The Rules for Making a Medigap Switch
You want to find the best Medicare Medigap plan for your budget. Sometimes that means changing things up.


Donna LeValley
If you're on traditional Medicare, you already know the importance of having a Medigap plan. Medigap is private supplemental insurance that helps fill gaping holes in traditional Medicare's government-administered coverage, like the $1,632 Part A deductible for hospital care or Part B coinsurance for doctor services, typically 20% in addition to this year's $240 Part B deductible.
There are 10 types of Medigap plans, each labeled by a letter from A to N, and every plan with the same letter has identical benefits, even if the insurer is different. But the monthly premiums can be worlds apart. Depending on the insurer, a 65-year-old male in Florida could pay anywhere from $237 to $409 a month for Medigap Plan G, even though the coverage is identical.
That price differential is why it pays to periodically test the market.

Sign up for Kiplinger’s Free E-Newsletters
Profit and prosper with the best of expert advice on investing, taxes, retirement, personal finance and more - straight to your e-mail.
Profit and prosper with the best of expert advice - straight to your e-mail.
"I'd say about 50% of people are paying too much for their Medigap plans," Kelly Maxwell, owner of the insurance brokerage Seniors Mutual in Austin, Texas, tells Kiplinger. Hill says insurers often offer attractive, teaser rates to lure newcomers, who have just turned 65 and joined Medicare, before hiking those premiums later on.
Maxwell explains that "companies have lower rates for new enrollees at, say, 75, than current policyholders at 75. This is due to the new customers having to go through underwriting. Because of this, the company knows the new people are healthy — at least healthier compared to existing policyholders that have developed health conditions."
He thinks it is worth it to shop for a new policy "maybe every five years or so, because if you switch, companies will offer lower rates because you have to pass health underwriting to qualify. That can save people up to $100 per month, just a guess. But you have to be healthy. Any serious issues and you can't qualify."
But just how easy is it to switch Medigap plans, and are you still guaranteed coverage the way you were during your initial enrollment?
Rules and restrictions on making a Medigap switch
The good news is you can switch Medigap plans any time and not just during Medicare's annual open enrollment from October 15 to December 7.
The bad news is you aren't guaranteed to qualify for a different plan, including one with the same letter. That guaranteed acceptance, regardless of your health, only lasts for the six months after you turn 65 and first sign up for Medicare Part B.
After that, medical underwiting applies. Most applicants are "likely to qualify for a new plan, unless they have something serious like diabetes or a heart condition," Hill says.
The decision will vary by insurer. You could be denied coverage outright, accepted but charged a higher premium, or face a waiting period of up to six months after you enroll before a preexisting condition is covered. During that time, only Parts A and B would cover the condition, leaving you to foot the bill for any coverage gaps.
A few states, such as California, Connecticut, Massachusetts, New York and Vermont make it easier to switch plans and still qualify for coverage. But even these states "usually have limits to ensure that people can only switch to equal or lesser coverage, not to upgrade their coverage," says Louise Norris, an author with medicareresources.org.
You are also guaranteed coverage if you must switch Medigap plans through no fault of your own — for instance, if your insurer goes bankrupt. Otherwise, acceptance isn't guaranteed, so don't cancel an existing policy until you're sure you've qualified for a new one.
Medicare Advantage exceptions
The same Medigap underwriting restrictions also apply if you switch to traditional Medicare from its private insurance alternative, a Medicare Advantage plan, also known as Part C, with three notable exceptions.
If you signed up for an Advantage plan right after joining Medicare, you have a 12-month trial window, and the same is true if you have a Medigap plan and drop it to join Medicare Advantage for the very first time.
During that trial window, "you can leave your Advantage plan, switch to original Medicare, and you'll have limited guaranteed-issue access to Medigap," says Norris. You'll be allowed to switch back to your previous Medigap plan, or if you didn't have one before, sign up for any Medigap plan in your area.
If you move to a place not covered by your Advantage plan or the insurer stops providing coverage, you get another Medigap guaranteed-issue period. But Medigap enrollees who move to another region don't, because Medigap plans offer nationwide coverage.
Outside of these exceptions, Advantage plan members who switch to traditional Medicare and want a Medigap plan will face underwriting. What's more, Advantage policyholders will only be allowed to switch at set times: during traditional Medicare's open enrollment each fall and Medicare Advantage's annual open enrollment from January 1 to March 31.
Related Content
Get Kiplinger Today newsletter — free
Profit and prosper with the best of Kiplinger's advice on investing, taxes, retirement, personal finance and much more. Delivered daily. Enter your email in the box and click Sign Me Up.
David is a financial freelance writer based out of Delaware. He specializes in making investing, insurance and retirement planning understandable. He has been published in Kiplinger, Forbes and U.S. News, and also writes for clients like American Express, LendingTree and Prudential. He is currently Treasurer for the Financial Writers Society.
Before becoming a writer, David was an insurance salesman and registered representative for New York Life. During that time, he passed both the Series 6 and CFP exams. David graduated from McGill University with degrees in Economics and Finance where he was also captain of the varsity tennis team.
- Donna LeValleyRetirement Writer
-
Four Roth IRA Pitfalls Your Adviser May Not Tell You About
You may not be bound for Mordor, but Roth IRA pitfalls could upend your retirement if you're unaware of them.
By Maurie Backman Published
-
Walmart+ vs. Amazon Prime: Which One Is the Better Deal?
Walmart+ and Amazon Prime both promise free shipping, exclusive deals, and a suite of add-on services. But which one should you get, if any?
By Rachael Green Published
-
Four Roth IRA Pitfalls Your Adviser May Not Tell You About
You may not be bound for Mordor, but Roth IRA pitfalls could upend your retirement if you're unaware of them.
By Maurie Backman Published
-
This Underused IRA Option Offers Tax Benefits and Income Security
Looking to avoid running out of money in retirement? Consider longevity protection provided by a QLAC as a component of your retirement income plan.
By Jerry Golden, Investment Adviser Representative Published
-
Social Security New Rule: Overpayments Must Be Paid Back 100%. Why It Matters
As of March 27, the SSA will require beneficiaries who have been accidentally overpaid to repay 100% of the money, reversing a previous policy that allowed for only 10% recoupment.
By Kathryn Pomroy Published
-
Medicare and Medicaid Employees Offered New Buyouts: What You Need to Know
Federal HHS workers who inspect food, research diseases and administer Medicare and Medicaid are offered $25,000 buyouts
By Kathryn Pomroy Published
-
What Is a Portable Retirement Plan and Should You Have One?
Portable Retirement Plans allow employees to take their retirement savings with them when they change jobs without losing their accumulated savings.
By Kathryn Pomroy Published
-
Financial Pitfalls to Avoid in Your 30s, 40s and 50s
As you pass through each decade of working life and build wealth for retirement, watch out for the financial traps that can hinder your progress.
By Julia Pham, CFP®, AIF®, CDFA® Published
-
Where to Retire: Living in Brazil Is More Than Carnival, Coffee and Copacabana
Living in Brazil offers affordability, magical rainforests, and a lively beach vibe. It is a great retirement landing spot — but do your homework first.
By Brian O'Connell Published
-
Retiring Without Heirs: Four Options For Your Estate
Just because you don’t anyone to leave your money to doesn’t mean you shouldn’t plan for what happens to your estate when you die.
By Donna Fuscaldo Published