Medicare Supplement
Before You Shop Medigap in Plano: 2027 Rules to Know
PLANO, Texas — As 2027 comes into view, Medigap shoppers in Plano are asking a fair question: what actually changes from one year to the next? The short answer is that the menu of standardized plan letters stays remarkably steady, but a few moving parts — who can buy which plan, the yearly reset of the Part B deductible that Plans G and N are built around, and insurer rate filings with the state — quietly reshape the picture every year.
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Click to call 855-729-3240Key takeaways
- People newly eligible for Medicare can still buy Plans A, B, D, G, high-deductible G, K, L, M and N; Plans C and F remain closed to anyone who became eligible on or after January 1, 2020.
- Plans G and N are built around the Part B deductible, which resets every January 1 — the new 2027 amount is set by CMS and is what you'll pay before those plans kick in.
- Medigap premiums are not standardized; insurers file rate changes with the Texas Department of Insurance, and you can compare current rates on Medicare.gov or through the state's Medigap rate guide.
- Unlike Medicare Advantage, Medigap has no Annual Enrollment Period — you can apply any time, but outside your one-time Medigap Open Enrollment Period, insurers in Texas can use medical underwriting.
Here is a plain-English look at what Collin County residents should keep an eye on as the new plan year approaches.
The plan letters available in 2027
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 price and the customer service.
For anyone newly eligible for Medicare today, these letters are on the menu: A, B, D, G, high-deductible G, K, L, M and N. Plans C and F are only available to people who were eligible for Medicare before January 1, 2020 — that rule doesn't change for 2027.
If you're weighing options, Plan G and Plan N tend to get the most attention among newly eligible shoppers, while the high-deductible G and the cost-sharing plans (K and L) appeal to people who want a lower monthly premium in exchange for more cost-sharing.
The Part B deductible reset — why it matters for G and N
Plans G and N are designed to pick up most of what Original Medicare doesn't cover, after you've met the Part B deductible for the year. That deductible resets every January 1.
CMS announces the new figure each fall for the following year, and it applies to everyone with Part B — not just Medigap enrollees. If you're on Plan G or N, that annual amount is essentially your out-of-pocket "floor" for Part B services before the supplement takes over. Check the current-year number on Medicare.gov before you budget.
Rate-adjustment season in Texas
Here's the part that trips people up: Medigap benefits are standardized, but premiums are not. Every insurer selling Medigap in Texas files its rates with the Texas Department of Insurance, and those rates can change from year to year.
Fall and early winter is when many carriers roll out new rates for the coming plan year. If you already have a Medigap policy, your insurer should send you a notice before your premium changes. A few practical steps:
- Compare current Plano-area rates on the Medicare.gov Medigap policy search by ZIP code.
- Review the Texas Department of Insurance Medigap rate guide, which shows filed rates by company and plan letter.
- Call the Texas SHIP (Health Information, Counseling and Advocacy Program) for free, unbiased help.
Because the benefits are identical letter-for-letter, a Plan G is a Plan G — the meaningful differences between insurers on the same letter are price, rate history, and service.
Insurers entering or leaving the Texas market
Carrier lineups shift from year to year. Some insurers expand into Texas, others pull back or stop selling certain plan letters to new applicants. There isn't a single public list of every Medigap insurer in Plano that we can point to here, so the most reliable way to see who is currently selling in your ZIP is the Medicare.gov policy search. The state insurance department's rate guide is a good cross-check.
If your current insurer stops offering new policies, that doesn't automatically cancel your coverage — but it can affect future rate changes. Read any notice from your carrier carefully.
Switching plans: the underwriting reality in Texas
This is the piece many Plano residents underestimate. When you first enroll in Part B at 65 or older, you get a 6-month Medigap Open Enrollment Period where insurers must sell you any plan they offer at their best available rate, regardless of health.
Outside that window, Texas allows insurers to use medical underwriting for most Medigap applications, which means they can review your health and decide whether to accept you and at what price. There are limited guaranteed-issue situations (for example, when certain coverage ends involuntarily), but they are narrower than many people expect. If you're thinking about switching plans or insurers for 2027, talk with the Texas SHIP first.
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 Collin County
(MA penetration in Collin 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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Good to know
Frequently asked questions
Is there an Annual Enrollment Period for Medigap like there is for Medicare Advantage?
How do I find out which insurers sell Medigap in Plano for 2027?
Will my Medigap premium go up in 2027?
Can I still buy Plan F if I'm turning 65 in 2027?
- 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 Plano
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This page was last updated: September 2026.