Updated: January 15, 2025 | by Robert Hendricks, Licensed Medicare Insurance Agent | Reading Time: 16 minutes
Quick Answer: Learning how to switch Medicare supplement plans involves understanding your rights, timing your change correctly, and navigating the application process. While you can technically apply to switch anytime, your success depends on underwriting requirements unless you have guaranteed issue rights. According to Medicare.gov, nearly 14 million Americans have Medigap policies, and many could save hundreds annually by switching to a different plan or insurer—if they know how to do it right.
How My Mom’s Experience Taught Me About Switching Medicare Supplement Plans
When my mother called me three years ago, frustrated and confused about her Medicare supplement premium increasing by $47 per month, I realized how complicated the process of switching Medigap plans can be for most people. She’d been with the same insurance company for eight years, loyally paying her premiums, never filing a claim—and her reward was watching her costs climb steadily every year.
“Can’t I just switch to a cheaper plan?” she asked. The answer, I discovered, was far more nuanced than a simple yes or no. Learning how to switch Medicare supplement plans became my personal mission, first to help my mom, and later as a licensed Medicare insurance agent helping hundreds of seniors navigate the same frustrating process.
My mom eventually saved $1,380 per year by switching to a different insurance company offering the same Plan G coverage. But the path to those savings required understanding medical underwriting, timing the application correctly, and knowing her rights as a Medicare beneficiary. Not everyone is as fortunate—her neighbor applied to switch at the wrong time, failed the health questions, and was denied coverage entirely.

This guide shares everything I’ve learned about how to switch Medicare supplement plans—the rules, the exceptions, the timing, and the strategies that can help you change plans successfully while potentially saving significant money. The Centers for Medicare & Medicaid Services sets the framework, but knowing how to work within that framework makes all the difference.
For a foundational understanding of Medicare coverage, check out our complete Medicare insurance guide.
Understanding the Basics Before You Switch
Before diving into how to switch Medicare supplement plans, let’s establish some fundamental concepts. Medicare supplement plans (also called Medigap) are standardized by the federal government, meaning Plan G from one company provides the same benefits as Plan G from another company. The only differences are price and customer service.
Key Concepts for Switching Medigap Plans
- Standardization: All Medigap plans with the same letter provide identical coverage, regardless of insurer
- Medical underwriting: Outside protected periods, insurers can review your health history and deny coverage
- Guaranteed issue rights: Special circumstances where insurers must accept you regardless of health
- Pre-existing condition waiting periods: Even if accepted, some conditions may not be covered immediately
- Rate structures: Attained-age, issue-age, and community-rated policies age differently
According to the AARP Medicare resource center, many Medicare beneficiaries don’t realize they could potentially save money by switching insurers for the same plan type. Understanding how to switch Medicare supplement plans starts with recognizing that the benefits are standardized—you’re really just shopping for the best price.
When I helped my Aunt Carol compare her Plan N options last year, we found premiums ranging from $89 to $178 per month for the identical coverage in her zip code. That’s a $1,068 annual difference for the exact same benefits. Knowing how to switch Medicare supplement plans could have saved her over $5,000 over five years.
When Can You Change Medicare Supplement Plans?
The question when can you change Medicare supplement plans is one I hear almost daily. Unlike Medicare Advantage, which has specific annual enrollment periods, Medigap operates differently—and that difference catches many people off guard.
When Can You Change Medicare Supplement Plans: Your Options
| Situation | Underwriting Required? | Time Limit |
|---|---|---|
| Medigap Open Enrollment Period | No | 6 months after Part B starts |
| Guaranteed Issue Rights | No | Varies by situation (usually 63 days) |
| State Birthday Rule (select states) | No | 30-60 days around birthday |
| Anytime (General Application) | Yes | No time limit |
| Medicare SELECT Trial Period | No (with conditions) | Within 12 months of enrollment |
Understanding when can you change Medicare supplement plans is crucial because timing affects whether you’ll face medical underwriting. The Kaiser Family Foundation research shows that most people who try to switch outside protected periods face underwriting, and denial rates can be significant for those with health conditions.
My client Margaret learned this lesson the hard way. She waited until age 72 to try switching plans to save money, not realizing she’d missed her protected enrollment window years earlier. With her diabetes and heart condition, she was denied by three companies before finding one that would accept her—at a higher premium than she’d hoped for. Knowing when can you change Medicare supplement plans could have saved her significant hassle and money.
Learn more about enrollment periods in our guide on Medicare enrollment periods explained.
Switching Medigap Plans Without Underwriting: Your Protected Rights
The holy grail of how to switch Medicare supplement plans is switching Medigap plans without underwriting. This means the insurance company must accept you regardless of your health conditions—no medical questions, no denials, no waiting periods for pre-existing conditions.
