Plan G, Plan N, or High Deductible Plan G? Here is the complete Florida-specific comparison — coverage, 2026 rates, underwriting rules, and which plan actually saves you the most money.
As an independent broker I compare every Medigap carrier in your ZIP code — not just one company.
Original Medicare (Parts A and B) covers most medical costs — but not all of them. You are responsible for deductibles, coinsurance, and copays that can add up to thousands of dollars per year. A Medicare Supplement plan (also called Medigap) fills in those gaps.
Plan G from Company A covers exactly the same things as Plan G from Company B. The only difference is the premium.
Medigap works with any doctor or hospital that accepts Medicare — no networks, no referrals, no prior authorizations.
As long as you pay your premium, your Medigap plan cannot be cancelled due to health changes or claims.
Medigap does not include drug coverage. You need a separate Part D prescription drug plan with any Medigap policy. Medigap also does not cover dental, vision, or hearing — those require separate supplemental coverage.
There are 10 standardized Medigap plans (A through N), but in Florida in 2026, three plans dominate new enrollments: Plan G, Plan N, and High Deductible Plan G. Here is a full breakdown of each:
$90–$200+/mo
Typical FL premium range
$70–$160+/mo
Typical FL premium range
$30–$70/mo
Typical FL premium range
This is the most common question I get. Both plans are excellent — the right choice depends on how you use healthcare.
| Feature | Plan G | Plan N |
|---|---|---|
| Part A deductible ($1,736) | ✅ Covered | ✅ Covered |
| Part B coinsurance (20%) | ✅ Covered | ✅ Covered |
| Part B excess charges | ✅ Covered | ❌ Not covered |
| Part B deductible ($283) | ❌ You pay once/year | ❌ You pay once/year |
| Office visit copay | $0 | Up to $20 |
| ER copay (not admitted) | $0 | $50 |
| Skilled nursing coinsurance | ✅ Covered | ✅ Covered |
| Foreign travel emergency | ✅ 80% after deductible | ✅ 80% after deductible |
| Typical FL monthly premium | $90–$200+ | $70–$160+ |
| Premium savings vs Plan G | — | $20–$40/month |
The math: If Plan N saves you $30/month ($360/year) vs Plan G, you would need more than 18 office visits per year at the $20 copay to make Plan G cheaper. Most people have far fewer visits — making Plan N the better value for healthy enrollees.
All Medigap plans are standardized — Plan G is Plan G everywhere. But premiums vary significantly between insurance companies for the exact same coverage. Here is what drives your rate:
Premiums increase as you age. Locking in at 65 gives you the lowest starting rate.
Women typically pay slightly less than men for the same plan.
Smokers pay 10–20% more in most states, including Florida.
Urban areas (Jacksonville, Daytona) often have different rates than rural Flagler County.
The biggest variable. Two companies can charge $50–$80/month difference for identical Plan G coverage.
Community-rated (same for all ages), issue-age-rated (locked at enrollment age), or attained-age-rated (increases with age).
I have seen two people in the same ZIP code, same age, same plan — paying $60/month different because one went directly to a carrier and the other used an independent broker to compare. The coverage is identical. The only difference is the premium. Always compare at least 5–8 carriers before enrolling.
Outside of guaranteed issue periods, Florida Medigap insurers can ask health questions and deny coverage or charge higher premiums based on pre-existing conditions. This is called medical underwriting.
Bottom line: The single most important Medicare decision you will make is enrolling in a Medigap plan during your guaranteed issue window at 65. If you miss it and develop a health condition, you may be locked out of Medigap forever — or forced onto Medicare Advantage.
During a guaranteed issue period, insurers must sell you a Medigap policy at standard rates — no health questions, no denials. Here are the key guaranteed issue situations:
The 6 months starting the month you turn 65 AND are enrolled in Part B. This is your most important window — use it.
If you switch to Medicare Advantage for the first time and want to return to Original Medicare within 12 months, you have guaranteed issue rights.
If your employer or union health coverage ends (not COBRA), you have a guaranteed issue right to enroll in Medigap.
If your MA plan stops serving your county or leaves the market entirely, you have guaranteed issue rights.
If your current Medigap insurer becomes insolvent, you have guaranteed issue rights to switch to another plan.
Since all Plan G policies cover the same things, the only factors that differentiate companies are premium price, rate increase history, and financial stability. Here are the carriers I most commonly recommend in NE Florida:
Consistently competitive rates, strong financial rating, low rate increase history
Competitive Plan G and N rates, large network of support resources
Often lowest rates for new enrollees, good rate stability
Strong in Florida, competitive for older enrollees
Household discounts available, good customer service ratings
Community-rated pricing — rates do not increase with age
Important: The best company for you depends on your age, ZIP code, and health status. Rates change frequently. I run a live comparison across all available carriers in your area — call or schedule a free consultation to get current quotes.
