Contact the plans you’re interested in for specific premiums. Medicare’s Medigap plan finder has links to websites for every plan. Follow the “View Policies” link and you’ll see a “Visit company website” link along with each company’s address and phone number.
Premiums for plans with the same letter designation can vary widely based on the insurer you choose. The 65-year-old man in Baltimore who doesn’t smoke and wants to look at Plan G offerings that don't have high deductibles can expect to pay $94 to $397 a month depending on the company, according to the plan finder.
Some companies give discounts for multiple policies and/or household discounts. Certain companies that use a formula called attained-age pricing to set rates initially offer a low premium to younger buyers but have regular premium increases based on age and inflation. With issue-age pricing, premiums are based on your age when you buy the policy and can increase because of inflation. A company that uses community-rated pricing charges the same premium to all people in a state who have a policy with the same letter designation, regardless of their ages.
As benefits vary across letter designations, so do monthly premiums. Plan K had the lowest monthly premiums for a 65-year-old woman in 2022, averaging $98 per month according to Weiss Ratings. This cost-sharing plan requires you to pay 50 percent of the Part A deductible and other expenses until you reach a $6,620 out-of-pocket spending limit (in 2023, it rose to $6,940). The highest average premiums were $220 per month for Plan C, which covers all Medicare's out-of-pocket costs except for Part B excess charges. That's a range of $1,176 to $2,641 per year. Plans C and F aren't available to people newly eligible for Medicare after 2019.
Average Medigap premiums for men are often higher because males typically have a shorter life span than females and tend to be less healthy. So, in general, they use more medical services faster. Average annual premiums for a 65-year-old man ranged from $1,168 for Plan K to $2,913 for Plan C — just $8 a year more than women for Plan K, which is $272 a year more for Plan C.
Keep in mind: If more than six months has passed since you enrolled in Part B, your premium may be based on your health status. And you could wait up to six months to be covered for existing medical conditions.
If you buy a Medigap policy within six months of enrolling in Part B or within 63 days of losing job-based health insurance that’s considered secondary to Medicare (generally coverage from an employer with fewer than 20 employees), then you can't be charged more or be denied coverage because of any health problems. But, in most states, your premium can depend on your age, gender or smoking status.
Some state insurance departments list premiums for Medigap plans. To find your state’s insurance department, visit the National Association of Insurance Commissioners website.
To buy a Medigap plan, contact the insurance company. You may be able to enroll online, by phone or by mail. You can also use an insurance agent.
You’ll pay your Medigap premium to the insurer, not to the federal government. Ask the company if it offers any automatic payment options and discounts for enrolling in an automatic payment plan or for insuring both you and your spouse with the company.
For help exploring your Medigap options, contact your State Health Insurance Assistance Program (SHIP). Its counselors often have information about prices and rules for specific plans available in your area.
Updated February 17, 2023