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Medigap F vs G in 2027: One Benefit Apart, Two Different Groups of Buyers

Reviewed by Russell Noga, Licensed Medicare Insurance Broker (all 50 states) — Last updated November 11, 2026

Medigap Plan F and Plan G cover the same benefits except one: Plan F pays the Part B deductible and Plan G does not. That deductible is projected at $292 for 2027, while KFF’s 2025 averages show Plan F premiums about $131 a month higher than Plan G, and only people eligible for Medicare before January 1, 2020 can buy Plan F at all.

2027 by the Numbers

$325

average monthly Plan F premium, 2025 (KFF)

$194

average monthly Plan G premium, 2025 (KFF)

$292

projected 2027 Part B deductible, the one cost Plan F adds

$24.33

monthly premium gap at which F and G break even (our math)

Comparing Plan F and Plan G used to be a question every new enrollee faced. Since 2020, it is really two separate questions. For anyone who became eligible for Medicare in 2020 or later, Plan G is the most complete option they can buy. For people who were eligible earlier, the question is whether paying more for Plan F still makes sense, or whether moving to Plan G would save money.

This page lays out the single benefit difference, the eligibility rule, the cost math with published averages, and how a move from F to G actually works. For a general overview of both letters among all ten plans, see our guide to the 10 Medigap plans.

✔ Licensed in all 50 states
✔ Based on CMS 2027 data
✔ Free plan comparison

Key Highlights

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Plan F and Plan G differ only on the Part B deductible.

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Plan F is closed to anyone first eligible for Medicare on or after January 1, 2020.

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At 2025 national averages, Plan F cost about $1,280 more a year than Plan G after counting the 2027 deductible.

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Switching from F to G is lesser coverage, which some state switching rules allow without health questions.

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The Only Benefit That Separates Them

Benefit Plan F Plan G
Part A deductible and hospital coinsurance Yes Yes
Part B coinsurance (20%) Yes Yes
Part B excess charges Yes Yes
Skilled nursing coinsurance Yes Yes
Hospice cost-sharing and first 3 pints of blood Yes Yes
Foreign travel emergency (80%) Yes Yes
Part B deductible ($292 projected for 2027) Yes No

Standardized Medigap benefits under federal law.

Once a Plan G owner has paid the Part B deductible in a year, the two plans behave identically for the rest of that year. Every doctor, hospital and claim rule is the same.

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Who Is Still Allowed to Buy Plan F

The Medicare Access and CHIP Reauthorization Act of 2015 barred Medigap plans from paying the Part B deductible for people newly eligible for Medicare starting January 1, 2020. That closed Plans C and F, and the high deductible version of F, to new enrollees.

You may buy Plan F if

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You turned 65 before January 1, 2020, even if you delayed Part B

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You qualified for Medicare through disability or end-stage renal disease before 2020

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You already hold Plan F and simply keep renewing it

You are limited to Plan G or other letters if

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You turned 65 on or after January 1, 2020

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You first became eligible for Medicare in 2020 or later for any reason

Being eligible for Plan F does not guarantee acceptance. Outside your open enrollment period or a guaranteed issue situation, an insurer can still review your health.

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The Premium Gap Against the Deductible

The value of Plan F is capped at the Part B deductible, so the comparison comes down to whether the extra premium is smaller than that deductible.

Calculation Amount
Average Plan F premium, 2025 $325 a month
Average Plan G premium, 2025 $194 a month
Premium gap $131 a month, or $1,572 a year
Part B deductible Plan F would cover, 2027 (projected) $292
Net extra cost of Plan F at these averages About $1,280 a year
Break-even premium gap $292 ÷ 12 = $24.33 a month

Premium averages from KFF’s October 2026 Medigap analysis of current policyholders; calculations are ours. Your own quotes will differ by age, state and insurer.

Quick test: If your Plan F premium is more than about $24 a month above a Plan G quote from a comparable insurer, Plan G costs less even in a year when you pay the full Part B deductible.

