Are Medicare Supplement plans the same thing as "Medicare Secondary Insurance"?
Answered by 66 licensed agents
Answered by Larry Dalton on April 29, 2025
Broker Licensed in OK & TX
The question is, are Medicare supplement plans the same as Medicare secondary insurance? I think it's really determined by how you're looking at what a supplement is. A Medicare supplement is one that covers 20% of your costs that you would acquire if you were on just regular Medicare Part B. A Medicare supplement 80/20 plan means Medicare for approved services picks up 80%. You're responsible for 20%.
So when you buy a Medicare supplement plan that's designed to pick up that 20%, there is now a Part B deductible, which is set by Medicare each and every year. But the freedom of having a Medicare supplement allows you the freedom to control your own health care. What I mean by that is you're able to see any doctor that accepts Medicare anywhere you go.
And there are pros and cons to any health plan, but the best thing to do is to sit down with a licensed agent and have that agent help guide you through determining what your needs are and what the costs are. Hopefully, that answers your question.
Answered by Gary Church on November 2, 2025
Broker Licensed in Ca, AZ, NV & TX
Answered by Mike Alexander on October 20, 2025
Broker Licensed in TX, AL, AR & 16 other states
Answered by Daniel Brechin on November 7, 2025
Agent Licensed in AL, FL, KY, MS & TN
Answered by Vincent Murray on October 8, 2025
Agent Licensed in ME, FL & NH
This is as opposed to Medicare Advantage, which sometimes is incorrectly referred to as "Medicare Replacement". Agreed, it looks like replacement to doctors and hospitals, but you MUST have Medicare Parts A and B in order to get a Medicare Advantage Plan.
Answered by Paul Potter on June 10, 2025
Broker Licensed in FL
Answered by Carly Cusack on September 23, 2025
Broker Licensed in OR & WA
Answered by Sherry Rose on June 2, 2025
Broker Licensed in Ga, AL, AR & 5 other states
Answered by Stella Hattox on April 28, 2025
Broker Licensed in TX, AR, AZ & 17 other states
Answered by Tyler Haskell on March 4, 2026
Broker Licensed in UT
"Medicare Supplement" is a specific type of Medicare Secondary Insurance.
"Medicare Secondary Insurance" is a general category that includes Medigap and other types of insurance that work with Medicare.
Answered by Colleen Williams on August 4, 2025
Broker Licensed in PA, FL, MD & NJ
but not all secondary insurance is Medigap.
“secondary insurance” describes how a plan pays, not what kind of plan it is.
Here are some examples of secondary insurance:
Employer or retiree health coverage
Union plans
VA benefits
Tricare
Medicaid
Answered by Dustin Haffner on January 7, 2026
Broker Licensed in OK, AR, KS & MO
Answered by Andrew Sandlin on January 26, 2026
Agent Licensed in IN, AL, FL & GA, IL, MI & OH
Answered by Patricia Lewis on February 3, 2026
Broker Licensed in FL, GA, IL & 8 other states
Answered by Paul Barrett on May 11, 2026
Agent Licensed in NY, AL, AZ & 33 other states
Answered by Mackenzie Anderson on July 3, 2025
Agent Licensed in TX
Medicare will cover a medically necessary service and the Medicare supplement will pay based upon what Medicare approves. A person must have original Medicare Part A & B in order for a Medicare supplement to pay a claim.
Medicare supplements are referred to as Medicare Secondary Insurance.
Answered by Doug Dent on March 9, 2026
Broker Licensed in NM, AZ, CA & 11 other states
Thank you.
Answered by Andrew Zurbuch, MBA on July 7, 2025
Broker Licensed in IN, FL, KY, MO, OH & TN
Answered by Jim Tretola on August 18, 2025
Broker Licensed in NJ, CA, CT & 6 other states
Answered by Walt Smith on October 13, 2025
Agent Licensed in NJ, NY, PA & VA
Answered by DeeDee Whitlock on December 15, 2025
Broker Licensed in LA
What is the difference between Medicare Supplement and Medicare Advantage Plans? Many people think these things are the same, but they're actually quite different. A Medicare Advantage Plan is typically either an HMO or PPO type of plan where you have to worry about doctors and hospitals being in network. They are usually lower premium than a Medicare Supplement, and depending on where you are, certain service areas have a zero premium plan which does not cost you anything above and beyond what you would normally pay for just the Part B premium.
Medicare Advantage Plans typically do include prescription drugs. They do have a maximum out-of-pocket amount, referred to as MOOP, of a maximum of $9,350. So that is your worst-case scenario, even if something catastrophic were to happen. They will give you some coverage, usually for dental, vision, and hearing, but it's usually not comprehensive, more preventative. For dental, things like checkups and cleanings are covered, and sometimes they will offer a wider range to give you more comprehensive dental.
