PLAIN TALK MEDICARE

Medicare Supplement (Medigap) Plans in Oregon

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Ready to look at real plans? Medicare’s official Plan Finder shows every plan in your ZIP code, with costs for your drugs.

Want free one-on-one help? Oregon’s SHIBA program offers free, unbiased Medicare counseling. Call 800-722-4134 or visit shiba.oregon.gov.

Older woman smiling while talking with her doctor
THE BASICS

How Does a Medicare Supplement Work?

Original Medicare pays a big share of your health care costs, but not all of it, and it has no yearly cap on what you pay. A Medicare Supplement fills in those gaps. Here’s what Original Medicare leaves you paying in 2026:

Cost2026 amount
Part A hospital deductible$1,736 per benefit period
Part B yearly deductible$283
Part B coinsuranceUsually 20% of the cost, with no yearly limit
Hospital stay, days 61 to 90$434 a day
Skilled nursing, days 21 to 100$217 a day

A few more things to know

You need Original Medicare.

A Supplement works with Parts A and B, not with Medicare Advantage.

No network.

You can see any doctor or hospital in the U.S. that takes Medicare.

Drugs aren't included.

You’ll want a separate Part D drug plan.

PLAN LETTERS

Comparing Medigap Plans

Medigap plans are standardized and named with letters. A Plan G covers the same benefits no matter which insurance company sells it. What changes is the price and the company’s service.

PlanWhat it coversWhat you still pay
Plan GEverything in the chart above except the Part B deductibleThe $283 Part B deductible (2026)
Plan NMost gaps, including the Part A deductible and Part B coinsuranceThe Part B deductible, up to $20 for some office visits, up to $50 for ER visits if you aren’t admitted, and Part B excess charges
High-deductible Plan GThe same as Plan G after you meet a deductibleUp to $2,950 in 2026 before the plan pays
Plan K50% of most gapsYour share, up to an $8,000 yearly limit in 2026
Plan L75% of most gapsYour share, up to a $4,000 yearly limit in 2026

Other plans (A, B, D, and M) are also sold, depending on the company. Plans C and F can only be bought by people who were eligible for Medicare before January 1, 2020. That makes Plan G the most complete plan available to people new to Medicare today.

COSTS

How Much Does a Medicare Supplement Cost in Oregon?

Honestly? It depends, and anyone quoting you an “average” without your details is guessing. The price of a Supplement depends on:

1

The plan letter.

Plans with more coverage, like Plan G, generally cost more than plans with more cost-sharing, like Plan N.

2

The insurance company.

The same plan letter can cost very different amounts from one company to the next.

3

You.

Your age, where you live, and whether you use tobacco.

4

The company's rate history.

Some companies raise prices more often than others.

Ready to look at real plans?

Medicare’s official Plan Finder shows every plan in your ZIP code, with costs for your drugs.

Want free one-on-one help? Oregon’s SHIBA program offers free, unbiased Medicare counseling. Call 800-722-4134 or visit shiba.oregon.gov.

FAIR WARNING

The Downsides of Medigap

Supplements are great for predictable costs, but they’re not perfect:

  • ! Higher monthly premiums. You pay a Supplement premium on top of your Part B premium, plus a separate Part D premium.
  • ! No drug coverage. You’ll need a separate Part D plan.
  • ! No extras. Supplements don’t add dental, vision, or hearing benefits.
  • ! Health questions later. Outside your one-time enrollment window and certain protected situations, insurers can ask about your health and turn you down.
  • ! Prices can rise. Your premium can go up over time.
TIMING

Can You Buy a Medicare Supplement Anytime?

You can apply anytime, but you’re only guaranteed approval at certain times.

Your Medigap Open Enrollment Period

Under federal law, you get a one-time, 6-month window. It starts the first month you have Part B and are 65 or older. During this window, an insurance company can’t refuse to sell you any policy it offers, can’t charge you more because of health problems, and can’t use medical underwriting to decide whether to accept you.

After that window

An insurance company can ask health questions, charge you more, or turn you down. There are exceptions, called guaranteed issue rights. For example, if your Medicare Advantage plan leaves Medicare, you get a window to buy certain Supplement plans without health questions.

Still working at 65? Your Medigap window starts when you sign up for Part B, even if you still have employer coverage. Here’s more in our Turning 65 in Oregon checklist.

OREGON PERK

Oregon's Birthday Rule

Here’s an Oregon perk. If you already have a Medicare Supplement, you can switch to a different one with the same or fewer benefits, starting 30 days before your birthday and ending 30 days after. No health questions.

So if your Plan G premium keeps climbing, your birthday is your chance to shop. Get the details on Oregon’s birthday rule.

Ready to look at real plans?

Medicare’s official Plan Finder shows every plan in your ZIP code, with costs for your drugs.

Want free one-on-one help? Oregon’s SHIBA program offers free, unbiased Medicare counseling. Call 800-722-4134 or visit shiba.oregon.gov.

THE BIG CHOICE

Medigap or Medicare Advantage?

With a Supplement, you pay a higher monthly premium for predictable costs and the freedom to see any doctor who takes Medicare. With Medicare Advantage, you often pay a lower premium but use a network and pay copays when you get care. Switching from Medicare Advantage back to a Supplement later isn’t guaranteed, so read Medicare Advantage vs Supplement before you decide.

QUESTIONS

FAQs

What is the average cost of a Medicare Supplement plan?

There's no single number that fits you. Price depends on the plan letter, the company, your age, where you live, and tobacco use. The fastest way to know is a quote for your details.

What is the most popular Medicare Supplement plan?

For people new to Medicare, Plan G is the most complete plan available, since Plans C and F are closed to anyone who became eligible on or after January 1, 2020. Plan N is a lower-premium option for people comfortable with some copays.

What is the downside to Medigap plans?

Higher monthly premiums, no drug coverage, no dental or vision extras, and you can be turned down for health reasons outside your enrollment window.

Can you buy a Medicare Supplement plan at any time?

You can apply anytime, but approval is only guaranteed during your 6-month Medigap Open Enrollment Period or when you have a guaranteed issue right.

Can I switch Medicare Supplement plans in Oregon?

Yes. Oregon's birthday rule lets you switch to a plan with the same or fewer benefits from 30 days before to 30 days after your birthday.

I'm under 65 and on Medicare. Can I buy a Supplement?

Federal law doesn't require insurers to sell Supplements to people under 65, but states can have their own rules. For Oregon's rules, call SHIBA at 800-722-4134.

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Ready to look at real plans?

Medicare’s official Plan Finder shows every plan in your ZIP code, with costs for your drugs.

Want free one-on-one help? Oregon’s SHIBA program offers free, unbiased Medicare counseling. Call 800-722-4134 or visit shiba.oregon.gov.

Kelly Raulerson
ABOUT THE AUTHOR
Founder

Kelly Raulerson is the founder of Plain Talk Insurance. She has spent more than a decade turning complicated topics into plain English, including building a website that reached a million readers a year. She lives in the Portland area and is completing her Oregon life and health insurance license.