Medicare Supplement
Medigap in Garland: the rules, resets and rate filings to watch before 2027
GARLAND, Texas — If you have a Medigap policy in Garland, or you are shopping for one for the first time, the ground under these plans shifts a little every year. The plan letters themselves do not change often, but the Part B deductible that Plans G and N are built around resets each January, and Texas insurers file new rates on their own schedules. Here is a plain-English look at what is moving into 2027, and what is staying the same.
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Key takeaways
- The standardized Medigap plan letters sold to people newly eligible today are A, B, D, G, G-HD, K, L, M and N; Plans C and F are only for people eligible before January 1, 2020.
- The Part B deductible resets every January, which matters because Plan G pays your Part B costs after you meet that deductible and Plan N works alongside it too.
- Medigap rate changes in Texas are filed with the Texas Department of Insurance, not set by Medicare, so premiums for the same lettered plan can differ by carrier and change year to year.
- Garland is in Dallas County; the table below lists every insurer currently selling Medigap in Texas and which plan letters each one offers.
Which plan letters you can actually buy
Medigap plans are standardized by the federal government, so a Plan G from one insurer covers the same core benefits as a Plan G from another. What differs is the premium, the customer service, and sometimes extras like household discounts.
If you became eligible for Medicare on or after January 1, 2020, you can shop from Plans A, B, D, G, G-HD (a high-deductible version), K, L, M and N. Plans C and F, which used to be popular, are closed to newly eligible enrollees because they covered the Part B deductible — a benefit Congress removed for new members. If you were eligible before that date, you can still buy or keep C and F.
That rule has not changed for 2027. But it does mean most Garland shoppers turning 65 this year are choosing between Plans G, G-HD and N as the main "cover most of the gaps" options, plus A, B, D, K, L and M depending on how much cost-sharing they want.
The Part B deductible reset — why it matters for G and N
Both Plan G and Plan N are built around the Part B deductible. With Plan G, you pay the Part B deductible each year, and after that the plan picks up your Part B coinsurance. With Plan N, the same deductible applies, plus small copays for some office and emergency-room visits.
That deductible resets every January 1. The 2027 figure will be announced by CMS in the fall of 2026, alongside the Part B premium. When it goes up, the amount you pay out of pocket before your Medigap kicks in goes up by the same amount — the plan design does not change, just the dollar figure inside it. It is worth checking medicare.gov each January so you know the new number before your first doctor visit of the year.
Rate-adjustment season in Texas
Medigap premiums are not set by Medicare. In Texas, each insurer files its rates with the Texas Department of Insurance (TDI), and those filings can happen at different times of year for different carriers. That is why two people in the same Garland ZIP code, on the same lettered plan, can pay very different premiums depending on which company they signed up with and when.
A few things to know as 2027 approaches:
- There is no single "Medigap open enrollment" every fall the way there is for Medicare Advantage and Part D. Your one guaranteed-issue window is generally the six months after you first enroll in Part B at age 65 or older.
- Outside that window, switching Medigap plans in Texas usually means answering medical-underwriting questions, and you can be turned down or charged more.
- You can check current rate filings and consumer rate guides on the TDI website (tdi.texas.gov) and compare offerings on medicare.gov's Medigap policy search.
Who sells Medigap in Texas
Garland is in Dallas County, and the carriers licensed to sell Medigap in Texas serve the whole state, so Garland residents generally have the full Texas roster to shop from. The table below lists every insurer and which lettered plans each one offers. Familiar names on the list include AARP - UnitedHealthcare Insurance Company, Aetna Health Insurance Company, BlueCross BlueShield of Texas, Humana (Emphesys Insurance Company), Mutual of Omaha (Mutual of Omaha Insurance Company), State Farm Mutual Automobile Insurance Company, Texas Farm Bureau Health Plans and USAA Life Insurance Company, among many others.
