09/23/2026
Another great informational of one way to protect your wealth in retirement!
$1,736 for a hospital stay. $283 before Part B pays anything. Then 20% of most doctor bills, with no annual cap.
That is what Original Medicare can leave you responsible for in 2026, and it is the reason Medigap exists.
You turn 65, you sign up for Medicare, and you assume your medical bills are covered now.
Not entirely.
Medigap is private insurance that works alongside Original Medicare to help pay some of the deductibles, coinsurance and copays Medicare leaves to you.
That one sentence is the whole concept. Everything else is how it works.
Medicare pays its share of a covered bill first. Then your Medigap policy pays according to its benefits. Medigap does not replace Medicare; it sits next to it.
The confusion most people run into is Medigap versus Medicare Advantage. Medigap supplements Original Medicare. Medicare Advantage replaces Original Medicare as the way you receive your Part A and Part B benefits, usually through a private plan with its own network and rules. You choose one path or the other. You cannot have both.
Then there are the letters. In most states, Medigap plans are standardized: A, B, C, D, F, G, K, L, M and N. A Plan G from one insurer has the same standardized benefits as a Plan G from another. What changes is the premium, so comparing prices for the same letter is the smart move. Massachusetts, Minnesota and Wisconsin standardize differently.
The two letters you will hear about most are G and N. Plan G covers most of the major gaps but not the $283 Part B deductible. Plan N costs less and asks for more cost sharing, including copays of up to $20 for some office visits and up to $50 for some ER visits, and it does not cover Part B excess charges. Neither is right for everyone.
What Medigap does not cover: prescription drugs, routine dental, routine vision, hearing aids, long-term care. Part D is usually a separate purchase.
And the rule that matters most: your one-time Medigap Open Enrollment Period lasts six months, starting the first month you are 65 or older and enrolled in Part B. During that window, an insurer cannot turn you down or charge you more because of your health. It is not the Medicare Open Enrollment that happens every fall, and it generally does not come back. After it closes, an insurer may be allowed to ask health questions, charge more, or decline you, unless you qualify for a guaranteed-issue right or your state provides extra protections.
You do not need to memorize every Medicare rule before 65. You need to understand this one choice: Original Medicare alone, Original Medicare plus Medigap and usually Part D, or Medicare Advantage.
If you are already past 65, which path did you take, and would you choose it again?
P.S. Once a week I email the best money article I read anywhere, with my take on it, plus the week's post worth catching. It's free, and it's on the Ways to Wealth homepage.
The content shared here is for educational and informational purposes only. It is not personalized investment, tax, legal, or financial advice. Consult a licensed professional before making decisions based on your specific situation.