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If you’re concerned about out-of-pocket Medicare expenses, a Medicare Supplement Insurance policy commonly known as a Medigap Plan can help bridge the gap between what Original Medicare (Parts A & B) covers and what you owe in medical costs.
At Main Street Financial Partners, we help clients across Allentown, Bethlehem, Whitehall, Easton, Coopersburg, Saucon Valley, and Center Valley, as well as surrounding areas throughout the Lehigh Valley , Northampton County, Bucks County, Montgomery County, and Berks County explore Medigap options, compare pricing, and enroll in plans that fit their healthcare needs and budget.
Medigap insurance, offered by private insurers, works alongside Original Medicare to cover costs such as deductibles, copayments, and coinsurance. You must be enrolled in both Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) to purchase a Medigap policy.
However, Medigap does not include:
All Medigap plans follow federal and state regulations, ensuring standardized coverage across insurers meaning Plan G or Plan N provides identical benefits regardless of which company you choose. The difference comes down to pricing, service, and availability.
Medigap policies help pay for many healthcare costs that Original Medicare doesn’t cover.
Understanding what’s covered helps you decide whether a Medigap plan is right for your financial and medical needs.
Your Medicare Supplement Open Enrollment Period begins on the first day of the month you turn 65 and are enrolled in Medicare Part B. This six-month window is the best time to purchase a Medigap policy because:
If you’re under 65 and eligible for Medicare due to disability, check with your state’s Social Security Administration for additional enrollment opportunities.
While Original Medicare covers most pre-existing conditions, Medigap plans have unique rules.
When you enroll within your six-month window, insurance companies must accept you regardless of health history. They also cannot:
However, some plans may apply up to a six-month waiting period before covering costs related to pre-existing conditions.
If you apply for Medigap coverage after your open enrollment window, your application may go through medical underwriting. This means:
That’s why enrolling during your initial Medigap Open Enrollment Period is highly recommended to guarantee acceptance and avoid extra costs.
Choosing the right Medicare Supplement Plan can feel complicated but our advisors make it simple. At Main Street Financial Partners, we help you:
Private coverage that helps pay out-of-pocket costs not covered by Original Medicare, like deductibles, copays, and coinsurance.
Medicare pays first; Medigap pays secondary for covered expenses according to your plan letter (e.g., G or N).
You must be enrolled in both Medicare Part A and Part B.
Part A coinsurance, Part B coinsurance, Part A deductible, SNF coinsurance, foreign travel emergency, and more (varies by plan letter).
Medigap supplements Original Medicare; Advantage replaces it with a private plan that often uses provider networks.
No. Add a standalone Medicare Part D plan for prescription coverage.
Six months starting the first day of the month you are 65 and enrolled in Part B—best time to buy with guaranteed issue.
Not during your Open Enrollment Period. Outside it, insurers may medically underwrite and can deny or rate your policy.
Yes. Plans of the same letter provide identical benefits across insurers; premiums and service levels differ.
We compare carriers and rates, explain coverage differences, and help you enroll in the best-value plan.
