Medicare Supplement
Before January's Part B Deductible Resets in Vancouver
VANCOUVER, Wash. — As 2026 approaches, Medicare shoppers in Clark County are asking the same practical questions about Medigap: which lettered plans they can still buy, what happens when the Part B deductible resets in January, whether their premium is about to change, and which insurers are still selling in Washington. Here is a plain-language look at what is shifting for the coming year, and where to check the numbers that apply to you.
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Click to call 855-729-3240Key takeaways
- People newly eligible for Medicare can buy Plans A, B, D, G, G-HD, K, L, M, and 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 each January 1 — Medicare publishes the new amount before the year begins.
- Medigap premium changes in Washington are filed with the state Office of the Insurance Commissioner; you can look up filings there instead of guessing.
- The table below lists every Medigap insurer selling in Washington and the plan letters each one offers.
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 Clark County
(MA penetration in Clark 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.
What "changing for 2026" really means with Medigap
Medigap is different from Medicare Advantage or Part D. There is no yearly Annual Enrollment Period where you must re-shop it, and plans do not "leave a county" the way Advantage plans sometimes do. The moving parts each year are narrower:
- Which lettered plans you are allowed to buy, based on when you first became eligible for Medicare.
- The federal Part B deductible amount, which resets January 1 and affects how Plans G and N work.
- Rate adjustments that insurers file with the Washington Office of the Insurance Commissioner.
- Which insurers are actively selling Medigap in the state.
Vancouver is in Clark County, but Medigap plans in Washington are standardized and regulated at the state level, so the insurer list and plan letters here are the same across the state.
Plan-letter eligibility: who can buy what
If you are becoming eligible for Medicare now, the standardized letters open to you are A, B, D, G, G-HD (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 is not new for 2026, but it still trips up people who see a parent or neighbor on Plan F and assume it is an option for them — it usually is not.
Washington also has its own consumer protection: under state rules, Medigap enrollees generally have an annual window to switch to a plan of equal or lesser benefits with the same or a different insurer, without new medical underwriting. Your local SHIBA counselor (Washington's SHIP) can walk you through how that works in your situation.
The Part B deductible reset and why Plans G and N notice it
Plans G and N both leave the Part B deductible for you to pay before the Medigap coverage kicks in for Part B services. That deductible is a federal figure that resets every January 1. Medicare publishes the new amount for 2026 on medicare.gov before the year starts.
For a Plan G or Plan N enrollee, that reset is the one number that changes automatically in your out-of-pocket picture each January — even if your premium and your doctors stay exactly the same. High-deductible Plan G works differently: you pay costs up to the plan's separate high-deductible amount, which is also set federally and updated yearly.
Rate-adjustment season: how to check before you renew
Medigap premiums are not fixed forever. Insurers file proposed rate changes with the Washington Office of the Insurance Commissioner (OIC), which reviews them. If you want to know whether your plan's premium is scheduled to change, you have two straightforward options:
- Look up the filing on the Washington OIC website (insurance.wa.gov) under health rate filings.
- Call your insurer and ask for the renewal rate for your specific plan, ZIP code, age, and tobacco status.
Rates can differ by age, by whether the policy is "issue-age" or "attained-age" rated, and by insurer, so a rate change at one company does not tell you what will happen at another.
Insurers selling Medigap in Washington
The insurer list for Washington is stable heading into 2026. The companies currently selling standardized Medigap policies in the state — and the plan letters each offers — are shown in the table below. In alphabetical order, they are: AARP - UnitedHealthcare Insurance Company; Bankers Life (Underwritten by Washington National Insurance Company); GPM Health and Life Insurance Company; Humana (HumanaDental Insurance Company); Insurance Company of North America; Medco Containment Life Insurance Company; Medico Insurance Company; Mutual of Omaha (United World Life Insurance Company); Premera Blue Cross; Premera Blue Cross (WA State Health Care Authority); Regence BlueShield; State Farm Mutual Automobile Insurance Company; United American Insurance Company; and USAA Life Insurance Company.
Not every company sells every letter. A shopper who wants Plan G-HD, for example, has fewer choices than a shopper looking at Plan G or Plan N. The table shows exactly which letters each insurer offers.
What to do this fall in Vancouver
If you already have a Medigap plan, you do not have to do anything during the October 15 – December 7 Annual Enrollment Period — that window is for Part D and Medicare Advantage. But it is a sensible time to:
- Confirm your Part D plan for 2026 (the $2,100 out-of-pocket cap and $615 maximum deductible apply next year, and the Medicare Prescription Payment Plan is available if you want to spread drug costs monthly).
- Check your renewal premium letter from your Medigap insurer.
- Note the 2026 Part B deductible when Medicare publishes it, if you have Plan G or N.
- If your income is above $109,000 (single filer, 2026), review whether IRMAA surcharges apply.
Medicare Supplement (Medigap)
The Medigap plans you can buy in Washington
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 Washington
Insurers offering Medigap policies in Washington, 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
- Bankers Life (Underwritten by Washington National Insurance Company) Plans A, F, G, G-HD, N
- GPM Health and Life Insurance Company Plans A, F, G, N
- Humana (HumanaDental Insurance Company) Plans A, F, F-HD, G, G-HD, N
- Insurance Company of North America Plans A, F, G, G-HD, N
- Medco Containment Life Insurance Company Plans A, F, F-HD, G, N
- Medico Insurance Company Plans A, F, F-HD, G, G-HD, N
- Mutual of Omaha (United World Life Insurance Company) Plans A, F, G, G-HD, N
- Premera Blue Cross Plans A, C, G, G-HD, N
- Premera Blue Cross (WA State Health Care Authority) Plans G
- Regence BlueShield Plans A, C, F, G, K, N
- State Farm Mutual Automobile Insurance Company Plans A, C, D, F, G, N
- United American Insurance Company Plans A, B, C, D, F, F-HD, G, G-HD, N
- USAA Life Insurance Company Plans A, F, G, N
Source: Medicare.gov Medigap policy search. No insurer is ranked or recommended.
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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 Vancouver without answering health questions?
Do Medigap plans change every year like Medicare Advantage plans?
Where can I see the 2026 Part B deductible?
How do I know if my Medigap premium is going up in 2026?
- 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 Vancouver
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This page was last updated: September 2026.