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Medicare Supplement

How Medigap's Letter Plans Work: A Draper Guide

If you live in Draper and have Original Medicare, you've probably heard about Medicare Supplement Insurance — also called Medigap. And if you've ever tried to shop for one, you've likely run into a puzzling alphabet: Plan A, Plan B, Plan D, Plan G, Plan K, Plan N, and a few others.

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Making Sense of Medigap in Draper

The good news? Once you understand how the lettered plans work, the whole system gets a lot easier to navigate. Here's a plain-language guide to what Medigap does, why the letters exist, and how to think through your options.

What Medigap Actually Does

Medigap is private insurance you can buy to help pay some of the out-of-pocket costs that Original Medicare (Part A and Part B) leaves behind. Think of things like coinsurance, copayments, and the Part A hospital deductible.

A few key points to keep in mind:

For the official rundown, Medicare.gov is the best starting point.

Why the Letters Exist

Here's the part that trips people up: Medigap plans are standardized by the federal government. That means a Plan G sold by one insurance company covers exactly the same Medicare-approved costs as a Plan G sold by another company.

The letters (A, B, C, D, F, G, K, L, M, and N) each represent a different, fixed set of benefits. Companies can charge different premiums and offer different customer service, but the core benefits within a letter are identical.

A couple of exceptions to know:

How to Think About Choosing a Letter

Since the benefits inside each letter are set by law, choosing really comes down to two questions:

1. How much cost-sharing are you comfortable handling yourself? Plans like G cover more upfront. Plans like K, L, and N ask you to share more of certain costs in exchange for typically lower premiums. 2. What does the premium look like from different carriers? Because a Plan G is a Plan G, comparing premiums across companies is a fair apples-to-apples exercise.

Draper is in Salt Lake County, where multiple insurance carriers offer Medigap policies. You can compare available Medigap policies in your ZIP code using the plan finder at Medicare.gov.

The Enrollment Window That Matters Most

The single most important date in Medigap is the start of your Medigap Open Enrollment Period. This is a six-month window that begins the month you're 65 or older and enrolled in Part B.

During this window:

After this window closes, insurance companies in most cases can use medical underwriting — meaning your health history can affect whether you're accepted or what you're charged. There are some limited special situations that trigger guaranteed issue rights later, but the six-month window is by far the most protective.

How Medigap Fits With the Rest of Medicare

It helps to see the whole picture:

Also worth knowing for 2026: 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.

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 Salt Lake County

58% are on Medicare Advantage
(MA penetration in Salt Lake County)
58%
42%
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.

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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

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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 from one Medigap plan to another later?
You can apply to switch anytime, but outside your initial open enrollment window (or a special guaranteed issue situation), insurers can generally use medical underwriting. That doesn't mean you can't switch — just that acceptance isn't guaranteed.
Do I need both Medigap and a Part D plan?
Medigap doesn't include drug coverage, so if you want help paying for prescriptions, you'd typically add a stand-alone Part D plan. Going without creditable drug coverage can also trigger a late-enrollment penalty later.
Can I have Medigap and Medicare Advantage at the same time?
No. Medigap only works alongside Original Medicare. If you switch to Medicare Advantage, your Medigap policy won't pay for Advantage cost-sharing.
Sources & further reading
  • CMS — Medicare basics (medicare.gov)

For personalized answers, contact Medicare.gov, 1-800-MEDICARE, or your local SHIP.

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