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Your 2027 Guide to Medigap in Wilkes-Barre, Pennsylvania

In Wilkes-Barre, Pennsylvania, Medigap is the route many people take to make their Medicare costs predictable. This 2027 guide lays out the standardized plans, what each helps pay, and your enrollment rights in Luzerne County, in straightforward language.

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Quick answer

For 2026, the Medicare.gov Medigap policy search listed 28 insurers selling Medicare Supplement (Medigap) policies in Pennsylvania, which includes Wilkes-Barre.

Medigap plans in Wilkes-Barre follow the federal standardized letters in 2027, so a Plan G or Plan N covers the same benefits in Wilkes-Barre whichever insurer sells it; the price is what differs.

In Luzerne County, which includes Wilkes-Barre, 78,214 people had Medicare in 2026, and about 46% of them were in Medicare Advantage rather than Original Medicare.

Medigap in Wilkes-Barre: key facts (2027)
FactFigureSource
Medigap insurers in Pennsylvania, 202628Medicare.gov Medigap policy search (2026)
People with Medicare in Luzerne County, 202678,214CMS county data and Census ACS (2026)
Share in Medicare Advantage in Luzerne County, 202646%CMS State/County MA Penetration (2026)
Standard Part B premium, 2026$202.90 a monthCMS 2026 Part B announcement

Medicare Supplement (Medigap) chart

Medigap plan comparison chart (2027)

What each standardized Medigap plan pays in Pennsylvania. Medigap plans are standardized by federal law, so a plan letter covers the same benefits whichever insurer sells it; the price is what differs. “100%” means the plan pays the whole benefit, a lower percentage means it pays that share, “No” means it does not cover it.

Medigap plans A, B, C, D, F, G, K, L, M and N: benefits covered (2027)
BenefitPlan APlan BPlan CPlan DPlan FPlan GPlan KPlan LPlan MPlan N
Part A coinsurance and hospital costs, up to 365 days after Medicare benefits are used100%100%100%100%100%100%100%100%100%100%
Part B coinsurance or copayment100%100%100%100%100%100%50%75%100%100%*
Blood (first 3 pints)100%100%100%100%100%100%50%75%100%100%
Part A hospice care coinsurance or copayment100%100%100%100%100%100%50%75%100%100%
Skilled nursing facility care coinsuranceNoNo100%100%100%100%50%75%100%100%
Part A deductibleNo100%100%100%100%100%50%75%50%100%
Part B deductibleNoNo100%No100%NoNoNoNoNo
Part B excess chargesNoNoNoNo100%100%NoNoNoNo
Foreign travel emergency (up to plan limits)NoNo80%80%80%80%NoNo80%80%
Yearly out-of-pocket limitNoNoNoNoNoNoYes**Yes**NoNo
Sold in Pennsylvania (2026 Medicare.gov search)YesYesYesYesYesYesYesYesYesYes

Plans C and F can be bought only by people who were eligible for Medicare before January 1, 2020; people new to Medicare since then can buy the other letters. Plans F and G also come in a high-deductible version that pays after a yearly deductible. * Plan N pays the Part B coinsurance except for a copayment for some office visits and for emergency-room visits that do not lead to an inpatient admission. ** Plans K and L pay 100% of covered services for the rest of the year once you reach their yearly out-of-pocket limit, which CMS sets each year. Massachusetts, Minnesota and Wisconsin standardize Medigap their own way, so this chart does not apply there.

Source: Federal Medigap standardization rules (CMS, medicare.gov); Medicare.gov Medigap policy search (2026). No plan or insurer is ranked.

By ZIP code

Medicare plans by ZIP code in Wilkes-Barre

Wilkes-Barre covers 4 ZIP codes in Luzerne County, where 79 Medicare Advantage plans are offered for 2027 (77 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.

Wilkes-Barre, Pennsylvania ZIP codes and their county, with 2027 Medicare Advantage plan changes
ZIP codeCountyMedicare Advantage plans changing or leaving for 2027
18701Luzerne County35
18702Luzerne County35
18705Luzerne County35
18706Luzerne County35

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 Wilkes-Barre: questions (2027)

What is a Medigap plan, and how does it work in Wilkes-Barre?
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 Wilkes-Barre can buy any policy an insurer sells in Pennsylvania.
When can I buy a Medigap policy in Wilkes-Barre?
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 Wilkes-Barre?
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 Wilkes-Barre 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.

79 Medicare Advantage plans are available for 2027. Because Wilkes-Barre is served by Luzerne County (part of Wilkes-Barre area), those are the options on the table locally. Roughly 46% of people with Medicare in the county have chosen Medicare Advantage over Original Medicare, among the roughly 65,922 residents who are 65 or older.

It surprises people, but Medicare plan availability is drawn up county by county rather than by city or state — which is why a guide like this attributes everything to the surrounding county.

Read on for the organizations offering coverage in the area, a plain-language tour of how Medicare works, 2027 costs, enrollment timing, and free places to get unbiased help. We don't rank or recommend specific plans.

Luzerne County at a glance

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

People with Medicare78,214
Residents 65 and older65,922
Share in Medicare Advantage instead46%

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 Wilkes-Barre, Pennsylvania 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 Wilkes-Barre, Pennsylvania. It's a framework, not a ranking — and we don't quote premiums.

Who sells Medigap here

Medigap insurers serving Wilkes-Barre

28 insurers sell Medigap policies in Pennsylvania, offering Plans A, B, C, D, F, F-HD, G, G-HD, K, L, M, N. Medigap policies are sold statewide, and prices vary by insurer for the same letter.

See all Pennsylvania 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 Luzerne County

55% are on Medicare Advantage
(MA penetration in Luzerne County)
55%
19%
26%
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.

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By MyMedicarePlans Data Desk · Plan Landscape & Data✓ Verified Team
✓ Reviewed for the 2027 plan year·● Wilkes-Barre, PA
Medicare SupplementWilkes-Barre, PA
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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.

Your Medicare enrollment calendar

The dates that follow are set federally, so they don't change from state to state — only your personal timing does.

It starts with your Initial Enrollment Period — the 7-month window around your 65th birthday month — the window around turning 65 when you first sign up. Missing it can mean late penalties that stick around, so it's the one not to sleep on.

After that, the big recurring window is the Annual Enrollment Period, October 15 – December 7, when anyone can join, switch, or drop an Advantage or Part D plan for a January 1 start. And if you're already in an Advantage plan, the Medicare Advantage Open Enrollment (January 1 – March 31) gives you one more chance to change course.

Life events — a move, a loss of other coverage — can also trigger a Special Enrollment Period. The calendar below shows the whole year at a glance.

Explore

When can you enroll? An interactive year

JFMAMJJASOND
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 Wilkes-Barre

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.

Latest Medicare Supplement guides for Wilkes-Barre

A plain-language Medigap guide for Wilkes Barre households2026-09-09

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