Medicare Supplement
What's changing for Medigap in San Bernardino for 2027: plan letters, Part B reset and rate filings
SAN BERNARDINO — As 2027 approaches, Medigap shoppers in San Bernardino are watching a familiar set of moving parts: which standardized plan letters they're allowed to buy, the yearly reset of the Part B deductible that Plans G and N are built around, the rate filings insurers submit to California regulators each year, and any carriers coming into or leaving the state's market.
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Key takeaways
- People newly eligible for Medicare cannot buy Plan C or Plan F; those two letters are limited to people eligible before January 1, 2020.
- Plans G and N pay after the Part B deductible, so when Medicare resets that deductible each year, the math on those plans resets with it.
- Medigap premium changes in California are filed with the California Department of Insurance, and you can look up filings there before you renew or switch.
- San Bernardino residents can compare every carrier selling Medigap statewide using Medicare.gov's policy search, and get free one-on-one help from California's SHIP program (HICAP).
None of these are dramatic overnight changes. But together they shape what a Medigap policy will look like — and cost — for people turning 65 here, and for those who already own a plan and want to know if they should shop again.
Which plan letters you can actually buy
San Bernardino is in San Bernardino County, but Medigap is regulated at the state level, so the plan letters available here are the same as anywhere else in California.
If you are newly eligible for Medicare today, you can choose from Plans A, B, D, G, high-deductible G, K, L, M, and N. Plans C and F are closed to newcomers — they remain available only to people who were eligible for Medicare before January 1, 2020. That rule has been in place since the Medicare Access and CHIP Reauthorization Act (MACRA) took effect, and it is not changing for 2027.
The table below lists every carrier selling Medigap in California along with the plan letters each one offers.
The Part B deductible reset — and why Plans G and N care
Plans G and N are the two letters most new enrollees look at, and both are designed to pay after you meet the Part B deductible. Medicare resets that deductible every January. The 2027 figure will be announced by CMS later this year; when it changes, the amount you pay out of pocket before your Plan G or N kicks in changes with it.
This is not a "cut" or a "benefit change" — it is how these plans have always been structured. But it is worth knowing at renewal time, because a small shift in the deductible can influence how a plan feels in practice, especially for people who use Part B services often.
High-deductible Plan G works the same way but with a much larger deductible set by Medicare each year.
Rate-filing season in California
Medigap premiums are not set by Medicare. Each insurer files its proposed rates with the California Department of Insurance, and those filings are public. Rates can vary by carrier, by age, by ZIP code, and by whether the insurer uses attained-age, issue-age, or community rating.
For 2027, the ordinary cycle applies: carriers file, the state reviews, and new rates take effect on the schedule shown in each filing. If you already own a policy, your renewal notice will spell out any change. If you are shopping, comparing two carriers on the same plan letter — say, Plan G against Plan G — is the cleanest way to see price differences, because the federal benefits are identical by law.
You can look up filings at insurance.ca.gov, and California publishes a Medicare Supplement rate guide that lists premiums by carrier and age.
Carriers entering or leaving
Nothing in the data provided indicates a California-wide carrier exit or new entrant tied specifically to 2027. The Medigap insurers currently authorized to sell in the state are listed in the table on this page and include familiar names such as AARP - UnitedHealthcare Insurance Company, Anthem BlueCross - California, Blue Shield of California Life & Health Insurance Company, Humana (Humana Insurance Company), and Mutual of Omaha (United World Life Insurance Company), among others.
If a carrier decides to stop selling a particular plan letter to new applicants, existing policyholders are generally allowed to keep their coverage — but that is a question to confirm directly with the insurer or with HICAP.
When you can switch, and when medical underwriting kicks in
Unlike Medicare Advantage and Part D, Medigap does not have an annual enrollment window. Your strongest protection is your six-month Medigap Open Enrollment Period, which starts the month you are 65 or older and enrolled in Part B. During that window, insurers cannot turn you down or charge more for health reasons.
Outside that window, California offers a "birthday rule" that lets Medigap policyholders switch to a plan with equal or lesser benefits from any carrier within 60 days following their birthday each year, without medical underwriting. That rule is not new for 2027, but it is easy to miss — and it is one of the more consumer-friendly Medigap rules in the country.
Any switch outside of a protected period generally means answering health questions, and the insurer can decline.
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 San Bernardino County
(MA penetration in San Bernardino 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.
Medicare Supplement (Medigap)
The Medigap plans you can buy in California
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.
| Plan | What it covers | Open to new enrollees |
|---|---|---|
| Plan A | The 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 B | Plan A plus the Part A hospital deductible. | Yes |
| Plan C | Plan 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 D | Plan B plus skilled-nursing coinsurance and foreign-travel emergency care (not the Part B deductible). | Yes |
| Plan F | Every 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 G | Every 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 K | Pays a share of most cost-sharing (50 percent for several benefits) with a yearly out-of-pocket limit set by federal rules. | Yes |
| Plan L | Like Plan K with a larger share (75 percent) and a lower yearly out-of-pocket limit. | Yes |
| Plan M | Like Plan D but covers half of the Part A hospital deductible. | Yes |
| Plan N | Like 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 California
Insurers offering Medigap policies in California, 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 Retirement Life Insurance Company (CIGNA) Plans A, F, G, G-HD, N
- Anthem BlueCross - California Plans A, F, G, N
- Bankers Life (Underwritten by Washington National Insurance Company) Plans A, F, G, G-HD, N
- Blue Shield of California Life & Health Insurance Company Plans A, F, G, N
- Continental Life Insurance Company of Brentwood, Tennessee (Aetna) Plans A, B, F, F-HD, G, N
- Everence Association Inc. Plans A, F, G, N
- Humana (Humana Insurance Company) Plans A, B, C, F, F-HD, G, G-HD, K, L, N
- Insurance Company of North America Plans A, F, G, G-HD, N
- Lumos Insurance Plans A, F, G, N
- Mutual of Omaha (United World Life Insurance Company) 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
Source: Medicare.gov Medigap policy search. No insurer is ranked or recommended.
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Good to know
Frequently asked questions
Can I still buy Plan F in San Bernardino for 2027?
Do Medigap plans change their benefits from year to year?
How do I check if my Medigap premium is going up for 2027?
If I want to switch plans, when can I do it without health questions?
- 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 San Bernardino
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This page was last updated: September 2026.