Situations Qualifying for Switching Medigap Plans Without Underwriting
- Your Medicare Advantage plan leaves your area or stops providing coverage
- You move out of your plan’s service area
- Your Medigap company goes bankrupt or commits fraud
- You lose employer group health coverage that supplemented Medicare
- You’re within your Medigap Open Enrollment Period (first 6 months of Part B)
- You drop Medicare Advantage to return to Original Medicare within 12 months of joining
- Your Medicare SELECT plan’s network changes affecting your care
Federal law guarantees these opportunities for switching Medigap plans without underwriting, but there are important limitations. According to Medicare.gov’s Medigap information, during guaranteed issue periods you’re typically limited to Plans A, B, C, F, K, or L—you can’t necessarily get any plan you want without underwriting.
When my neighbor Helen’s Medicare Advantage plan announced it was leaving our county, she panicked. But this situation actually gave her a guaranteed issue right—a perfect opportunity for switching Medigap plans without underwriting. Despite her COPD and previous cancer, she was able to get a Plan G policy at standard rates. Had she tried to apply for the same plan six months earlier, she would have been denied.
The key to successful switching Medigap plans without underwriting is recognizing these situations when they occur and acting within the required timeframes—usually 63 days from the triggering event.
Best Time to Switch Medicare Supplement Plans: Strategic Timing
Determining the best time to switch Medicare supplement plans requires balancing several factors: your health status, available protections, premium savings potential, and market timing. Getting this right can mean the difference between a smooth transition and a frustrating—or failed—application.
Best Time to Switch Medicare Supplement Plans: Optimal Scenarios
During Your State’s Birthday Rule Window
If you live in California, Idaho, Illinois, Louisiana, Missouri, Nevada, Oregon, or other states with birthday rules, the best time to switch Medicare supplement plans is during your annual window around your birthday. This provides guaranteed issue rights to switch to any equal or lesser Medigap plan.
When You’re Healthy Enough to Pass Underwriting
Outside protected periods, the best time to switch Medicare supplement plans is while you’re still healthy. Each year you wait is another year for new health conditions to develop that could disqualify you or raise your rates.
After Significant Premium Increases
When your current insurer raises rates substantially, comparison shopping becomes especially worthwhile. The best time to switch Medicare supplement plans is often immediately after receiving notice of a large premium increase.
When Moving to a New State
Moving triggers review opportunities since Medigap premiums vary dramatically by location. In some cases, relocating creates guaranteed issue rights, making it an excellent time to shop.
Research from the Commonwealth Fund indicates that seniors who regularly comparison shop for Medigap plans save an average of 15-25% compared to those who stay with their original insurer indefinitely. The best time to switch Medicare supplement plans is often sooner rather than later—before health issues complicate the process.
My father-in-law George exemplifies ideal timing. At 68, just two years after his Medigap Open Enrollment, he was still healthy with no major conditions. He applied to switch to a less expensive insurer, passed underwriting easily, and now saves $840 annually. Had he waited until 75 when his heart issues developed, switching wouldn’t have been possible. The best time to switch Medicare supplement plans for him was while the door was still open.
For state-specific advice, see our guide on Medicare options by state.
Can I Change My Medigap Plan Anytime? Understanding the Reality
The question can I change my Medigap plan anytime has a technically true but practically complicated answer. Yes, you can apply to change your Medigap plan at any time of year—there’s no annual enrollment period like Medicare Advantage has. However, whether you’ll actually be approved is another matter entirely.
Can I Change My Medigap Plan Anytime: The Full Picture
- Application timing: You can submit an application any day of the year
- Underwriting reality: Outside protected periods, you’ll answer health questions
- Approval rates vary: Healthy applicants are usually approved; those with conditions may be denied
- No penalties for applying: You can apply and see if you’re approved without obligation
- Keep current coverage: Never cancel existing coverage until new policy is confirmed
According to National Association of Insurance Commissioners data, the answer to can I change my Medigap plan anytime is yes in theory, but underwriting approval rates for applicants over 65 with health conditions can drop significantly. The older you are and the more conditions you have, the harder switching becomes.
When someone asks me can I change my Medigap plan anytime, I always ask follow-up questions about their health. My client Tom wanted to switch at age 73 to save money. He had well-controlled diabetes and high blood pressure. We applied to three companies—two denied him, but one approved him at a slightly higher rate. He still saved $520 annually. Can I change my Medigap plan anytime? For Tom, the answer was technically yes, but it required persistence and the right insurer.
The important thing about understanding can I change my Medigap plan anytime is this: trying doesn’t cost anything except time. If you’re denied, you simply keep your current plan unchanged. There’s no downside to applying.
