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Medicare Supplement

Medigap Plan Letters in Savannah: What They Mean in 2026

SAVANNAH, Ga. — If you have Original Medicare (Part A and Part B), you already know it doesn't pay for everything. There are deductibles, coinsurance, and copays that can add up. A Medicare Supplement policy — better known as Medigap — is private insurance designed to help cover some of those leftover out-of-pocket costs.

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Senior using laptop at table in Savannah — illustrating this Medicare guide
Photo: LOGAN WEAVER | @LGNWVR Photo by LOGAN WEAVER | @LGNWVR on Unsplash

Key takeaways

  • Medigap is private insurance that works alongside Original Medicare to help pay leftover deductibles, coinsurance, and copays, and you can't have it at the same time as Medicare Advantage.
  • Medigap plans are standardized by the federal government, so a letter plan like Plan G covers the same benefits no matter which company sells it, though price and customer service can differ.
  • The best time to buy is your six-month Medigap Open Enrollment Period, which starts the month you're 65 or older and enrolled in Part B, since companies must sell you a plan at their best rate then regardless of health history.
  • Medigap does not include prescription drug coverage, so you'll still need a separate Part D plan, and switching back to Original Medicare from Medicare Advantage later may require medical underwriting.

The basics: what Medigap actually does

Medigap works alongside Original Medicare. Medicare pays its share of a covered service first, then your Medigap policy pays its share, based on the letter plan you chose.

One important note: Medigap is different from Medicare Advantage (Part C). You can't have both at the same time. Medigap is for people who stay with Original Medicare.

Why the plans are labeled with letters

Here's where a lot of folks get confused. Medigap plans are standardized by the federal government. That means Plan G sold by one company covers the exact same Medicare gaps as Plan G sold by another company. The benefits are set by law.

What can differ between companies is the price, the customer service, and sometimes small extras. But the core benefits tied to each letter — A, B, D, G, K, L, M, N, and (for those who qualified before 2020) C and F — are the same no matter who sells them.

That standardization is a good thing. It means you can compare policies letter-to-letter without decoding a bunch of fine print.

The letters you'll see most often

You don't need to memorize every plan. Here's the plain-English version:

Every letter plan is described in detail on medicare.gov, and the coverage chart there is worth a look before you talk to any agent.

When you can buy — and why timing matters

The best window to buy a Medigap policy is your Medigap Open Enrollment Period. That's the six-month window that starts the month you're 65 or older and enrolled in Part B. During that window, insurance companies must sell you any Medigap plan they offer at their best available rate, regardless of your health history.

Miss that window, and in most states — Georgia included — companies can use medical underwriting. That means they can ask health questions, charge you more, or turn you down. This is one of the most common and costly mistakes people make when they wait.

Savannah is in Chatham County, and Medigap availability is regulated at the state level in Georgia, so residents across the county generally have access to the same standardized letter plans, though prices vary by company.

Common mistakes to sidestep

A few things to keep in mind before you sign anything:

1. Don't confuse Medigap letters with Part D or Medicare Advantage. Medigap doesn't include prescription drug coverage. You'll still need a separate Part D plan for medications. 2. Compare prices for the same letter. Since benefits are identical, a Plan G from Company X and Plan G from Company Y cover the same things. Price and service are where they differ. 3. Ask how the company sets rates. Some raise premiums as you age; others don't. Both are legal, but they feel very different over time. 4. Understand the trade-off with Medicare Advantage. If you switch from Medicare Advantage back to Original Medicare later, you may not be able to get a Medigap policy without underwriting.

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 Chatham County

55% are on Medicare Advantage
(MA penetration in Chatham County)
55%
45%
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's changing around Medicare in 2026

While Medigap itself is standardized and stable, other parts of Medicare are shifting in ways that may affect your overall plan:

None of these directly change Medigap benefits, but they affect the bigger picture of what you'll pay each year.

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

Q: Can I switch my Medigap plan any time I want?
A: You can apply any time, but outside your initial Medigap Open Enrollment window, insurance companies in Georgia can typically use medical underwriting. That means switching later isn't guaranteed.
Q: Does Medigap cover my prescriptions?
A: No. Medigap policies sold today don't include drug coverage. If you want help with prescriptions, you'll need a separate Part D plan.
Q: If Plan G is the same everywhere, why do prices differ so much?
A: Each insurance company sets its own price and decides how rates change over time. The benefits are identical, but the premium can vary quite a bit — which is why comparing is worth your time.
Sources & further reading
  • CMS — Medicare basics (medicare.gov)

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

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