Medigap premiums increase every year — but how much, and what you can do about it, depends on your pricing method, your carrier, and whether you use Florida's Birthday Rule.
By William Gray, The Medicare Dude — independent Medicare broker licensed in Florida. This guide explains how Medigap pricing works, how much rates typically increase, and every strategy available to Florida seniors to manage rising premiums.
No cost · No obligation · Takes 15 minutes
Florida Birthday Rule: Every year, starting on your birthday, you have a 30-day window to switch to an equal or lesser Medigap plan from any carrier — no medical underwriting. William reviews your premium against all available carriers every year during this window at no cost to you.
Medigap premiums increase for two distinct reasons, and understanding both is essential to managing your long-term costs.
Every year, insurance carriers apply a general rate increase to all policyholders in your rating class. This reflects rising healthcare costs, increased utilization by the insured pool, and the carrier's claims experience. These increases apply to all three pricing methods and cannot be avoided by switching carriers — though the percentage varies significantly between carriers.
With attained-age pricing — the most common method in Florida — your premium also increases as you get older. These age-based increases are separate from general rate increases and compound over time. A policyholder at age 80 may pay 50–100% more than they paid at age 65, even before accounting for general rate increases. Issue-age and community-rated policies do not have this component.
The compounding effect is significant
A Plan G policy at $120/month at age 65 with 5% annual general increases and 3% annual age increases will cost approximately $340/month at age 80 — nearly three times the original premium. This is why carrier selection and annual rate shopping matter so much.
Federal law requires all Medigap carriers to use one of three pricing methods. The method your policy uses determines how your premium will increase over time.
Most common in Florida
Available from select carriers in FL
Rare in Florida
Annual rate increases vary by carrier, plan, and year. These are typical ranges based on Florida market data — actual increases depend on your specific carrier and policy.
| Carrier Tier | Typical Annual Increase | 10-Year Cost Impact | Notes |
|---|---|---|---|
| Low-increase carriers | 2–4%/year | +22–48% over 10 years | Often higher starting premium; better long-term value |
| Average carriers | 4–6%/year | +48–79% over 10 years | Most common in Florida market |
| High-increase carriers | 6–10%/year | +79–159% over 10 years | Often lowest starting premium; worst long-term value |
These are general ranges for illustration. Actual rate increases vary by carrier, plan, year, and individual rating factors. Past increases do not guarantee future increases.
You have more options than most people realize. Here are the most effective strategies, in order of impact.
Your most powerful tool. Every year during your birthday month, you have a 30-day window to switch to any Medigap plan with equal or lesser benefits from any carrier — no health questions. William reviews all carriers in your ZIP code every year during this window and identifies if switching would save you money.
Not all carriers raise rates at the same pace. A carrier with a 3% average annual increase will cost significantly less over 10 years than one with 7% average increases — even if they start at the same premium. William tracks historical rate increase data for all carriers in Florida.
If you are enrolling in Medigap for the first time and are under 68, issue-age pricing may be worth the higher starting premium. You eliminate age-based increases, which become significant in your 70s and 80s. William compares the break-even point for issue-age vs. attained-age pricing based on your age.
HD Plan G has the lowest premiums of any comprehensive Medigap plan — typically $30–$70/month vs. $90–$200+ for standard Plan G. The trade-off is a $2,870 deductible in 2026. If you are healthy and rarely use medical care, HD Plan G can save $1,000–$2,000/year in premiums while still protecting you from catastrophic costs.
If Medigap premiums become unaffordable, Medicare Advantage is an alternative — but it involves trade-offs: network restrictions, prior authorization, and variable out-of-pocket costs. William evaluates total annual costs (premiums + expected out-of-pocket) for both options before recommending any change.
Most states don't have this protection. Florida's Birthday Rule gives you a guaranteed-issue window every year to shop for a lower premium — regardless of your health status.
Your 30-day window starts on your birthday. Mark your calendar 60 days before to give yourself time to shop.
Carriers must accept you regardless of health status or pre-existing conditions. This is guaranteed issue.
You can switch to the same plan (Plan G to Plan G) or a lesser plan (Plan G to Plan N). Cannot upgrade without underwriting.
Premiums for identical Plan G coverage can vary $50–$150/month between carriers. Annual shopping can save $600–$1,800/year.
Annual Medigap rate increases in Florida typically range from 3% to 8% per year, depending on the carrier, plan, and your age. Some carriers have historically lower rate increases than others. Over a 10-year period, a policy with 5% annual increases will cost 63% more than when you first enrolled. William Gray tracks historical rate increase data for all carriers in Florida and factors this into his plan recommendations.
Florida's Birthday Rule gives Medigap policyholders a 30-day window each year, starting on their birthday, to switch to a Medigap plan with equal or lesser benefits from any carrier without medical underwriting. This means you can shop for a lower premium every year without risking denial due to health conditions. William reviews your current premium against all available carriers every year during your birthday window.
Attained-age pricing means your Medigap premium increases as you get older, in addition to any general rate increases. It is the most common pricing method in Florida. Premiums start lower but increase significantly over time. Issue-age pricing locks in your rate based on your age at enrollment and is more predictable long-term.
Yes — Florida's Birthday Rule allows you to switch to an equal or lesser Medigap plan from any carrier without medical underwriting during your annual 30-day birthday window. Outside this window, you may be subject to medical underwriting and could be denied coverage. William reviews your options every year during your birthday window.
Medicare Advantage plans often have $0 premiums but require prior authorization, network restrictions, and cost-sharing at the point of service. Medigap Plan G has higher premiums but no prior authorization, no network restrictions, and predictable out-of-pocket costs. William compares total annual costs — premiums plus expected out-of-pocket — before recommending any plan.
Rate increase history varies by carrier and changes over time. Carriers with lower initial premiums sometimes have higher rate increases, and vice versa. The only way to evaluate long-term cost is to compare both the current premium and the carrier's historical rate increase pattern. William Gray tracks this data for all carriers in Florida and provides a complete comparison.
Issue-age pricing means your premium is based on your age when you first enrolled — it does not increase with age. However, it does not protect you from general rate increases that the carrier applies to all policyholders. Issue-age policies typically have higher starting premiums but are more predictable long-term. They are available from some carriers in Florida.
With attained-age pricing (the most common in Florida), your premium continues to increase as you age. By age 80, your premium may be 50–100% higher than when you first enrolled at 65, depending on the carrier and annual rate increases. This is why choosing a carrier with a history of lower rate increases matters — and why using the Birthday Rule to shop annually is so important.
William Gray compares every Medigap carrier in your ZIP code — including historical rate increase data — and finds the lowest long-term cost option for your coverage. Free consultation, no pressure.
No cost · No obligation · Takes 15 minutes
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.