The Medicare Advantage plans are locked in for one year, and you can only get the plans that are in your service area. With a Medicare Supplement, you will pay a higher premium, but you do get better coverage. You don't have to worry about networks; you can go to any doctor or hospital that you want. Medicare Supplements do not include prescription drugs, so you'd probably also want to get a standalone prescription drug plan. Medicare Supplement will also not give you anything towards dental, vision, and hearing, but again, you can get a standalone dental, vision, and hearing plan.
So if you have any other questions, please feel welcome to give me a call. I am licensed in every state and DC.
Answered by Chad Watkins on May 24, 2025
Agent Licensed in NJ, AK, AL & 48 other states
Answered by Hannah Skinner on July 22, 2025
Agent Licensed in SC, AL, AR & 44 other states
Answered by Michael Yost on May 1, 2025
Broker Licensed in OH, AL, AZ & 27 other states
Answered by Anna Davis CIC-RSSA on August 6, 2025
Broker Licensed in CA
Answered by Brianna Douros on April 30, 2025
Broker Licensed in VA, CO, NC & TX
Answered by Daintee Hurst Dietz on June 21, 2025
Broker Licensed in TX, AZ & CA
Answered by Leslie Santos on October 20, 2025
Broker Licensed in FL & TX
Answered by Carolyn Duncan on July 16, 2025
Broker Licensed in FL, CA, CO & 12 other states
A Medicare Supplement plan (Medigap) is a type of secondary insurance. It works alongside Original Medicare to help pay for things like deductibles and coinsurance. This can make your healthcare costs more predictable and lets you see any doctor who accepts Medicare.
But “secondary insurance” is a broader term. It can also include:
• Employer or retiree coverage
• Medicaid (AHCCCS in AZ)
• TRICARE
💡 Simple way to remember:
✔ All Medicare Supplement plans are secondary insurance
❗ But not all secondary insurance is a Medicare Supplement
Have questions? I’m always happy to help make Medicare simple 😊
Answered by Lee Hampton on April 6, 2026
Broker Licensed in AZ, CA, ID & NV, TX, UT & WA
They do pay secondary to Medicare because Medicare pays first.
Supplements are not Medicare Advantage or Part C plans. You typically hove one or the other and they do not coordinate with each other.
Answered by Marisa Mitchell on September 22, 2025
Broker Licensed in FL & TX
Answered by Rebecca Jackson on November 14, 2025
Broker Licensed in TN, AL, AZ & 12 other states
Answered by Randy Bremer on November 14, 2025
Agent Licensed in NE & IA
“Medicare Secondary Insurance” is a broader term that refers to any coverage that pays after Medicare. This could include employer group coverage, retiree benefits, Medicaid, or other private insurance. Medigap is one specific form of secondary coverage, while other types of secondary insurance may follow different rules and coordination of benefits guidelines.
Answered by Terry Nacion on March 2, 2026
Agent Licensed in NV & HI
"Medicare Secondary Insurance" refers to a situation where Medicare is the second insurance payer after another primary insurance. While a Medigap plan can function as secondary insurance to Original Medicare, it's not the only type of secondary insurance that can exist.
Answered by Fred Manas on April 28, 2025
Agent Licensed in NY, CT, DC & 7 other states
Answered by Vachik Chakhbazian on April 26, 2025
Agent Licensed in CA, AL, AR & 22 other states
Answered by Mary Brown on March 30, 2026
Broker Licensed in NJ, DE, FL & NC, OH, PA & TX
Answered by Andrew Kramer on November 24, 2025
Agent Licensed in FL
Have your broker explain this to you.
Contact a Local Broker.
Brokers Make a Difference.
Answered by Dean Chiapetto on May 28, 2026
Broker Licensed in VA, MD, NC, TN & WV
Medicare A & B primary with "secondary insurance" or Medicare Supplement.
Answered by Karen Ansell on September 8, 2025
Agent Licensed in FL, GA, KY & OH
In this agent’s opinion, you definitely need one or the other because medicare by itself has no limit on your out of pocket costs, and while they handle them differently, each type of supplemental coverage gives you some protection on how much you can be charged in a given year.
Your agent can walk through your specific situation with you and help you decide what is right for you.
Answered by Rich Baker on January 19, 2026
Broker Licensed in CO, AR, AZ & 7 other states
Answered by Toni Cormier on October 19, 2025
Broker Licensed in TX, CA & OK
Answered by Toni Chavez on June 20, 2025
Broker Licensed in AZ, CA, NM, NV & UT
Answered by Robert Remin on July 27, 2025
Agent Licensed in NY, CT, FL & NJ
Medicare pays 80% and if a referral is needed for a balance, Medicare sends this part to your supplement carrier, which they have on file. Your doctor doesn’t bill the med supp carrier.
