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Medicare Supplement (Medigap) in Salem, Massachusetts: 2027 Plain-English Guide

Wondering whether a Medicare Supplement makes sense in Salem, Massachusetts? We explain what the standardized Medigap plans cover, how they pair with Original Medicare and a drug plan, and what to know in Essex County — with no rankings and no sales pitch.

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Quick answer

For 2026, the Medicare.gov Medigap policy search listed 6 insurers selling Medicare Supplement (Medigap) policies in Massachusetts, which includes Salem.

Medigap plans in Salem follow Massachusetts' own standardized design in 2027, not the federal letters A through N used in other states.

In Essex County, which includes Salem, 181,642 people had Medicare in 2026, and about 36% of them were in Medicare Advantage rather than Original Medicare.

Medigap in Salem: key facts (2027)
FactFigureSource
Medigap insurers in Massachusetts, 20266Medicare.gov Medigap policy search (2026)
People with Medicare in Essex County, 2026181,642CMS county data and Census ACS (2026)
Share in Medicare Advantage in Essex County, 202636%CMS State/County MA Penetration (2026)
Standard Part B premium, 2026$202.90 a monthCMS 2026 Part B announcement

Medicare Supplement (Medigap) chart

Medigap plans in Massachusetts are different (2027)

Massachusetts is one of three states (with Minnesota and Wisconsin) that do not use the federal Medigap letters A through N. Massachusetts standardizes its own Medigap plans (Core, Supplement 1 and Supplement 1A) instead of the federal A-N letters; compare policies by those names.

For ZIP code 02108, the Medicare.gov Medigap policy search listed these Massachusetts plan types for 2026: Core, Supplement 1, Supplement 1A.

The federal Medigap comparison chart used in the other 47 states and DC does not apply in Massachusetts. For the benefits of each Massachusetts plan, see the Massachusetts insurance department’s Medigap guide or the Medigap policy search on Medicare.gov, or call 1-800-MEDICARE.

Source: Federal Medigap standardization rules (CMS, medicare.gov); Medicare.gov Medigap policy search (2026).

By ZIP code

Medicare plans by ZIP code in Salem

Salem covers 1 ZIP code in Essex County, where 52 Medicare Advantage plans are offered for 2027 (57 for 2026). Medicare plans are offered county by county, so every ZIP code in a county has the same Medicare Advantage lineup. Enter your ZIP code in the plan finder at the top of this page to compare the plans offered there.

Salem, Massachusetts ZIP codes and their county, with 2027 Medicare Advantage plan changes
ZIP codeCountyMedicare Advantage plans changing or leaving for 2027
01970Essex County40

Sources: ZIP codes, GeoNames US postal codes (CC BY 4.0), limited to Census ZCTAs; changes, CMS MA Landscape files, CY2026 vs CY2027 comparison, mapped to ZIP codes with the Census ZCTA-to-county file (a ZIP code that crosses a county line is counted with the county holding most of its land). Counts only; no plan is ranked.

Good to know

Medigap in Salem: questions (2027)

What is a Medigap plan, and how does it work in Salem?
A Medigap plan, also called Medicare Supplement Insurance, is a private insurance policy that helps pay the deductibles, coinsurance and copayments Original Medicare (Part A and Part B) leaves behind. Medigap policies are sold statewide, so people in Salem can buy any policy an insurer sells in Massachusetts.
When can I buy a Medigap policy in Salem?
Your Medigap Open Enrollment Period is the 6 months that start the first month you are 65 or older and enrolled in Part B. During it, an insurer cannot refuse to sell you any Medigap policy it offers or charge you more because of your health. After it, insurers can use medical underwriting unless you have a guaranteed-issue right; some states add more rights, so check with the state insurance department. Medigap is not tied to the fall Annual Enrollment Period.
What is the difference between Medicare Advantage and Medicare Supplement in Salem?
Medicare Advantage is a private plan that replaces how you get Part A and Part B, usually with a provider network and Part D drug coverage built in. A Medicare Supplement (Medigap) policy keeps Original Medicare and helps pay the deductibles and coinsurance it leaves behind; it has no network beyond doctors who take Medicare and does not include drug coverage, so most people add a Part D plan. You cannot use a Medigap policy to pay costs in a Medicare Advantage plan.
What does Medicare cost in Salem for 2027?
Program-level costs are the same everywhere: the standard Part B premium is $202.90/month for 2026 (2026 amount; 2027 figure will be posted when CMS releases it), and Part D drug costs are capped at $2,400 out of pocket for the year in 2027. What an individual plan charges varies by plan; we don't publish those figures or rank plans.