A carrier occasionally enters or exits the Texas Medigap market, or adds and drops specific lettered plans. Those changes are reflected in the TDI filings and on medicare.gov. If a carrier stops selling new policies, existing policyholders are usually allowed to keep the coverage they already have — but always confirm that in writing with the insurer.
How Medigap fits with the rest of Medicare in 2026–2027
Medigap works only with Original Medicare, not with Medicare Advantage. It does not include drug coverage, so most people pair it with a stand-alone Part D plan. A few Part D facts worth keeping in mind as you plan for 2026 and look ahead to 2027:
- Part D has an out-of-pocket cap of $2,100 for 2026, and the coverage gap ("donut hole") has been eliminated as of 2025.
- The maximum Part D deductible in 2026 is $615.
- The Medicare Prescription Payment Plan lets you spread your drug costs across the calendar year in monthly installments if you choose.
- IRMAA surcharges (extra amounts added to Part B and Part D premiums for higher earners) begin above $109,000 in income for a single filer in 2026.
- Annual Enrollment for Medicare Advantage and Part D runs October 15 – December 7, and Medicare Advantage Open Enrollment runs January 1 – March 31.
What to do before the year turns
- Look up the new Part B deductible for 2027 in the fall of 2026, so you know what Plan G or Plan N will ask you to pay out of pocket before it starts covering coinsurance.
- If you already have a Medigap plan, watch your mail for the annual rate notice from your insurer.
- If you are considering switching carriers, ask about medical underwriting first — outside your initial six-month enrollment window, approval is not guaranteed in Texas.
- If you are new to Medicare, use your six-month Medigap open enrollment window; it is the one time you can pick any plan sold in Texas without health questions.
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 Dallas County
(MA penetration in Dallas 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 Texas
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 Texas
Insurers offering Medigap policies in Texas, 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
- Aetna Health Insurance Company Plans A, B, F, F-HD, G, N
- AFLAC Plans A, F, G, N
- American Benefit Life Insurance Company Plans A, F, G, N
- Atlantic Capital Life Assurance Company Plans A, F, G, G-HD, K, N
- Bankers Life (Underwritten by Washington National Insurance Company) Plans A, F, G, G-HD, N
- BlueCross BlueShield of Texas Plans A, F, F-HD, G, G-HD, N
- GPM Health and Life Insurance Company Plans A, F, G, N
- Guarantee Trust Life Insurance Company Plans A, F, G, N
- HealthSpring Insurance Company Plans A, F, G, G-HD, N
- Humana (Emphesys Insurance Company) Plans A, F, G, G-HD, N
- Insurance Company of North America Plans A, F, G, G-HD, N
- LifeShield National Insurance Company Plans A, F, G, N
- Lumos Insurance Plans A, F, G, G-HD, N
- Medico Life and Health Insurance Company Plans A, F, F-HD, G, G-HD, N
- Mutual of Omaha (Mutual of Omaha Insurance Company) Plans A, F, G, G-HD, N
- Nassau Life Insurance Company Plans A, F, G, N
- New Era Life Insurance Company Plans A, F, G, N
- Old Surety Life Insurance Company Plans A, C, F, G
- Philadelphia American Life Insurance Company Plans A, C, D, F-HD, G-HD, M
- Physicians Select Insurance Company Plans A, F, G, G-HD
- State Farm Mutual Automobile Insurance Company Plans A, C, F, G, N
- Texas Farm Bureau Health Plans Plans A, D, 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
- Wisconsin Physicians Service Insurance Corporation Plans A, C, F, G, N
- Woodmen Of The World Life Insurance Society Plans A, F, G, G-HD, N
- WoodmenLife Plans A, F, G, G-HD, N
Source: Medicare.gov Medigap policy search. No insurer is ranked or recommended.
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Frequently asked questions
Can I switch from one Medigap plan to another in Garland any time I want?
Does my Medigap plan change automatically each January?
Do Medigap plans cover prescription drugs?
Where can I get unbiased help comparing Medigap plans in Garland?
- 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 Garland
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This page was last updated: September 2026.