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HomeMedicare SupplementTexasHoustonHarris County Medigap: rules, resets, and rate filings

Medicare Supplement

Harris County Medigap: rules, resets, and rate filings

HOUSTON — If you have a Medigap policy in Harris County, or you are thinking about buying one, a few things are worth checking before the new plan year settles in. The plan letters you can buy, the deductible that two of the most popular plans are built around, and the premiums insurers charge all move on their own schedules — and 2026 is no exception.

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Senior using laptop at table in Houston — illustrating this Medicare guideMedicare SupplementHouston, TX
Photo: Linh Pham Photo by Linh Pham on Unsplash

Key takeaways

  • People newly eligible for Medicare can buy Plans A, B, D, G, G-HD, K, L, M, or N; Plans C and F are limited to those eligible before January 1, 2020.
  • Plans G and N are built around the Part B deductible, which resets every January — check the current amount on Medicare.gov before comparing plans.
  • Medigap premiums in Texas are filed with the Texas Department of Insurance; the state's rate guide is the best place to see what carriers are charging by age and ZIP.
  • To find every insurer selling Medigap in your ZIP code, use the Medicare.gov Medigap policy search or call your local SHIP for free help.

Here is a plain-English look at what is shifting for Medigap in Houston next year, and where to go for the numbers that apply to your ZIP code.

Which plan letters you can still buy in Texas

Medigap policies are standardized across most states, meaning a Plan G from one insurer covers the same core benefits as a Plan G from another. What differs is the price and the customer service.

If you are newly eligible for Medicare today, these are the standardized plans available to you in Texas: A, B, D, G, G-HD (a high-deductible version of G), K, L, M, and N.

Plans C and F are still sold, but only to people who became eligible for Medicare before January 1, 2020. That federal rule has not changed for 2026. If you already have a Plan C or F, you can keep it.

The Part B deductible resets January 1 — and it matters for G and N

Two of the plans people ask about most, Plan G and Plan N, are designed around the Part B deductible. With Plan G, you pay the Part B deductible out of pocket each year, and the plan picks up covered costs after that. Plan N works similarly, with small copays for some office and emergency visits.

The Part B deductible is set by the federal government and resets every January. The exact 2026 figure is published on Medicare.gov, and it is worth looking up before you compare plans, because it is the dollar amount you would be responsible for before Plan G kicks in.

High-deductible Plan G (G-HD) works the same way but with a much larger deductible that also resets annually. The current amount is on Medicare.gov.

Rate-adjustment season: how Texas premiums change

Medigap premiums are not set by Medicare. In Texas, insurers file their rates with the Texas Department of Insurance, and adjustments typically take effect on a schedule the carrier chooses — often on your policy anniversary rather than January 1.

Because of that, two neighbors in Houston with the same plan letter from different carriers can see rate changes at different times of year. A few things to know:

If your premium is going up more than you expected, you can shop other carriers — but keep in mind that outside your one-time Medigap open enrollment window (the six months after you first enroll in Part B at 65 or older), insurers in Texas can use medical underwriting to decide whether to accept you and at what price.

Insurers entering or leaving Texas

Medigap carriers can add or drop plan letters, and new insurers do enter the Texas market from time to time. The most reliable way to see who is currently selling in your ZIP code is the Medicare.gov Medigap policy search. It pulls a live list of carriers licensed to sell each standardized plan letter in your area, along with contact information.

If a carrier stops selling new policies in Texas, existing policyholders generally keep their coverage — the change usually affects new applicants, not current ones. Read any notice from your insurer carefully, and call the company or your SHIP if the language is unclear.

What to do before the new plan year

A short checklist for Houston readers:

1. Look up the 2026 Part B deductible on Medicare.gov so you know the number Plan G or N is built around. 2. Watch your mailbox for a renewal notice from your Medigap carrier showing your 2026 premium. 3. If you want to compare, use the Medicare.gov Medigap policy search by ZIP and the Texas Department of Insurance rate guide. 4. Call the Texas SHIP (the state's free counseling program, known here as HICAP) for one-on-one help.

Note that Medigap is separate from Medicare Advantage. The Annual Enrollment Period from October 15 to December 7, and the Medicare Advantage Open Enrollment from January 1 to March 31, apply to Advantage and Part D plans — not Medigap. Medigap has its own enrollment rules.

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 Harris County

62% are on Medicare Advantage
(MA penetration in Harris County)
62%
38%
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. In the Houston area (ZIP 77002) the Medicare.gov search listed 28 of them. 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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Explore

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.

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.

Good to know

Frequently asked questions

Can I switch Medigap plans in Houston any time of year?
Yes, you can apply any time — but outside your initial six-month Medigap open enrollment window, Texas insurers can use medical underwriting. That means they can review your health and decide whether to accept you and at what rate. A few limited guaranteed-issue situations exist; the Texas SHIP can walk you through whether you qualify.
Does the Part B deductible really reset every January?
Yes. The Part B deductible is an annual amount set by the federal government, and it starts over on January 1. If you have Plan G or Plan N, that is the amount you would generally pay out of pocket before the plan begins covering Part B costs. The current figure is on Medicare.gov.
Where can I see every Medigap insurer selling in my ZIP code?
Use the Medigap policy search on Medicare.gov and enter your Houston ZIP. It will show the carriers licensed to sell each standardized plan letter in your area. The Texas Department of Insurance also publishes a rate guide with sample premiums.
Is Medigap changing because of the new Part D drug cost cap?
No. The $2,100 Part D out-of-pocket cap for 2026 applies to prescription drug plans, not Medigap. Medigap covers gaps in Original Medicare (Parts A and B). If you have a Medigap policy, you generally pair it with a separate Part D plan for drugs. ## Where to get official help Medicare.gov — plan finder, Medigap policy search, and the 2026 Part B deductible. 1-800-MEDICARE (1-800-633-4227), 24 hours a day, seven days a week. Texas Department of Insurance — Medigap rate guide and consumer help line. Texas SHIP (Health Information, Counseling and Advocacy Program) — free, unbiased one-on-one counseling for Houston-area beneficiaries.
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 Houston

Content Integrity Standards

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This page was last updated: September 2026.

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