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.
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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.
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 |
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.
| 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 |
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.
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.
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.
Get personalized Medicare guidance from a licensed Florida agent. Compare plans, check your doctors, and enroll — at no cost to you.
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