In Medicare, the line that matters isn't your city limit — it's your county. Salem sits in Essex County (part of Salem area), and plan availability, networks, and costs are all set at that county level, so the figures on this page reflect Essex County rather than Salem on its own.

52 Medicare Advantage plans are available for 2027. Roughly 36% of people with Medicare in the county have chosen Medicare Advantage over Original Medicare, among the roughly 150,106 residents who are 65 or older. These are official area-level counts, not a ranking or an endorsement of any plan.

From here you'll find the companies active around Salem, how the parts of Medicare fit together, what coverage costs in 2027, when you can enroll, and where to get free help.

Essex County at a glance

Salem is in Essex County. Medigap plans are standardized by letter everywhere, so the local question is how many neighbors use them and what the alternatives look like. Essex County's figures, from CMS:

People with Medicare181,642
Residents 65 and older150,106
Share in Medicare Advantage instead36%

What Medigap does — and doesn't — cover

Think of Medigap as the layer that sits on top of Original Medicare to absorb the costs it leaves you: the deductibles, the 20% coinsurance, the copays that otherwise have no annual ceiling.

The catch that trips people up is that these plans are federally standardized — a Plan G from one insurer covers exactly what a Plan G from another does. So the letter defines the benefits, and price and service are what separate companies. Medigap doesn't include drug coverage, so most people in Salem, Massachusetts pair it with a stand-alone Part D plan.

Below we break down what each standardized plan covers and the enrollment rights that matter most in Salem, Massachusetts. It's a framework, not a ranking — and we don't quote premiums.

Who sells Medigap here

Medigap insurers serving Salem

6 insurers sell Medigap policies in Massachusetts under Massachusetts’s own standardized plans. Medigap policies are sold statewide, and prices vary by insurer for the same letter.

See all Massachusetts Medigap insurers and the plans each sells →

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

By the numbers

How people get Medicare in Essex County

36% are on Medicare Advantage
(MA penetration in Essex County)
36%
27%
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.

MM
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AI
By MyMedicarePlans Data Desk · Plan Landscape & Data✓ Verified Team
✓ Reviewed for the 2027 plan year·● Salem, MA
Medicare SupplementSalem, MA
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The 2027 numbers, from shared to plan-specific

Start with what's fixed for everyone. The standard Part B premium is $202.90 per month in 2026 (2026 amount; 2027 figure will be posted when CMS releases it), and Part A is premium-free for most people who paid Medicare taxes long enough while working.

On the drug side, Part D has real guardrails for 2027: a deductible capped at $700 and, a hard $2,400 ceiling on your out-of-pocket costs for covered prescriptions — the old coverage gap is gone.

Higher earners pay more for Parts B and D through an income-related adjustment called IRMAA, which for 2026 starts above $109,000 in annual income for an individual and is based on your 2024 tax return. Most people fall below that line and pay the standard amounts. The 2027 brackets will be posted when CMS releases them.

Everything past that is plan-specific: the premiums, copays, and coverage details of an individual Advantage or Medigap plan change from plan to plan and year to year. Rather than quote or rank those, we point you to Medicare's Plan Finder and a licensed agent for your exact numbers.

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.

When you can enroll or make changes

Medicare's enrollment windows are federal — the same nationwide — so the timing below applies wherever you live.

Your first window (IEP). When you're new to Medicare, your Initial Enrollment Period is the 7-month window around your 65th birthday month. Signing up on time helps you avoid late penalties that can follow you for years.

Annual Enrollment Period (AEP). Each fall, from October 15 – December 7, anyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan. Changes take effect January 1.

Medicare Advantage Open Enrollment. From January 1 – March 31, if you're already in an Advantage plan you get one chance to switch plans or return to Original Medicare.

Special Enrollment Periods can also open after certain life events, like moving or losing other coverage. The interactive calendar further down lays the year out visually.

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.

Where to get free, unbiased help near Salem

Good Medicare help exists and it's free — you don't have to figure this out solo or pay for guidance.

For official specifics and the Plan Finder tool, go straight to Medicare.gov or 1-800-MEDICARE (TTY 1-877-486-2048). And a licensed agent can compare options and handle the paperwork with you.

One note on who we are: MyMedicarePlans.org is an independent, privately owned educational resource — not Medicare, not a government agency, and not affiliated with one. Our job is to help you get oriented, then hand you off to the official sources and licensed professionals for plan decisions.

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