Plan G is the most comprehensive option for new enrollees. It covers everything except the $283 Part B deductible. Plan N offers lower premiums with small copays. High Deductible Plan G has the lowest premiums with a $2,870 deductible. The best plan depends on your health, budget, and care usage.
Plan G premiums in Florida typically range from $90 to $200+ per month depending on age, gender, tobacco use, ZIP code, and carrier. Rates vary significantly between companies for identical coverage — always compare multiple carriers.
Plan G covers Part B excess charges; Plan N does not. Plan N has a $20 office visit copay and $50 ER copay. Plan N premiums are typically $20–$40/month lower. Plan G is better for frequent specialist users; Plan N is better for healthy people who want lower premiums.
Yes, outside of guaranteed issue periods. Florida insurers can use medical underwriting to deny coverage or charge higher premiums. You have guaranteed issue rights during your 6-month Medigap Open Enrollment Period when you first enroll in Part B at 65.
Yes, but you will likely face medical underwriting unless you are in your first 12 months on Medicare Advantage (trial right period). The best time to get Medigap is during your initial enrollment period at 65.
No. Medigap plans do not cover dental, vision, or hearing. You need separate supplemental coverage for those. Some people add a standalone dental/vision plan alongside their Medigap policy.
Yes. Medigap premiums typically increase each year due to age and general rate increases. The rate of increase varies by company and pricing method. Community-rated plans (like AARP/UHC) do not increase based on age, which can be advantageous long-term.
I represent every major Medigap carrier in Florida. A 15-minute call gets you a live rate comparison — no pressure, no obligation.
Independent broker — I compare all carriers, not just one. Serving NE Florida since 2018.
Medigap premiums and carrier availability vary by county. Here's what to know in each area I serve.
Palm Coast, Bunnell, Flagler Beach
Flagler County's rapid growth has attracted more Medigap carriers in recent years. Palm Coast residents have strong Plan G and Plan N options from 10+ carriers. Because Flagler County uses the Daytona Beach–Palm Coast hospital network, Medigap holders can access AdventHealth Palm Coast and Halifax Health without network restrictions.
💡 Palm Coast is one of the best places in Florida to hold a Medigap plan — the local hospital network is strong and you're never locked into a single carrier's network.
Daytona Beach, Ormond Beach, Port Orange, DeLand, New Smyrna Beach
Volusia County has the most Medigap carrier competition in Northeast Florida. Halifax Health, AdventHealth Daytona, and Florida Hospital DeLand all accept Original Medicare — meaning Medigap holders can access all three without referrals or network restrictions. Plan G is the most popular choice here.
💡 Volusia County residents on Medigap can see any of the county's major hospital systems without prior authorization — a significant advantage over Medicare Advantage HMO plans.
Jacksonville, Jacksonville Beach, Atlantic Beach, Neptune Beach
Medigap is especially valuable in Duval County because of Mayo Clinic Florida. Mayo Clinic accepts Original Medicare — meaning any Medigap holder can access Mayo without network restrictions. This is why many Jacksonville-area residents choose Medigap over Medicare Advantage despite the higher monthly premium.
💡 If keeping access to Mayo Clinic Jacksonville is a priority, Medigap is almost always the right choice. Mayo accepts Original Medicare — no network verification needed.
St. Augustine, Ponte Vedra Beach, Nocatee, Fleming Island
St. Johns County has the highest Medigap enrollment rate in Northeast Florida. The county's affluent retiree population disproportionately chooses Medigap for the nationwide provider access and predictable costs. Flagler Hospital in St. Augustine and Baptist Health Clay both accept Original Medicare.
💡 Nocatee and Ponte Vedra Beach residents frequently choose Medigap Plan G — the predictable cost structure appeals to retirees who want to budget precisely and avoid surprise bills.
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY: 1-877-486-2048) to get information on all of your options.
Not affiliated with or endorsed by the U.S. government or the federal Medicare program. This is an advertisement for insurance. William Gray and affiliated licensed agents are independent insurance agents, not government employees or representatives. Medicare has neither reviewed nor endorsed this information.
Not all plans or types of coverage may be available in your area. Plan availability, benefits, and premiums vary by county and ZIP code. Enrollment in any plan depends on contract renewal. Benefits, premiums, and cost-sharing may change on January 1 of each year.
Independent Agent & Compensation Disclosure. William Gray is an independent licensed insurance agent (FL License #W690237) and is not employed by or exclusively affiliated with any single insurance company. William is compensated by insurance carriers when you enroll in a plan. This compensation does not affect the premium you pay — your premium is the same whether you enroll through a broker or directly with the carrier. Affiliated agents are independent contractors solely responsible for their own conduct and representations.