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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:

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:

What to do before the year turns

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 Dallas County

55% are on Medicare Advantage
(MA penetration in Dallas 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.

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.

PlanWhat it coversOpen to new enrollees
Plan AThe 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 BPlan A plus the Part A hospital deductible.Yes
Plan CPlan 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 DPlan B plus skilled-nursing coinsurance and foreign-travel emergency care (not the Part B deductible).Yes
Plan FEvery 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 GEvery 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 KPays a share of most cost-sharing (50 percent for several benefits) with a yearly out-of-pocket limit set by federal rules.Yes
Plan LLike Plan K with a larger share (75 percent) and a lower yearly out-of-pocket limit.Yes
Plan MLike Plan D but covers half of the Part A hospital deductible.Yes
Plan NLike 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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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.

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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.

Good to know

Frequently asked questions

Can I switch from one Medigap plan to another in Garland any time I want?
In Texas, generally no. You have a six-month guaranteed-issue window when you first enroll in Part B at 65 or older. After that, switching usually requires medical underwriting, and the insurer can decline you or charge more based on your health. A few limited situations (called guaranteed-issue rights) let you switch without underwriting — the Texas SHIP counselors can help you check whether one applies to you.
Does my Medigap plan change automatically each January?
The federal plan design does not change from year to year for a lettered plan you already own. What can change is the dollar figure of the Part B deductible (which resets January 1) and your monthly premium, which your insurer files with the Texas Department of Insurance.
Do Medigap plans cover prescription drugs?
No. Medigap plans sold today do not include Part D drug coverage. Most people pair Medigap with a stand-alone Part D plan. In 2026, Part D has a $2,100 out-of-pocket cap and a maximum $615 deductible.
Where can I get unbiased help comparing Medigap plans in Garland?
Start with medicare.gov's Medigap policy search, call 1-800-MEDICARE, or contact the Texas SHIP (called HICAP in some materials) for free one-on-one counseling. The Texas Department of Insurance also publishes rate guides that show sample premiums by company. ## Where to go next For personalized help, call 1-800-MEDICARE (available 24/7), visit medicare.gov to compare Medigap policies and Part D plans, and reach out to your local Texas SHIP for free counseling. For current rate filings and consumer guides specific to Texas, see tdi.texas.gov.
Sources & further reading
  • 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

Content Integrity Standards

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This page was last updated: September 2026.

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