaware included — insurers can use medical underwriting. That means a health condition could raise your rate or lead to a denial. It's not impossible to buy Medigap later, but it's usually easier and more predictable during that initial window.
How Medigap fits with the rest of Medicare in 2027
A quick refresher on the pieces around Medigap so you can see the full picture:
- Part D drug costs: In 2026, the annual out-of-pocket cap on covered prescriptions is $2,100, and the maximum Part D deductible is $615.
- The "donut hole" coverage gap was eliminated in 2025; Part D now has three phases.
- Medicare Prescription Payment Plan: an optional feature that lets you spread drug costs across the calendar year in monthly installments.
- IRMAA: higher-income beneficiaries pay surcharges on Part B and Part D. For 2026, those surcharges begin above $109,000 in income for a single filer.
- Annual Enrollment Period: October 15 – December 7 for Part D and Medicare Advantage changes.
- Medicare Advantage Open Enrollment: January 1 – March 31, for people already in an MA plan.
Note that Medigap enrollment is not tied to the fall Annual Enrollment Period — that's a common mix-up.
By the numbers
Medicare Part B premium, 2006–2026
The standard monthly Part B premium has climbed from $88.50 in 2006 to $202.90 in 2026. Hover any point for that year’s premium.
Source: CMS. Standard premium shown; in some hold-harmless years many existing enrollees paid less. Confirm at Medicare.gov.
By the numbers
How people get Medicare in New Castle County
(MA penetration in New Castle County)
MA penetration from CMS enrollment data; Medigap share is an estimate. U.S. average is about 54% Medicare Advantage. These are area-level figures, not plan-specific.
Try it
How the 2026 Part D drug cap works
Slide to your estimated yearly prescription costs and see how the new $2,100 out-of-pocket cap protects you. This illustrates the standard Part D benefit; your plan may structure costs differently.
Once your out-of-pocket spending on covered drugs reaches $2,100, you pay nothing more for the rest of 2026. Confirm details at Medicare.gov.
Explore
When can you enroll? An interactive year
Enrollment windows are federal and the same nationwide. Confirm your personal dates at Medicare.gov or 1-800-MEDICARE.
Good to know
Frequently asked questions
Do I need Medigap if I already have a Medicare Advantage plan?
Does Medigap cover my prescriptions?
Can I switch from one Medigap plan to another later?
- CMS — Medicare Part D program rules (medicare.gov)
For personalized answers, contact Medicare.gov, 1-800-MEDICARE, or your local SHIP.