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Medicare Supplement

Why January feels pricier for Montgomery Plan G and N holders

MONTGOMERY, Ala. — If you have a Medigap policy in the River Region, or you are thinking about buying one, a handful of things shift with the calendar. The plan letters you can pick from depend on when you first became eligible for Medicare. The Part B deductible — the number Plans G and N are built around — resets every January. And Alabama insurers file new Medigap rates with the state each year, which is why your premium notice may look different from a friend's across town.

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Senior using laptop at table in Montgomery — illustrating this Medicare guideMedicare SupplementMontgomery, AL
Photo: Sushanta Rokka Photo by Sushanta Rokka on Unsplash

Key takeaways

  • If you became eligible for Medicare on or after January 1, 2020, Plans C and F are off the menu; newer enrollees choose from Plans A, B, D, G, G-HD, K, L, M and N.
  • Plans G and N pay after you meet the Part B deductible, and that deductible resets every January 1 — so early-year doctor visits can feel more expensive until it is met.
  • Medigap premiums in Alabama are filed with the Alabama Department of Insurance; ask your carrier in writing what your renewal rate will be before you decide to stay or shop.
  • The table below lists every insurer selling Medigap in Alabama and which plan letters each one offers — a good starting point if you want to compare.

Here is a plain-language look at what is changing for the coming year in Montgomery, and where to check the numbers that matter to your household.

Which plan letters you can actually buy

Medigap plans are standardized by letter across the country, but not every letter is open to every shopper. People who became eligible for Medicare on or after January 1, 2020 cannot buy Plans C or F, because those plans covered the Part B deductible and federal law closed them to newly eligible enrollees. If you were eligible before that date, you can still buy C or F if a carrier sells them.

For someone aging into Medicare in Montgomery today, the choices are Plans A, B, D, G, G-HD (high-deductible G), K, L, M and N. Plan G and Plan N are the two most commonly discussed for new enrollees, with high-deductible G offered as a lower-premium, higher-out-of-pocket alternative.

The Part B deductible reset — why January feels different

Plans G and N are designed around the Part B deductible. Neither plan pays your share of doctor and outpatient costs until you have met that deductible for the year. Every January 1, that counter goes back to zero.

That is not a change in your plan — it is how Medicare itself works. But it does mean the first outpatient visits of a new year can feel more expensive than the ones in November or December, even though nothing about your Medigap policy actually changed. If you are on high-deductible Plan G, the same reset applies to the plan's own separate deductible.

Medicare sets the exact Part B deductible amount for the year; you can confirm the current figure at medicare.gov or by calling 1-800-MEDICARE.

Rate-adjustment season in Alabama

Medigap premiums are not set by Medicare. Each insurer files proposed rates with the Alabama Department of Insurance, and those filings drive the renewal notices you receive. Rates can be based on your age when you bought the policy (issue-age), your current age (attained-age), or set the same for everyone in the plan (community-rated) — Alabama allows different approaches, and the method affects how your premium changes over time.

A few practical steps for Montgomery residents heading into renewal season:

Insurers in the Alabama market

Montgomery is in Montgomery County, and Medigap availability is set at the state level in Alabama. The table below lists every insurer currently selling Medigap policies in the state and which standardized plan letters each one offers. Well-known names on that list include AARP - UnitedHealthcare Insurance Company, AFLAC, BlueCross BlueShield of Alabama, Humana (Emphesys Insurance Company), Mutual of Omaha (Omaha Insurance Company), State Farm Mutual Automobile Insurance Company, and USAA Life Insurance Company, among others.

Insurers do enter and leave state markets from time to time. If you want to confirm whether a specific carrier is still selling a specific plan in Alabama, the Medicare.gov Medigap policy search tool and the Alabama Department of Insurance are the two official sources.

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.

$0$50$100$150$200200820122016202020242026

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 Montgomery County

63% are on Medicare Advantage
(MA penetration in Montgomery County)
63%
37%
Medicare Advantage Medicare Supplement (Medigap) Original Medicare only
U.S. average

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.

What is not changing in 2026

A few things that come up in questions often — and are worth spelling out:

Separately, at the Part D drug-coverage level, 2026 brings a $2,100 out-of-pocket cap, a $615 maximum deductible, and the continued option to smooth drug costs monthly through the Medicare Prescription Payment Plan. Those figures affect your drug plan, not your Medigap plan, but they are worth knowing when you review your whole picture during the Annual Enrollment Period (October 15 – December 7).

Medicare Supplement (Medigap)

The Medigap plans you can buy in Alabama

Medigap plans are standardized by federal law: a Plan G from one insurer covers the same things as a Plan G from any other. Insurers set their own prices, which are not shown here.