Is Plan F Pricing Aging Faster? What the Averages Show

A common argument is that Plan F prices will rise faster because no new, younger enrollees are joining. KFF’s averages do not show that pattern so far.

KFF average premium 2020 2024 2025 2020-2025 change
Plan F $238 $300 $325 +37%
Plan G $140 $171 $194 +38%

KFF, Key Facts About Medigap Enrollment and Premiums, October 2026.

Both plans rose at nearly the same rate over five years, and Plan G actually rose faster from 2024 to 2025, 13% against 8%. Plan F still held about 4.2 million policyholders in 2025, so it is a large block of business. Rate trends at your own insurer matter more than the national story.

Moving From Plan F to Plan G

1

Quote Plan G first Price Plan G with your current insurer and several others, at your current age.

2

Check your state’s switching rights Some states, including California, Oregon, Nevada and Idaho, offer birthday-window switches to equal or lesser coverage, and Connecticut and New York allow year-round applications without underwriting.

3

Expect health questions elsewhere In most states, an insurer can review your health before approving the new policy.

4

Keep Plan F until Plan G is approved Never cancel the old policy before the new one is issued.

5

Use the 30-day free look When you replace a Medigap policy, you have 30 days to keep both, paying both premiums for that month, before deciding.

Our guide to when you can switch Medicare Supplement plans explains the federal guaranteed issue situations.

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The High Deductible Versions of F and G

High deductible Plan F

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$3,050 deductible in 2027

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Pays 100% of Medicare cost-sharing after that

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Open only to people eligible before 2020

High deductible Plan G

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$3,050 deductible in 2027

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Part B deductible counts toward it

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Open to anyone, including new enrollees

Because the Part B deductible counts toward the $3,050 under both plans, the two high deductible versions protect you in almost the same way. See our high deductible Plan G deductible page for the yearly figures.

Choosing by Situation

New to Medicare in 2027

Plan G is the fullest option you can buy

Eligible before 2020, healthy

Compare quotes; switching to G often saves

Eligible before 2020, health issues

Keep F unless a state right lets you switch

Want the lowest premium

Look at high deductible G or Plan N

For more on Plan F itself, our Medigap Plan F guide covers rates and the closed-plan rules.

Bottom Line

The Bottom Line

Plan F and Plan G differ by one benefit worth a projected $292 in 2027, and at national averages Plan F costs far more than that difference. New enrollees can only choose G; Plan F owners should price Plan G and check their state’s switching rules before deciding.

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Frequently Asked Questions

➤ What is the difference between Medigap F and G?

Plan F pays the Part B deductible and Plan G does not. Every other standardized benefit is the same.

➤ Can I buy Plan F if I turn 65 in 2027?

No. Plan F is available only to people who were first eligible for Medicare before January 1, 2020. You can buy Plan G instead.

➤ I was eligible in 2019 but never enrolled in Medigap. Can I get Plan F?

Yes, the rule is based on when you became eligible, not when you enrolled. An insurer may still ask health questions if you apply outside a protected window.

➤ How much more does Plan F cost than Plan G?

KFF’s 2025 averages were $325 a month for Plan F and $194 for Plan G, a gap of $131 a month, though individual quotes vary widely.

➤ When is Plan F worth keeping?

When the premium gap to Plan G is under about $24 a month, or when your health would make approval for a new Plan G policy unlikely.

➤ Will I have to answer health questions to switch from F to G?

In most states, yes. Birthday-rule states and year-round guaranteed issue states can let you switch without them.

➤ Is high deductible Plan F better than high deductible Plan G?

They work almost the same, with the same $3,050 deductible in 2027. Only people eligible before 2020 can buy high deductible F.

➤ Do Plan F premiums rise faster now that it is closed?

KFF’s averages show Plan F up 37% and Plan G up 38% from 2020 to 2025, so the national data does not show F rising faster so far.

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No obligation to enroll

Find & Compare Plans Online

Speak with a licensed insurance agent

1-855-398-0716TTY 711

Mon-Fri: 8am-9pm ET

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