Florida Medigap Supplement Plans — Which Plan Is Right for You 2026

By the Florida Plan Finder Team · Licensed Florida Health Insurance Producer · NPN #21249133 · Last Updated: May 4, 2026

Key Takeaways

Original Medicare is powerful — it's accepted by nearly every doctor and hospital in the country — but it has significant cost-sharing exposure. The Part A hospital deductible ($1,676 per benefit period in 2026), the 20% Part B coinsurance with no out-of-pocket maximum, and SNF daily coinsurance can add up to tens of thousands of dollars in a bad health year. That's where Medigap comes in.

Medicare Supplement (Medigap) plans are sold by private insurance companies and are designed to work alongside Original Medicare, picking up the costs that Medicare doesn't pay. In Florida, there are 10 standardized Medigap plan types (A through N, with some letters retired), and the most popular are Plan F, Plan G, and Plan N. This guide walks you through how they compare, what they cost, and how to choose the right one for your situation.

Jump to Section

  1. Standardized Benefits Explained
  2. Plans F, G, and N Compared
  3. Plan G vs Plan N: Cost Analysis
  4. Issue-Age vs Attained-Age Rating
  5. When to Buy: Guaranteed Issue
  6. Top Carriers in Florida
  7. Frequently Asked Questions

Standardized Benefits Explained

Federal law requires that Medigap plans be standardized across all insurers. This means that a Plan G from Aetna and a Plan G from Mutual of Omaha cover the exact same benefits — not more, not less. The only difference is the monthly premium you pay. This is a huge consumer protection: you don't have to decode complex benefit grids to figure out what's covered. Every Plan G covers the same things.

This standardization also means comparison shopping for Medigap is straightforward. Once you decide which plan letter fits your needs, you simply compare premiums among carriers offering that letter in your Florida county. A licensed agent can pull quotes from multiple carriers simultaneously to find the best available rate.

Shop multiple carriers every year: Because benefits are identical, there's no reason to pay more than necessary. Carriers price similarly at enrollment, but rates diverge over time. Once outside your guaranteed issue window, switching carriers requires medical underwriting in Florida — so it's worth starting with a competitively priced carrier.

Plans F, G, and N Compared

Below is a benefit-by-benefit comparison of the three most commonly purchased Medigap plans in Florida. A checkmark means the plan covers that benefit; an X means it does not.

Benefit Plan F Plan G Plan N
Part A coinsurance & hospital costs (up to 365 days after Medicare benefits used)
Part A deductible ($1,676/benefit period in 2026)
Part A hospice care coinsurance/copayment
Skilled nursing facility coinsurance
Part B coinsurance/copayment (20% after deductible) Up to $20 office visit copay; $50 ER copay
Part B deductible ($257/year in 2026)
Part B excess charges
Foreign travel emergency (80%, up to plan limits)
Available to new enrollees after Jan 1, 2020? ✗ No ✓ Yes ✓ Yes
Plan F is closed to new Medicare enrollees: If you became eligible for Medicare on or after January 1, 2020, you cannot purchase Plan F or Plan C (which also covered the Part B deductible). The MACRA legislation closed these plans to protect the traditional Medicare cost-sharing structure. If you were eligible before 2020, you may still hold or purchase Plan F.

Plan G vs Plan N: Cost Analysis

For most new Medicare enrollees in Florida in 2026, the real choice comes down to Plan G versus Plan N. Both cover the most significant gaps — the Part A deductible, SNF coinsurance, and Part B's 20% coinsurance. The differences are modest but meaningful depending on your health habits and doctor preferences.

Plan G advantages

Plan N advantages

Scenario Plan G Plan N
Estimated monthly premium (65-year-old female, Miami-Dade, 2026) ~$145–$175/month ~$115–$145/month
Part B deductible (annual, you pay) $257 $257
Office visit copay $0 Up to $20
ER visit copay (if not admitted) $0 $50
Part B excess charges $0 You pay (up to 15% above Medicare rate)
Best for Frequent healthcare users; want zero surprises Healthier beneficiaries; price-sensitive buyers

Issue-Age vs Attained-Age Rating in Florida

Unlike most states that mandate only one premium rating method, Florida allows Medigap carriers to use either issue-age rating or attained-age rating — and the difference significantly affects how your premiums grow over time.

Attained-age rating sets your premium based on your current age, increasing automatically as you get older each year (on top of any general medical inflation increases). Premiums tend to start lower in your mid-60s but escalate significantly by your 70s and 80s.

Issue-age rating bases your premium on the age at which you first enroll and does not increase simply because you're getting older. Premiums can still rise due to medical cost inflation, but they won't jump because you turned 70. Issue-age plans typically start somewhat higher but become more cost-effective over a long retirement.

