Medicare Supplement (Medigap) Cost Calculator 2026 – Plan Comparison

Compare Medicare Supplement plan costs, coverage, and benefits. Calculate Medigap premiums by age and zip code for 2026.

Medicare Supplement (Medigap) Cost Calculator 2026

Introduction

Original Medicare covers 80% of Part B costs—leaving you responsible for the 20% coinsurance with NO out-of-pocket maximum. A $100,000 hospital stay = $20,000 out-of-pocket. Medicare Supplement (Medigap) plans fill these gaps, making costs predictable.

The Medigap Cost Calculator helps you compare plan premiums, coverage levels, and total out-of-pocket estimates for 2026.

Medigap Plan Comparison

Most Popular Plans (2026)

BenefitPlan GPlan NPlan F*
Part A hospital coinsurance
Part B coinsurance✅ (after deductible)⚠️ Up to $20 copay
Part B deductible❌ ($257)
Part B excess charges
Foreign travel emergency
Typical Premium (age 65)$125-$185$95-$145$200-$300

*Plan F closed to new Medicare beneficiaries after 1/1/2020

Plan G (Most Popular)

Coverage: Everything except Part B deductible ($257/year)

Best For: Most people—comprehensive coverage, competitive premiums

Annual Cost Example (age 65):

  • Premium: $1,800/year
  • Part B deductible: $257
  • Total: ~$2,057 + prescription costs

Plan N (Budget Option)

Coverage: Same as G but with copays ($20 office, $50 ER)

Best For: Healthy individuals, infrequent medical use

Savings vs. Plan G: $300-$480/year in premiums Trade-Off: $20 copays add up if you see doctors frequently

High-Deductible Plan G

Coverage: Same as regular Plan G AFTER meeting $2,800 deductible (2026)

Premium: $40-$70/month (vs. $125-185 for standard Plan G)

Best For: Very healthy, willing to self-insure first $2,800

Premium Factors

Age

Premiums increase with age:

AgePlan G (typical)
65$125-$165
70$145-$195
75$165-$225
80$190-$275
85$225-$350

Location

Same plan, different zip codes:

  • Rural areas: Lower premiums
  • Urban areas: 20-40% higher
  • State regulations affect pricing

Rating Method

Community-Rated: Same premium regardless of age (BEST for long-term) Issue-Age Rated: Based on age when you buy (locked in) Attained-Age Rated: Increases every year (WORST long-term)

Health (Underwriting)

During Open Enrollment (6 months after Part B): Guaranteed issue, no health questions

After Open Enrollment: Medical underwriting may apply—pre-existing conditions can increase rates or cause denial

Tip: Enroll during guaranteed issue period to avoid underwriting.

Total Cost Analysis

Scenario 1: Healthy Senior

Plan N:

  • Premium: $1,440/year
  • Part B deductible: $257
  • Office copays (12 visits × $20): $240
  • Total: $1,937

Scenario 2: Frequent Doctor Visits

Plan G:

  • Premium: $1,800
  • Part B deductible: $257
  • No copays
  • Total: $2,057

Savings vs. Plan N: $120 (if \u003e20 doctor visits/year)

Scenario 3: Healthiest Option

High-Deductible Plan G:

  • Premium: $600/year
  • Part B deductible: $257
  • Plan deductible: $2,800
  • Total (if healthy): $857
  • Total (if sick, meet deductible): $3,657

Risk: Must have $2,800+ liquid for worst-case

FAQ

Q: Do all Medigap plans cover the same things? A: Plans are standardized by letter. Plan G from Company A = Plan G from Company B in coverage, but premiums differ.

Q: Can I switch Medigap plans? A: Yes, but you may face underwriting (health questions) unless you qualify for guaranteed issue.

Q: Does Medigap cover prescriptions? A: No. You need separate Medicare Part D.

Q: What if I have Medicare Advantage? A: You cannot have both Medigap and Medicare Advantage. Must choose one.

Q: Are premiums tax-deductible? A: Yes, as medical expense if you itemize and exceed 7.5% AGI threshold.

Related Calculators

Conclusion

Medigap provides peace of mind—predictable costs instead of unlimited exposure. For most people, Plan G offers the best balance of coverage and cost.

Use the Medigap Cost Calculator to compare plans in your area and choose the right coverage for your health and budget.


Key Takeaways

  • Maximize HSA contributions for tax-free medical expense coverage
  • Compare health insurance plans based on total cost, not just premiums
  • Build a dedicated health savings buffer for unexpected medical expenses

How to Use This Calculator

  1. Enter your financial details in the fields above
  2. Adjust parameters to match your specific situation
  3. Review the calculated results and projections
  4. Compare different scenarios to find the optimal strategy

Tips for Better Results

  • Use realistic estimates based on current market conditions
  • Update your calculations regularly as your situation changes
  • Consider consulting a financial advisor for complex decisions
  • Remember that calculator results are estimates, not guarantees
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