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2026 Medicare costs, and which Medigap plans pay them

By Vadim Marusin, licensed Medicare insurance agent in Washington (WAOIC #1365574). Insurer data checked against the state chart current as of October 8, 2026.

Medigap exists to pay Medicare's cost-sharing, so these numbers are what your supplement is protecting you from. All amounts are CMS's official 2026 figures.

Mount Rainier lit pink at sunrise
Mount Rainier at sunrise. Photo: Unsplash

Medicare amounts for 2026

2026 Medicare amountAmountWhich Medigap plans pay it
Part B monthly premium (standard)$202.90Not paid by any Medigap plan
Part B yearly deductible$283Plans C and F only (pre-2020 eligibility)
Part B coinsurance20% of approved amounts, no capAll plans (K 50%, L 75% until their limits)
Part A deductible, per benefit period$1,736B, C, D, F, G, M (50%), N; K 50%, L 75%
Hospital days 61–90, per day$434All plans
Lifetime reserve days, per day$868All plans
Skilled nursing days 21–100, per day$217C, D, F, G, M, N; K 50%, L 75%
High-deductible F and G deductible$2,950You pay this before HD plans pay
Plan K yearly out-of-pocket limit$8,000Then K pays 100%
Plan L yearly out-of-pocket limit$4,000Then L pays 100%
Part D out-of-pocket drug cap$2,100Not a Medigap benefit
Source: CMS, 2026 Medicare Parts A and B premiums and deductibles; OIC/SHIBA standardized plan chart.

Original Medicare has no yearly out-of-pocket maximum. The two open-ended costs are:

Every Medigap plan covers the 20% Part B coinsurance (Plans K and L partly, until their yearly limits) and 365 extra hospital days after Medicare's hospital benefits run out.

What you'd still pay under each plan

PlanMost you could owe for covered care in a yearWhat you pay along the wayPart B excess chargesEmergency care abroad
Plan G$283 (the Part B deductible)NothingCovered80% after $250
Plan N$283 plus copaysUp to $20 for some office visits, up to $50 for ER visits that don't lead to admissionNot covered80% after $250
High-deductible Plan GUp to $2,950You pay until the deductible is met, then nothingCovered after the deductible80% after $250
Plan KUp to $8,000, plus the Part B deductible50% of most costs until the limitNot coveredNot covered
Plan LUp to $4,000, plus the Part B deductible25% of most costs until the limitNot coveredNot covered
Plan A$1,736 per hospital benefit period, plus $283Part A deductible and skilled nursing coinsuranceNot coveredNot covered
2026 Medicare amounts, premiums not included. Plan N has no yearly cap on its copays or excess charges. Source: CMS 2026 Medicare amounts; OIC/SHIBA standardized plan chart.

CMS announces the next year's Part B premium and deductible and the Part A deductible each fall. Until it does, the most-cited estimate is the Medicare Trustees' projection, which puts the 2027 Part B premium at about $209.50 a month and the Part B deductible at about $292. Those are projections, not official amounts; this page will be updated with the official figures when CMS publishes them.

Medigap plans that pay a percentage of a cost (for example, 100% of the Part A deductible) automatically follow Medicare's new amounts. Plans with dollar thresholds (high-deductible G and F, and the Plan K and L out-of-pocket limits) change each year too.

Higher incomes pay more for Part B and Part D

If your modified adjusted gross income from two years earlier is above the IRMAA thresholds, you pay an income-related monthly adjustment on top of the standard Part B premium and your Part D premium. Medigap premiums aren't affected by income.

Common questions

What is the Part B premium in 2026?

$202.90 a month for most people, with higher amounts at higher incomes.

What is the Part A deductible in 2026?

$1,736 per benefit period. Every Medigap plan except A pays it in full or in part (K pays 50%, L pays 75%, M pays 50%).

What is the Part B deductible in 2026?

$283. Only Plans C and F pay it, and they're only available to people first eligible for Medicare before 2020.

Sources

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