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Medicare Supplement

What Medigap Plan Letters Really Mean in Kirkland

Kirkland, Washington — If you've started shopping for a Medicare Supplement policy, you've probably run into a strange alphabet: Plan A, Plan G, Plan N, Plan K, and a few more. Those letters aren't marketing labels. They're a federal system designed to make comparing Medigap policies easier — once you know how to read them.

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Key takeaways

  • Medigap plan letters like A, B, D, G, K, L, M, and N are standardized, so the same letter must cover the same core benefits no matter which insurance company sells it.
  • Plans C and F are still sold, but only to people who became eligible for Medicare before January 1, 2020.
  • The best time to buy a Medigap policy is during the six-month Medigap Open Enrollment Period, which starts the month you turn 65 or older and enroll in Part B, since insurers can't deny you or charge more for health reasons during that time.
  • In Washington, most Medigap policyholders can switch to another plan with equal or lesser benefits at any time without medical underwriting, as long as they've been enrolled for at least 90 days, which is more flexible than the federal rule.

Here's a plain-language look at what Medigap does, why the letters matter, and how the local picture fits in.

What Medigap Actually Does

Medigap — also called Medicare Supplement Insurance — is a private policy that works alongside Original Medicare (Part A and Part B). After Medicare pays its share of a covered service, your Medigap plan can help pick up some of what's left, such as coinsurance, copayments, and deductibles.

A few basics worth remembering:

Why the Letters Exist

In most states, Medigap policies are standardized by the federal government. That means Plan G sold by one insurance company must cover the same core benefits as Plan G sold by another. The letter tells you what is covered. The insurance company sets the price and the customer service.

So two Plan G policies in Kirkland can look identical on paper but cost very different amounts each month. That's why comparing letters — and then comparing prices within the same letter — is the key skill.

According to Medicare.gov, the currently sold plan letters are A, B, D, G, K, L, M, and N. Plans C and F are still available, but only to people who became eligible for Medicare before January 1, 2020.

How to Read the Letter Chart

Every standardized plan covers a shared list of benefits at different levels. In general:

Medicare's official "Choosing a Medigap Policy" guide has a side-by-side chart that shows exactly which benefits each letter includes.

The Kirkland and King County Snapshot

Kirkland sits in King County, and Washington is one of a handful of states with special Medigap rules. In Washington, most people with a Medigap policy can switch to another Medigap plan (of equal or lesser benefits) at any time without medical underwriting, as long as they've been enrolled for at least 90 days. That's more flexible than the federal baseline, which typically limits guaranteed-issue rights to the six months after you first enroll in Part B at age 65.

That flexibility is worth knowing about — but the rules are specific, and it's smart to confirm your situation before switching. The Washington State Office of the Insurance Commissioner and the state's SHIBA program (Washington's SHIP) can walk you through it for free.

When You Can Buy — and Why Timing Matters

Your best window to buy a Medigap plan is your Medigap Open Enrollment Period: the six months that start the month you're 65 or older and enrolled in Part B. During that window, insurers can't turn you down or charge you more because of your health.

Outside that window, in most states, insurers can use medical underwriting. Washington's rules soften that somewhat, but the initial six-month window is still the cleanest time to shop.

Medigap is separate from the Medicare Annual Enrollment Period (Oct. 15 – Dec. 7), which applies to Medicare Advantage and Part D — not Medigap.

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 King County

54% are on Medicare Advantage
(MA penetration in King County)
54%
46%
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 have Medigap and Medicare Advantage at the same time?
No. Medigap only works with Original Medicare. If you're enrolled in a Medicare Advantage plan, it's illegal for someone to sell you a Medigap policy.
Does Medigap cover prescription drugs?
No. New Medigap plans have not included drug coverage since 2006. If you want drug coverage with Original Medicare, you'd add a stand-alone Part D plan. For 2026, Part D has a $2,100 annual out-of-pocket cap and a maximum deductible of $615.
If Plan G is the same everywhere, why do prices vary so much?
Because the *benefits* are standardized, but the *premiums* are not. Insurers set their own rates and can use different pricing methods (community-rated, issue-age, or attained-age). That's why it pays to compare several companies offering the same letter.
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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