Ask about rating method before you buy: When comparing Medigap quotes in Florida, always ask whether the plan uses attained-age or issue-age rating. A plan that looks cheaper today may cost significantly more by the time you're 78. A licensed agent can run long-term projections comparing the two.

When to Buy: Guaranteed Issue and Open Enrollment

The most important window for buying Medigap is your Medigap Open Enrollment Period: a 6-month window that begins the first month you're both age 65 or older AND enrolled in Medicare Part B. During this window, no carrier can deny you coverage, charge you more, or impose waiting periods based on your health history. This is federal law and it's ironclad.

Outside this window, Florida does not require carriers to offer guaranteed issue Medigap policies (with limited exceptions, such as losing employer coverage or moving out of an MA plan's service area). This means if you wait and develop a health condition, you may find it difficult or expensive to get Medigap coverage later — carriers can use medical underwriting and decline your application.

Don't delay — health history matters later: Common conditions like diabetes, COPD, heart disease, or a history of cancer can make it very difficult to obtain Medigap coverage outside of guaranteed issue periods in Florida. Apply during your Open Enrollment Period even if you feel healthy. Rates are the same whether you're perfectly healthy or have minor conditions during this window.

Top Medigap Carriers in Florida

Florida's Medigap market is competitive, with dozens of carriers offering Plan G and Plan N across the state. Premiums can vary significantly from one carrier to another for identical benefits — differences of $50–$100/month are not uncommon. The following carriers are among the most active and well-rated in Florida's Medigap market in 2026:

Carrier Plans Offered Notes
Mutual of Omaha G, N, A, others Consistently competitive Plan G rates; strong financial ratings
Aetna G, N, F (grandfathered) Household discounts available; wide Florida presence
Florida Blue (BCBS) G, N, F (grandfathered) Largest insurer in Florida; strong brand recognition statewide
UnitedHealthcare (AARP) G, N Attained-age rated; household discounts; AARP membership marketed alongside
Cigna G, N Competitive in many Florida markets; household discounts
Manhattan Life G, N Competitive pricing in some Florida counties; issue-age rating available

Because Medigap benefits are identical across carriers, the right choice for you depends on price, rating method, financial strength, and any available discounts (many carriers offer 5–12% household discounts when two members of a household both purchase policies). For a free side-by-side comparison for your specific Florida county, contact FloridaPlanFinder.com at . You can also learn about companion ACA health plans at SunStateCoverage.com or GetFloridaCoverage.com for family members not yet on Medicare.

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Frequently Asked Questions

What is the difference between Medigap Plan G and Plan N in Florida?
Both Plan G and Plan N cover the Part A deductible, Part A coinsurance, Part B coinsurance (Plan N has copays up to $20 for office visits and $50 for ER visits), foreign travel emergency care, and skilled nursing coinsurance. The key difference is that Plan G covers Part B excess charges while Plan N does not, and Plan N has small copays where Plan G has none. Plan N typically has lower premiums, making it attractive for healthier beneficiaries who see the doctor less often.
Can I be denied Medigap coverage in Florida?
During your Medigap Open Enrollment Period — which starts when you're 65 or older and enrolled in Part B — carriers cannot deny you coverage or charge you more due to pre-existing conditions. Outside this window, Florida does not have continuous guaranteed issue for Medigap, so carriers can use medical underwriting and deny coverage or charge higher premiums based on health history.
Is Medigap Plan F still available in 2026?
Plan F is no longer available to people who became newly eligible for Medicare on or after January 1, 2020. If you turned 65 before 2020, you may still be able to purchase or keep Plan F. For everyone newly eligible after 2020, Plan G is the most comprehensive plan available and covers everything Plan F does except the Part B deductible ($257 in 2026).
What does "attained-age rating" mean for Medigap in Florida?
With attained-age rating, your Medigap premium increases as you get older — the carrier adjusts your rate based on your current age each year. Florida allows both attained-age and issue-age rating. Issue-age plans set your rate based on the age when you first bought the policy, so they don't increase solely due to aging (though they can still rise with general medical inflation). Issue-age plans typically start higher but can be more cost-effective long-term.
Do I need a separate Part D plan if I have Medigap?
Yes. Medigap plans do not include prescription drug coverage. If you have Original Medicare (Parts A and B) plus a Medigap plan, you should also enroll in a standalone Part D Prescription Drug Plan (PDP) to cover your medications. Failing to enroll in Part D when first eligible results in a permanent late enrollment penalty.
Licensed Florida Health Insurance Producer · NPN #21249133 ·
This resource is maintained by a licensed Florida health insurance producer. Information on this page is for general reference and is not legal or financial advice.