PlanWhat it coversOpen to new enrollees
Plan AThe basic benefits every Medigap plan includes: Part A hospital coinsurance and up to 365 extra hospital days, Part B coinsurance, the first three pints of blood, Part A hospice coinsurance.Yes
Plan BPlan A plus the Part A hospital deductible.Yes
Plan CPlan B plus skilled-nursing coinsurance, the Part B deductible and foreign-travel emergency care. Closed to people newly eligible for Medicare on or after January 1, 2020.Only if you were eligible before 2020
Plan DPlan B plus skilled-nursing coinsurance and foreign-travel emergency care (not the Part B deductible).Yes
Plan FEvery standardized benefit, including the Part B deductible and Part B excess charges. Closed to people newly eligible on or after January 1, 2020. A high-deductible version exists.Only if you were eligible before 2020
Plan GEvery standardized benefit except the Part B deductible (which you pay yourself each year). A high-deductible version (G-HD) pays after you meet a yearly deductible.Yes
Plan KPays a share of most cost-sharing (50 percent for several benefits) with a yearly out-of-pocket limit set by federal rules.Yes
Plan LLike Plan K with a larger share (75 percent) and a lower yearly out-of-pocket limit.Yes
Plan MLike Plan D but covers half of the Part A hospital deductible.Yes
Plan NLike Plan G, except a small copayment for some office and emergency-room visits, and it does not cover Part B excess charges.Yes

Source: CMS, Medicare Supplement Insurance (Medigap) rules; medicare.gov.

Who sells Medigap here

Medigap insurers in Alabama

Insurers offering Medigap policies in Alabama, listed alphabetically. Prices vary by insurer for the same letter and are not shown here.

  • AARP - UnitedHealthcare Insurance Company Plans A, B, C, F, G, K, L, N
  • AFLAC Plans A, F, G, N
  • American Benefit Life Insurance Company Plans A, F, G, N
  • Atlantic Capital Life Assurance Company Plans A, F, G, G-HD, K, N
  • Bankers Life (Underwritten by Washington National Insurance Company) Plans A, F, G, G-HD, N
  • BlueCross BlueShield of Alabama Plans A
  • Continental Life Insurance Company of Brentwood, Tennessee (Aetna) Plans A, B, F, G, G-HD, N
  • GPM Health and Life Insurance Company Plans A, F, G, N
  • Guarantee Trust Life Insurance Company Plans A, F, G, N
  • HealthSpring Insurance Company Plans A, F, G, G-HD, N
  • Humana (Emphesys Insurance Company) Plans A, F, G, G-HD, N
  • Insurance Company of North America Plans A, F, G, G-HD, N
  • LifeShield National Insurance Company Plans A, F, G, N
  • Lumos Insurance Plans A, F, G, G-HD, N
  • Mutual of Omaha (Omaha Insurance Company) Plans A, F, G, G-HD, N
  • Nassau Life Insurance Company Plans A, F, G, N
  • New Era Life Insurance Company Plans A, C, F, F-HD, G, G-HD, M, N
  • Physicians Mutual Insurance Company, Inc. Plans A, F, G, G-HD, N
  • State Farm Mutual Automobile Insurance Company Plans A, C, D, F, G, N
  • United American Insurance Company Plans A, B, C, D, F, F-HD, G, G-HD, K, L, N
  • USAA Life Insurance Company Plans A, F, G, N
  • WoodmenLife Plans A, F, G, G-HD, N

Source: Medicare.gov Medigap policy search. No insurer is ranked or recommended.

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Explore

The parts of Medicare

Part A covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health care. Most people pay no premium for Part A.

Explore

When can you enroll? An interactive year

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October 15 – December 7 — anyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan. Changes take effect January 1.

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

Can I switch Medigap plans in Montgomery any time of year?
You can apply any time, but outside your initial six-month Medigap Open Enrollment Period at 65, Alabama insurers can generally use medical underwriting. That means they can ask health questions and decide whether to accept you, unless you qualify for a specific guaranteed-issue right. Call your local SHIP or 1-800-MEDICARE before dropping a current policy.
Why did my Medigap premium go up if the plan benefits didn't change?
Medigap premiums in Alabama are filed with the state each year and can change based on the insurer's rating method, your age, and overall claims trends. The plan's standardized benefits stay the same — the price for that same coverage is what is being adjusted. Ask your carrier in writing which rating method applies to your policy.
I became eligible for Medicare in 2018. Can I still keep my Plan F?
Yes. The rule that closed Plans C and F applies only to people who became eligible for Medicare on or after January 1, 2020. If you were eligible before that date and already have Plan F (or Plan C), you can keep it, and insurers that still offer those letters can sell to you.
Where can I compare Medigap policies sold in Alabama?
Start at medicare.gov and use the Medigap policy search, which lets you filter by ZIP code and plan letter. You can also call 1-800-MEDICARE, contact the Alabama Department of Insurance about rate filings, or reach Alabama's State Health Insurance Assistance Program (SHIP) for free, one-on-one counseling. ## Where to get official answers For personalized help in Montgomery, three resources are free and unbiased: medicare.gov, 1-800-MEDICARE (available 24 hours a day, 7 days a week), and Alabama's SHIP counselors. If your question is specifically about a rate filing, the Alabama Department of Insurance is the right stop. Bring your Medicare card, your current Medigap policy number, and a list of the medications you take — the answers will be a lot more useful with those in hand.
Sources & further reading
  • CMS — Medicare Supplement Insurance (Medigap) rules (medicare.gov)
  • Medicare.gov Medigap policy search and state insurance-department rate guides
  • CMS — Medicare costs & IRMAA (medicare.gov)

For personalized answers, contact Medicare.gov, 1-800-MEDICARE, or your local SHIP.

Also for Montgomery

Content Integrity Standards

  • No invented figures. Program-level numbers come from CMS / Medicare.gov; we never use placeholder data.
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This page was last updated: September 2026.

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