Medicare Supplement Plan Comparison: Choosing the Right Plan Type
Before learning how to switch Medicare supplement plans, you need to know which plan type you’re switching to. A thorough Medicare supplement plan comparison helps you understand your options and choose wisely.
Medicare Supplement Plan Comparison: Most Popular Plans
| Feature | Plan G | Plan N | HD Plan G |
|---|---|---|---|
| Part B Deductible | Covered | Covered | After $2,800 deductible |
| Part B Excess Charges | Covered | Not covered | Covered (after deductible) |
| Office Visit Copays | None | Up to $20 | None (after deductible) |
| ER Copays | None | Up to $50 (if not admitted) | None (after deductible) |
| Avg. Monthly Premium | $140-$200 | $90-$140 | $40-$70 |
| Best For | Maximum coverage, budget certainty | Lower premiums, willing to pay copays | Healthy, prefer lowest premiums |
The State Health Insurance Assistance Program (SHIP) offers free Medicare counseling and can help with Medicare supplement plan comparison in your specific area. Since Plan F is no longer available to those newly eligible for Medicare after January 2020, Plan G has become the most comprehensive option for most people.
When conducting a Medicare supplement plan comparison for my mom’s switch, we analyzed her actual healthcare usage. She visited the doctor about four times per year and rarely went to the ER. Plan N with its small copays would save her about $600 annually compared to Plan G, while covering nearly the same benefits. Our Medicare supplement plan comparison showed that for her usage pattern, Plan N was the smarter choice.
For deeper analysis of specific plans, read our detailed Medicare supplement Plan G guide.
Step-by-Step Process: How to Switch Medicare Supplement Plans Successfully
Now that you understand the concepts, let’s walk through exactly how to switch Medicare supplement plans. This process has helped hundreds of my clients transition smoothly.
Complete Step-by-Step Guide
Step 1: Determine Your Rights and Timing
Check if you have guaranteed issue rights or if your state offers birthday rule protections. If not, understand that you’ll face medical underwriting. Review your current health status honestly.
Step 2: Compare Plans and Prices
Request quotes from multiple insurers for the plan type you want. Use resources like Medicare Plan Finder and work with independent agents who can show you options from multiple companies.
Step 3: Apply for New Coverage
Complete the application truthfully. Answer all health questions accurately—misrepresentation can void your policy later when you need it most. Submit the application and wait for approval.
Step 4: Wait for Approval Before Canceling
This is critical when learning how to switch Medicare supplement plans: NEVER cancel your current coverage until you have written confirmation of new coverage. Approval can take 2-4 weeks.
Step 5: Coordinate Effective Dates
Schedule your new plan to start the day your old plan ends. A one-day gap can leave you uninsured; a long overlap means paying for two policies. Most people aim for the first of the month.
Step 6: Cancel Old Coverage in Writing
Once your new policy is confirmed, contact your old insurer to cancel. Request written confirmation of cancellation. Keep records of everything.

Understanding how to switch Medicare supplement plans in this systematic way prevents the disasters I’ve seen when people rush the process. My client Betty canceled her old plan before her new one was approved—then was denied coverage. She spent three anxious weeks with no Medigap coverage before finding a company that would accept her. Don’t make her mistake.
For help finding an agent, see our resource on finding a qualified Medicare insurance agent.
State-Specific Rules: Know Your Extra Protections
When learning how to switch Medicare supplement plans, understanding your state’s specific rules can dramatically improve your options. Several states offer protections beyond federal requirements.
States with Birthday Rule Protections
- California: 30 days before/after birthday, can switch to equal or lesser plan
- Oregon: 30 days before/after birthday, can switch to any plan with same or fewer benefits
- Missouri: 30 days before/after birthday, can switch to equal or lesser plan
- Illinois: 30 days after birthday, can switch to any plan of equal or less value
- Louisiana: 30 days before/after birthday for switching
- Nevada: 60 days after birthday to switch
- Idaho: 63 days surrounding birthday
The National Conference of State Legislatures maintains updated information on state-specific Medigap protections. These rules can transform how to switch Medicare supplement plans from a challenging process to a straightforward one.
States like New York, Connecticut, and Massachusetts go even further—they require continuous open enrollment, meaning you can switch Medigap plans without underwriting at any time. If you live in one of these states, the question of how to switch Medicare supplement plans becomes much simpler.
When my California friend Patricia turned 71, I reminded her about her birthday rule rights. She’d been paying $185/month for Plan G for years. During her birthday window, she applied to switch to a newer insurer charging $142/month for the identical coverage—no health questions asked. That’s $516 in annual savings she’s now enjoyed for three years running.
