What Can You Do When Your Medigap Rate Goes Up?
If you’ve opened your mail and seen that your Medicare Supplement (Medigap) premium is increasing — you’re not alone. Rate increases are common, especially with popular plans like Plan G and Plan N.
The good news? You have options.
Let’s walk through what’s happening and what you can do about it.
Why Do Medigap Rates Increase?
Medigap premiums typically rise for three main reasons:
1️⃣ Age-Based Increases
Some policies are “attained-age rated,” meaning your premium increases as you get older.
2️⃣ Inflation & Healthcare Costs
As medical costs rise, insurance companies adjust rates to keep up.
3️⃣ Claims Experience
If a large number of policyholders on your specific plan are using benefits, rates can increase for that group.
Rate increases don’t necessarily mean you made a bad choice — but it is smart to review your options.
Step 1: Don’t Panic — Review the Details
Before making changes, ask:
- How much did the rate increase?
- When does it take effect?
- Is it an annual increase or an unusual spike?
- How does the new rate compare to other carriers in your area?
Sometimes the increase is modest and still competitive.
Step 2: Shop Other Medigap Carriers
Medigap plans are standardized by the federal government. That means:
- Plan G with one company has the same medical coverage as Plan G with another company.
- The only real differences are price, rate stability, and company service.
If your rate has increased significantly, you may be able to switch to another carrier offering the same plan at a lower premium.
⚠️ Important: In most states, switching plans requires medical underwriting unless you are in a guaranteed issue situation.
Step 3: Consider a Different Plan Letter
If you’re currently on Plan G, you might compare:
- Plan N (lower premium, small copays)
- High-Deductible Plan G (much lower premium, higher deductible)
Depending on your health usage, these options could reduce your monthly cost.
Step 4: Review Household Discounts
Many Medigap companies offer household discounts if:
- You live with another adult
- Your spouse also has a policy
- Sometimes even if you simply reside together
This can reduce premiums by 5–12% in many cases.
Step 5: Evaluate Medicare Advantage (Carefully)
For some people, switching from Medigap to a Medicare Advantage plan may lower premiums significantly.
However:
- Networks apply
- Referrals may be required
- Out-of-pocket exposure changes
- Prescription coverage is included
This should be reviewed carefully — especially if you value provider flexibility.
Step 6: Ask About Long-Term Rate History
When reviewing new carriers, it’s important to ask:
- How long has the plan been in the market?
- What have past rate increases looked like?
- How large is the membership pool?
A lower rate today doesn’t always mean better long-term stability.
When Should You Stay Put?
Sometimes staying is the best choice if:
- Your increase is in line with market averages
- You have health conditions that make underwriting difficult
- Your carrier has historically stable rates
- The difference between carriers is small
Switching always requires weighing short-term savings against long-term stability.
Final Thoughts
A Medigap rate increase isn’t necessarily a crisis — but it is an opportunity to review your coverage.
Before making any changes:
✔ Compare options
✔ Understand underwriting rules
✔ Evaluate long-term rate stability
✔ Make sure your doctors and coverage needs stay protected
If you’ve received a rate increase, now is the time to review your options. I’m happy to provide a personalized comparison to see whether staying put or switching makes the most sense.
A quick review before the new premium takes effect could potentially save you money — and give you confidence in your decision.












