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Medigap in El Paso, Texas (2027): How Medicare Supplement Plans Work

Original Medicare covers a lot — but it leaves gaps, with no yearly limit on what those gaps can cost you. For many people in El Paso, Texas, a Medigap policy is how they get peace of mind. Here's how the standardized plans work in El Paso County, in plain language, with no rankings and no pressure.

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New to Medicare around El Paso? Start with one fact that clears up a lot of confusion: what's available to you is decided at the county level, and El Paso falls in El Paso County (part of El Paso area).

There, 89 Medicare Advantage plans are available for 2027. About 75% of the county's Medicare members are in a Medicare Advantage plan rather than Original Medicare, among the roughly 114,171 residents who are 65 or older.

Below, we lay out the carriers serving the area, how Original Medicare, Advantage, Medigap and Part D relate, the 2027 numbers everyone shares, the enrollment calendar, and free help — all educational, with no plan rankings.

El Paso County at a glance

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

People with Medicare153,843
Residents 65 and older114,171
Share in Medicare Advantage instead75%

Where Medigap fits in your Medicare

Original Medicare (Part A and Part B) pays most of your covered costs — but not all. You're left with deductibles, coinsurance, and copays, and there's no annual out-of-pocket maximum in Original Medicare on its own. That open-ended exposure is the gap Medigap policies are designed to help close.

Medigap policies are sold by private insurers but standardized by the federal government and labeled with letters (such as Plan G or Plan N). Because they're standardized, a given lettered plan covers the same things no matter who sells it — what differs is price and service. Medigap pairs with Original Medicare, not Medicare Advantage, and doesn't include drugs, so people on this path usually add a stand-alone Part D plan.

This guide explains how the standardized plans and your enrollment rights work in El Paso, Texas. We explain the framework — we don't rank plans or quote specific premiums.

Medicare Supplement (Medigap)

The standardized Medigap plans in 2026

Medigap policies are standardized by federal law: a plan with a given letter covers the same benefits no matter which insurance company sells it. So the letter tells you what is covered — what differs between companies is price and service. Plans C and F are no longer available to people who became eligible for Medicare on or after January 1, 2020. This grid is a factual reference; it is not a ranking or a recommendation.

BenefitPlan APlan BPlan DPlan GPlan KPlan LPlan MPlan N
Part A coinsurance + 365 extra hospital days●●●●●●●●
Part B coinsurance or copay●●●●50%75%●●*
Blood (first 3 pints)●●●●50%75%●●
Part A hospice coinsurance/copay●●●●50%75%●●
Skilled nursing facility coinsurance——●●50%75%●●
Part A deductible—●●●50%75%50%●
Part B excess charges———●————
Foreign travel emergency (to plan limits)——80%80%——80%80%

● = covered in full · a percentage = that share is covered · — = not covered · ●* Plan N pays the Part B coinsurance in full except for small copays (up to $20 for some office visits and up to $50 for emergency-room visits that don’t lead to an inpatient admission). Plans K and L also have a yearly out-of-pocket limit, after which they cover 100%. For the official, complete benefit chart and the plans available to you, see Medicare.gov.

Who sells Medigap here

Medigap insurers serving El Paso

28 insurers sell Medigap policies in Texas, 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 Texas 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 El Paso County

55% are on Medicare Advantage
(MA penetration in El Paso 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.

MM
ED
AI
By MyMedicarePlans Data Desk · Plan Landscape & Data✓ Verified Team
✓ Reviewed for the 2027 plan year·● El Paso, TX
Adult and senior woman lovingly tending to plants in a sunlit garden.Medicare SupplementEl Paso, TX
Photo: Ecem Çelik on Pexels

What Medicare costs in 2027

It helps to separate the costs everyone shares from the costs that vary by plan. The program-level numbers here are set nationally — the same whether you're in a big city or a rural county.

Part B premium. Most people pay the standard Part B premium of $202.9 a month in 2026 (2026 amount; 2027 figure will be posted when CMS releases it). Part A is premium-free for most people who worked and paid Medicare taxes long enough.

Part D drug costs. In 2027, a Part D plan's yearly deductible can be no more than $700, and a $2,400 cap limits what you pay out of pocket for covered prescriptions across the year — a real change for anyone with high drug costs.

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.

Plan-specific costs. What an individual plan charges — its premium, deductible, copays, and what it covers — varies by plan and changes yearly. We don't publish those figures or rank plans; Medicare's Plan Finder shows the current details for your situation, and a licensed agent can walk you through them.

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

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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.

Getting unbiased help in El Paso

You never have to make these decisions alone, and you don't have to pay for good help. A few free, trustworthy starting points:

Medicare.gov and 1-800-MEDICARE (TTY 1-877-486-2048) are the official sources for plan details and the Plan Finder. Licensed agents can also compare options with you and handle enrollment.

And to be clear about who we are: MyMedicarePlans.org is a privately owned, independent educational resource. We are not Medicare, not a government agency, and not affiliated with one. We publish plain-language information to help you get oriented — then point you to the official sources and licensed professionals for decisions about specific plans.

Good to know

Frequently asked questions

How do I compare Medicare Supplement options in El Paso?
Plan availability is set by El Paso County, not by city. Start with the county figures on this page for context, then use Medicare's Plan Finder at Medicare.gov or talk with a licensed agent for plan-specific details. We don't rank plans.
When can I enroll or switch in El Paso?
Enrollment windows are federal and the same nationwide — most changes happen during the Annual Enrollment Period each fall (October 15 – December 7). See the calendar on this page for the full schedule.
What does Medicare cost in El Paso for 2027?
Program-level costs are the same everywhere: the standard Part B premium is $202.9/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.
Do you recommend a specific plan or carrier?
No. We publish educational information and do not rank or recommend specific plans. For personalized, unbiased help, contact Medicare.gov or 1-800-MEDICARE.

Latest Medicare Supplement guides for El Paso

Medigap in El Paso for 2026: the rule changes and deadlines Texas readers should know2026-09-27Which Medigap letters can El Paso buyers still pick?2026-09-26Before You Compare Medigap Plans in El Paso2026-09-26

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