If you would like me to help you with a Medicare supplement plan F, if you're old enough, and G or N too. I’d be glad to assist
Please contact me. I will need your zip code, DOB, gender, and Y or N to tobacco to get a quote
Glenn
Answered by Glenn Alterman on September 21, 2025
Broker Licensed in TX, AZ, CA & FL, NJ, OH & TN
Answered by Dominic Javier on April 29, 2025
Broker Licensed in TX
Answered by William Scott on May 12, 2025
Broker Licensed in GA, CO, NC, OH, SC & TX
Answered by Tony Hardwick on April 28, 2025
Broker Licensed in GA, AL, AR & 32 other states
"Medicare Secondary
Insurance" because they help pay costs that Original Medicare doesn't cover, such as deductibles, coinsurance, and copayments. They don't replace Medicare; instead, they work alongside it to reduce out-of-pocket expenses.
Answered by Silvana Peacock on September 29, 2025
Broker Licensed in FL, MI, NC, NJ, SC & VA
Answered by Albert Smith on May 26, 2025
Broker Licensed in IL, FL, GA & 6 other states
This refers to Medicare being the primary insurance biller 80% and your supplements being the balance or 20%.
Yes, your supplement is sometimes referred to as secondary coverage.
Answered by Sean Macbean on September 1, 2025
Agent Licensed in SC, GA, KY, NC, TX & WV
Medicare Secondary Insurance is a broad term which means that it will pay after Medicare does. Beside Medicare Supplements there are other coverages that individuals may have, such as: Employer or retiree group coverage, TRICARE For Life, Medicaid, Union Benefits, or COBRA.
It is best to talk with a licensed agent in your area to help you understand and explore the best options for your unique situation.
Answered by Tonya Mowan on September 15, 2025
Agent Licensed in AR, MO & OK
Designed to help cover "gaps" in Original Medicare (Parts A & B), such as:
Copayments
Coinsurance
Deductibles
Only available to people enrolled in Original Medicare.
There are 10 standardized plans (Plans A, B, C, D, F, G, K, L, M, and N).
Medigap does not include drug coverage (you’d need a separate Part D plan).
Answered by Humara Riaz on June 18, 2025
Broker Licensed in TX, AL, AR & 23 other states
If someone has two different forms of coverage, the primary payer covers most costs, and the secondary payer then steps in to cover some or all remaining expenses.
Answered by Shahnaz Razvi on November 1, 2025
Broker Licensed in MI, AK, AL & 48 other states
Answered by Babs Atwell on May 1, 2025
Broker Licensed in OH, IN, KY, MI & TX
Answered by Holt Rushing on June 18, 2025
Broker Licensed in MS, AK, AL & 29 other states
Original Medicare would primary and Medicare supplements or Medi-gap will be secondary.
Answered by David Fiveash on December 15, 2025
Broker Licensed in TX, AR, LA, MS, NM & OK
A Medicare Secondary Insurance plan also covers additional benefits (vision and dental) not covered by Medigap.
Answered by George Francis on June 18, 2025
Agent Licensed in LA
To clarify a Medicare Supplement is sometimes referred to as Medigap Insurance.,too I believe these terms came about because Medicare is billed first then the Meicare Supplement for the remaining portion not covered by Medicare.
If these plans fit into your budget they can be a great option. You know all your healthcare costs up front. No surprises. Also, most dont have Networks so you can get your services anywhere that accepts Medicate.
Of course, make sure to get a Prescription Drug Plan to go along with it so you are compliant.
Answered by Tami Baker on October 18, 2025
Agent Licensed in FL
Answered by Kyra Baldwin on February 9, 2026
Agent Licensed in MI
Answered by Dionisio Guillermo on May 22, 2025
Agent Licensed in HI
Look at additional coverages such as Hospital, Critical Illness, or Cancer coverage to help fill in the holes or loss of income.
Answered by Michael Pane on June 12, 2025
Broker Licensed in NY, CO, FL & 16 other states
Answered by Amine Amraoui on November 13, 2025
Agent Licensed in FL
Both refer to insurance that pays after Medicare — helping cover costs like deductibles, copays, and coinsurance that Medicare doesn’t fully pay. The official name is Medicare Supplement Insurance (or Medigap), but a lot of people casually call it “secondary insurance” because it acts after Medicare pays first.
Quick tip: Not all “secondary insurance” is a Medigap plan — some people might have secondary coverage through a retiree plan, Medicaid, or an employer too. But if you’re buying it yourself specifically to fill Medicare’s gaps, it’s a Medicare Supplement.
Answered by Brandon Brown on April 26, 2025
Agent Licensed in KY
Medicare Supplement plans or Medigap are private insurance plans that is secondary to Medicare, it is the second payor .wheras Medicare Secondary insurance is usually affiliated with Medicare and an Employers group or workman's compensation for example. It pays first then Medicare kicks in.
Answered by Arlene Arkin on March 23, 2026
Agent Licensed in FL, MI & WI
Answered by Jelly Marco on February 23, 2026
Agent Licensed in TX
Tags: Advice for Seniors Medicare Supplement New To Medicare
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