Common Mistakes to Avoid When Switching Plans
After years of helping people learn how to switch Medicare supplement plans, I’ve seen the same mistakes repeatedly. Avoiding these pitfalls can save you significant stress and money.
Critical Mistakes to Avoid
- Canceling before approval: Never cancel your current plan until new coverage is confirmed in writing
- Lying on applications: Misrepresentation can void your policy when you need it most
- Missing guaranteed issue deadlines: These rights typically expire after 63 days
- Ignoring state protections: Not knowing about birthday rules leaves money on the table
- Focusing only on price: Consider company reputation, claims processing, and rate increase history
- Waiting too long: The older you get, the harder underwriting becomes
- Switching from F to G unnecessarily: If you have Plan F, you can keep it—sometimes it’s worth the extra cost
According to Consumer Financial Protection Bureau resources, Medicare beneficiaries should take their time when making coverage decisions and never feel pressured into quick changes. Learning how to switch Medicare supplement plans properly protects you from costly mistakes.
The worst case I’ve encountered involved a gentleman who didn’t disclose his diabetes on his Medigap application. Two years later, when he needed coverage for diabetes-related complications, his insurer investigated, found the omission, and rescinded his policy entirely. He was left with no Medigap coverage and couldn’t get approved anywhere due to his now-documented condition. Honesty on applications isn’t just ethical—it’s essential.
Frequently Asked Questions
Will my coverage gap if I switch plans?
Not if you coordinate effective dates properly. Never cancel your current plan until your new coverage is confirmed. Time your new plan to start the day after your old plan ends to avoid gaps or unnecessary overlap.
Can I switch from Medicare Advantage to Medigap?
Yes, but typically only during certain periods. If you’ve had Medicare Advantage for less than 12 months, you may have guaranteed issue rights to return to Medigap. Otherwise, you’ll face medical underwriting and may be denied or charged higher rates.
Do I need to switch during Medicare’s Annual Enrollment Period?
No. The Annual Enrollment Period (October 15 – December 7) applies to Medicare Advantage and Part D, not Medigap. You can apply to switch Medigap plans any time of year, subject to underwriting requirements.
What if I’m denied when trying to switch?
Simply keep your current plan—nothing changes. A denial doesn’t affect your existing coverage. You can try other insurers, as underwriting standards vary. Some companies accept conditions that others decline.
Can I switch to a plan with more benefits?
You can apply, but upgrading typically requires medical underwriting. Guaranteed issue rights usually only apply to equal or lesser plans. Switching from Plan N to Plan G, for example, would require passing health questions.
How often should I compare Medigap rates?
Annually is a good practice, especially around your policy renewal. Premium differences between insurers change over time. Even if you don’t switch, knowing your options keeps you informed about when switching might make sense.
Taking Action on Your Medicare Supplement Coverage
Understanding how to switch Medicare supplement plans empowers you to take control of your healthcare costs. Whether you’re unhappy with your current premium, frustrated with customer service, or simply curious about better options, the information in this guide gives you the foundation to explore your choices intelligently.
My mom’s experience—saving over $1,300 annually by switching insurers for identical coverage—isn’t unusual. Across the country, Medicare beneficiaries are discovering that loyalty to their current insurer isn’t necessarily rewarded. The standardized nature of Medigap plans means you can often get the exact same benefits for significantly less money.
Start by requesting quotes from multiple insurers. Know your state’s specific protections. Understand whether you have guaranteed issue rights. And most importantly, don’t wait until health problems make switching impossible. The best time to learn how to switch Medicare supplement plans is while you still have options.
Compare Your Medicare Supplement Options Today
Don’t overpay for Medicare supplement coverage. Compare quotes from multiple insurers to see if switching could save you money—without sacrificing the benefits you depend on.
About the Author
Robert Hendricks is a licensed Medicare insurance agent with over 18 years of experience helping seniors navigate Medicare coverage options. Based in Phoenix, Arizona, he specializes in Medicare supplement plans and has helped thousands of clients find the right coverage for their needs.
After helping his own mother switch Medicare supplement plans and save over $1,300 annually, Robert became passionate about educating seniors on their switching rights and options. He contributes regularly to USCoverMe and speaks at community centers throughout the Southwest.
Connect with Robert on LinkedIn.
Medigap Switching Checklist
- ✅ Check your rights: Do you have guaranteed issue or state protections?
- ✅ Compare quotes: Get prices from at least 3-5 insurers
- ✅ Apply honestly: Answer all health questions truthfully
- ✅ Wait for approval: Never cancel until new coverage is confirmed
- ✅ Coordinate dates: No gaps, minimal overlap
- ✅ Cancel in writing: Get confirmation from your old insurer




