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Medigap: Bridging the Gaps in Medicare Coverage

Medigap, or Medicare Supplement Insurance, is a vital lifeline in the world of healthcare coverage. It is the safety net that ensures your medical expenses won’t leave you financially drowning. This form of insurance policy is designed to fill in the blanks that Original Medicare leaves behind. If you’re not familiar with the concept, don’t worry; we’re here to break it down for you.

Medigap Explained

Medigap policies are like that extra layer of security you didn’t know you needed. These policies are offered by private insurance companies, and their primary function is to help you with expenses that Original Medicare doesn’t cover. Medical bills can accumulate quickly, and without the right coverage, they can take a toll on your savings. Medigap steps in to ease this burden.

The Ten Faces of Medigap

One of the most striking features of Medigap is its standardization. There are ten different Medigap plans, neatly labeled from A through N. Each of these plans offers a different level of coverage, but here’s the kicker: the benefits provided by each plan are standardized across all insurance companies. In other words, a Plan F from one company is going to offer you the same benefits as a Plan F from another. This standardization ensures that you know exactly what you’re getting, regardless of the provider.

Original Medicare: A Prerequisite

Before you can dive into the world of Medigap, you need to make sure you’re wearing the right swimming gear. That means you must already have Original Medicare. You cannot enroll in a Medigap policy if you’re currently under a Medicare Advantage plan. The latter already provides additional benefits beyond the Original Medicare. You’ll also need to be enrolled in both Medicare Part A and Part B to be eligible for Medigap. It’s essentially a layered approach to ensure you get the most comprehensive coverage.

Prescription Drugs and Medigap

Now, let’s address a common misconception. Medigap policies are like the helping hand you need when it comes to your healthcare expenses, but there’s one thing they can’t do. They won’t cover your prescription drugs. If you’re in need of prescription drug coverage, you’ll have to take an additional step and enroll in a separate Medicare Part D plan. It’s like adding a side dish to your main course.

Cost Considerations

Medigap policies can be a game-changer, but they come at a cost. It’s essential to weigh the pros and cons carefully. While these policies offer more comprehensive coverage than Medicare Advantage plans, they can also be pricier. The balance between the cost of the policy and the benefits it offers is a decision that only you can make. It’s about finding the sweet spot that suits your individual needs.

The Flexibility of Medigap

Here’s the beauty of Medigap – you have the freedom to switch things up. If you find that your current Medigap policy isn’t quite hitting the mark, you can switch to a different plan during certain times of the year. However, it’s not all smooth sailing. You might be subjected to medical underwriting, which means that the insurance company can charge you more or even deny you coverage based on your health status. It’s like changing your course mid-journey – it might come with some turbulence.


Medigap, with its standardized plans and its role in filling the gaps left by Original Medicare, can be a valuable asset for those seeking comprehensive healthcare coverage. It offers a layer of protection that can be a financial lifesaver. Nevertheless, it’s essential to carefully evaluate the cost of the policy and determine whether it aligns with your specific needs. After all, your health and financial well-being should always go hand in hand.

If you’re in New Mexico and are considering enrolling in a Medigap plan, we encourage you to reach out to the NM Medicare Enrollment Center. Our expert team can help you navigate the complexities of Medigap, guiding you to find a plan that perfectly suits your unique needs and circumstances. Don’t hesitate; your peace of mind and financial security are just a call away.

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