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Typical Medigap Premiums: What Current Policyholders Pay vs. What a New Enrollee Is Quoted

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

Typical Medigap premiums averaged $244 a month across all policyholders in 2025, according to KFF, with Plan G averaging $194 and Plan F $325. A new 65-year-old usually sees lower quotes: on New Jersey’s April 2026 chart for women at 65, the median Plan G rate was $179.94, Plan N $129.99 and high-deductible Plan G $52.58.

2027 by the Numbers

$244

average monthly Medigap premium, all policyholders, 2025 (KFF)

$214-$306

range of state averages, Hawaii to New York, 2025 (KFF)

$179.94

median Plan G rate, NJ chart, female 65, April 2026 (our analysis)

5 of 19

insurers on that chart where Plan A cost more than Plan G (our analysis)

There are two honest answers to what a typical Medigap premium is. One is what people already enrolled are paying, which blends every age, plan letter and health status. The other is what someone turning 65 today would be quoted. The two numbers can differ by a lot, and most articles only give one.

This page gives both: KFF’s national averages from insurer filings, and our own medians by plan letter from a published state rate chart. For how insurers set prices by age, see our guide to Medicare Supplement plan costs for 2027.

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

Key Highlights

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KFF’s 2025 average across all Medigap policyholders was $244 a month, up 7% from 2024.

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State averages ranged from $214 in Hawaii to $306 in New York.

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On one 2026 state chart, typical age-65 rates were about $180 for Plan G, $130 for Plan N and $53 for high-deductible G.

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Basic Plan A was priced above Plan G at five of 19 insurers on that chart.

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Two Ways to Measure a Typical Premium

What policyholders pay

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KFF analysis of insurer filings, 2025

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Includes people of every age

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Includes smokers, under-65 enrollees and SELECT plans

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Average: $244 a month

What a new enrollee is quoted

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State rate charts and insurer quotes

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Usually age 65, non-smoker

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Rates at the start of a policy

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Often well below the all-ages average

The policyholder average runs higher partly because many enrollees are older and many hold Plan F, the most expensive common plan. A quote at 65 is the starting point; most policies then rise with age, inflation or both, depending on the rating method.

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Our Analysis: Typical Age-65 Rates by Plan Letter

New Jersey’s State Health Insurance Assistance Program publishes monthly Medigap rates for every company selling in the state. We used the chart for women at age 65, preferred rates, revised April 1, 2026, and summarized each plan letter.

Plan letter Rates listed Lowest Median Highest
Plan A 21 $129.49 $175.36 $215.66
Plan G 19 $147.88 $179.94 $260.98
Plan N 21 $106.57 $129.99 $185.52
Plan K 4 $68.25 $83.81 $92.51
High-deductible G 12 $47.06 $52.58 $70.03

Our calculations from New Jersey’s Medigap rate chart (female, age 65, preferred), revised April 1, 2026. One insurer prices two ZIP code groups separately, and each is counted. Rates differ for men, other ages and other states.

Reading the table: The median Plan G was about $50 a month above the median Plan N and about $127 above the median high-deductible G, for women starting coverage at 65 in this state.

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Surprises Hidden in the Chart

Findings from the same chart

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Plan A, the most basic plan, cost more than Plan G at five of the 19 insurers that sold both: Aflac, Bankers Fidelity, Bankers Life, ManhattanLife and Medico.

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Plan G rates for identical coverage ran $113.10 a month apart from the lowest to the highest insurer.

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Only four insurers listed Plan K, and only two listed Plan L, so lower-cost cost-sharing plans can be hard to find.

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At the ten insurers selling both, high-deductible G cost $1,167 to $2,241 a year less than the same company’s Plan G.

The Plan A finding is a reminder that a plan letter’s benefits do not set its price. Insurers price each plan based on who buys it, and a thinly sold plan can end up costing more than a fuller one.

How Typical Premiums Have Moved Since 2020

KFF average monthly premium 2020 2025 Change
All Medigap plans $203 $244 +20%
Plan G $140 $194 +38%
Plan F $238 $325 +37%
Plan M $242 $193 -20%

KFF, Key Facts About Medigap Enrollment and Premiums, October 2026. Consumer prices rose 24% over the same period.

The all-plan average rose more slowly than Plan G or Plan F alone because enrollment shifted from F to G over the period. KFF found Plan G held 46% of Medigap policyholders in 2025, while Plan N held about 10%.

Why Your Quote Won't Match the Typical Figure

Factors that move a quote

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Age at purchase and, under attained-age pricing, every birthday after

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Rating method: community, issue-age or attained-age

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ZIP code, since many insurers price by region within a state

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Sex, in states that allow different rates for men and women

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Tobacco use

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Household discounts when a spouse or partner also enrolls

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Whether you apply in open enrollment or must pass underwriting

KFF’s state averages show how much location alone matters: Plan G averaged $164 in New Mexico and $257 in New York in 2025.

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Turning a Typical Premium Into a Yearly Budget

A premium is only part of the yearly bill. Using the New Jersey medians and Medicare’s projected 2027 Part B figures, here is a typical starting-year budget before drug coverage.

Plan (NJ median, female 65) Medigap premium per year Part B premium (2027 projected) Other Medicare cost-sharing
Plan G $2,159 $2,514 $292 Part B deductible
Plan N $1,560 $2,514 $292 deductible plus copays up to $20 office, $50 ER
High-deductible G $631 $2,514 Up to $3,050

Our calculations: median monthly rate x 12; Part B premium of $209.50 a month projected for 2027. Excludes Part D and any income-related Part B surcharge.

For a deeper look at the copay plan, see our Plan N cost per month guide.

Finding the Typical Premium Where You Live

1

Look for your state’s rate guide Many state insurance departments or SHIP programs publish Medigap rate charts or shopper’s guides.

2

Use Medicare’s plan finder Medicare.gov lists Medigap policies sold in your ZIP code with price ranges.

3

Compare the same plan letter Line up quotes for one letter so you compare price, not coverage.

4

Ask how the policy is rated An attained-age policy that starts low may cost more by your mid-70s.

New Jersey shoppers can also start with our New Jersey Medicare Supplement plans page.

Bottom Line

The Bottom Line

Typical Medigap premiums averaged $244 a month across all policyholders in 2025, but a new 65-year-old’s quotes for Plan G, Plan N or high-deductible G often start well below that. Use a state rate chart or Medicare’s plan finder to see the typical price for your age and ZIP code, and budget for the Part B premium on top.

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Frequently Asked Questions

➤ What is the average Medigap premium?

KFF reported $244 a month across all Medigap policyholders in 2025, or about $2,926 a year, up from $228 in 2024.

➤ Why is my quote lower than the national average?

The national average includes older enrollees, smokers and many Plan F holders. A quote at 65 for Plan G or Plan N is often lower at the start.

➤ Which state has the highest typical Medigap premiums?

In KFF’s 2025 data, New York had the highest average at $306 a month, and Hawaii the lowest at $214.

➤ Is Plan A always the cheapest Medigap plan?

No. On New Jersey’s April 2026 chart for women at 65, Plan A cost more than Plan G at five of 19 insurers.

➤ What is a typical premium for high-deductible Plan G?

On that New Jersey chart, the median was $52.58 a month at 65, but you pay up to $3,050 in Medicare-covered costs in 2027 before it pays.

➤ How fast do typical Medigap premiums rise?

KFF found the all-plan average rose 20% from 2020 to 2025, while the Plan G average rose 38%. Individual policies vary by rating method and insurer.

➤ Do men and women pay the same Medigap premium?

Not always. Many states let insurers charge different rates by sex, which is why state charts often publish separate tables.

➤ Does the Medigap premium include the Part B premium?

No. You pay the Part B premium, projected at $209.50 a month for 2027, in addition to any Medigap premium.

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☎ 1-855-398-0716

TTY users 711  |  Mon–Fri: 5am–7pm, Sat–Sun: 7am–4pm CT

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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