This chart highlights the state laws related to Medicare coverage and navigation, and information about Medigap. Check back often, as this chart is updated frequently.
If you don't find what you're looking for, see our Medicare Topics Page. For information about health insurance generally, or Medicaid, return to the main state laws page.
| State | All Medigap plans are guarantee issue, and include limits on premiums | All Medigap plans are guarantee issue, but if under 65 premiums can be more | No requirement for companies to sell Medigap plans to people under 65 with a disability, but plans are currently being sold | No requirement for companies to sell Medigap plans to people under 65 with a disability, but no plans are currently being sold | ||||
|---|---|---|---|---|---|---|---|---|
| ALABAMA | X | https://www.medicare.gov/medigap-supplemental-insurance-plans/#/m/plan-policies/MEDIGAP_PLAN_TYPE_A?fips=01073&zip=35064&year=2022&lang=en | ||||||
| ALASKA | X | https://www.medicare.gov/medigap-supplemental-insurance-plans/#/m/plans?fips=02020&zip=99540&year=2024&lang=en | ||||||
| ARIZONA | X | https://www.medicare.gov/medigap-supplemental-insurance-plans/#/m/plan-policies/MEDIGAP_PLAN_TYPE_A?fips=04013&zip=85001&year=2024&lang=en | ||||||
| ARKANSAS | X | https://insurance.arkansas.gov/site/assets/files/2100/2024quickguide_final_1.pdf | ||||||
| CALIFORNIA | X | https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=INS§ionNum=10192.11. | ||||||
| COLORADO | X | https://doi.colorado.gov/insurance-products/health-insurance/senior-health-care-medicare | ||||||
| CONNECTICUT | X | https://www.cga.ct.gov/current/pub/chap_700c.htm#sec_38a-473 | ||||||
| DELAWARE | X | https://legiscan.com/DE/text/SB42/2013 | ||||||
| *DISTRICT OF COLUMBIA | X | https://www.medicare.gov/medigap-supplemental-insurance-plans/#/m/plans?fips=11001&zip=20008&year=2024&lang=en | ||||||
| FLORIDA | X | http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0600-0699/0627/Sections/0627.6741.html | ||||||
| GEORGIA | X | https://codes.findlaw.com/ga/title-33-insurance/ga-code-sect-33-43-3.html | ||||||
| HAWAII | X | https://files.hawaii.gov/dcca/ins/har/har_12-c.pdf | ||||||
| IDAHO | X | https://adminrules.idaho.gov/rules/current/18/180410.pdf | ||||||
| ILLINOIS | X | https://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=021500050K363 | ||||||
| INDIANA | Plan A Only | https://www.billtrack50.com/BillDetail/1010218/2838 | ||||||
| IOWA | X | https://shiip.iowa.gov/media/76/download?inline= | ||||||
| KANSAS | X | https://insurance.ks.gov/documents/department/publications/medicare-supplement-ins-shoppers-guide.pdf | ||||||
| KENTUCKY | X | https://apps.legislature.ky.gov/record/23RS/hb345.html | ||||||
| LOUISIANA | X | https://www.ldi.la.gov/docs/default-source/documents/shiip/2017-medicare-supplement-guide.pdf?sfvrsn=46d17552_12 | ||||||
| MAINE | X | https://www.maine.gov/pfr/insurance/sites/maine.gov.pfr.insurance/files/inline-files/consumer-guide-medicare-supplement.pdf | ||||||
| MARYLAND | Only Plans A and D | https://mgaleg.maryland.gov/mgawebsite/Laws/StatuteText?article=gin§ion=15-909&enactments=false | ||||||
| MASSACHUSETTS | X | https://www.mass.gov/files/documents/2017/10/23/211-71.pdf | ||||||
| MICHIGAN | X | https://www.legislature.mi.gov/(S(mqyjxr1pyhvemk50pomh4vg2))/mileg.aspx?page=getObject&objectName=mcl-500-3831 | ||||||
| MINNESOTA | X | https://www.revisor.mn.gov/statutes/cite/62A.31 | ||||||
| MISSISSIPPI | X | https://www.mid.ms.gov/consumers/pdf/medicare-supplement-guide.pdf | ||||||
| MISSOURI | X | https://www.law.cornell.edu/regulations/missouri/20-CSR-400-3-650 | ||||||
| MONTANA | X | https://rules.mt.gov/gateway/ruleno.asp?RN=6.6.507C | ||||||
| NEBRASKA | X | https://www.medicare.gov/medigap-supplemental-insurance-plans/#/m/plans?fips=31109&zip=68521&year=2024&lang=en | ||||||
| NEVADA | X | https://doi.nv.gov/uploadedFiles/doi.nv.gov/Content/Consumers/Health_and_Accident_Insurance/MedicareSupplementGuide.pdf | ||||||
| NEW HAMPSHIRE | X | https://www.nh.gov/insurance/consumers/documents/medicare-suppguide-new.pdf | ||||||
| NEW JERSEY | X | https://www.njleg.state.nj.us/bill-search/2018/S3651/bill-text?f=PL19&n=139_ | ||||||
| NEW MEXICO | X | https://www.medicare.gov/medigap-supplemental-insurance-plans/#/m/plans?fips=35001&zip=87117&year=2024&lang=en | ||||||
| NEW YORK | X | https://govt.westlaw.com/nycrr/Document/I7642340bac6811de925e8b6c0f928f1d?viewType=FullText&originationContext=documenttoc&transitionType=CategoryPageItem&contextData=(sc.Default) | ||||||
| NORTH CAROLINA | X | https://www.ncleg.net/EnactedLegislation/Statutes/HTML/ByChapter/Chapter_58.html | ||||||
| NORTH DAKOTA | X | https://www.insurance.nd.gov/sites/www/files/documents/Medicare%20-%20SHIC/Medicare%20Supplement/20200804/20200804%20Approved%20ND%20Medicare%20Supplement%20Plan%20A.pdf | ||||||
| OHIO | X | https://www.medicare.gov/medigap-supplemental-insurance-plans/#/m/plans?fips=39089&zip=43008&year=2024&lang=en | ||||||
| OKLAHOMA | At least one plan must be made available to those under 65; premiums may not exceed lowest available aged premium rate | https://www.oid.ok.gov/wp-content/uploads/2019/10/190219-OAC10P5.pdf | ||||||
| OREGON | X | https://www.law.cornell.edu/regulations/oregon/OAR-836-052-0138 | ||||||
| PENNSYLVANIA | X | https://www.pacodeandbulletin.gov/Display/pacode?file=/secure/pacode/data/031/chapter89/s89.778.html&d=reduce | ||||||
| *PUERTO RICO | X | https://www.medicare.gov/medigap-supplemental-insurance-plans/#/m/plans?fips=72061&zip=00968&year=2024&lang=en | ||||||
| RHODE ISLAND | Guaranteed issue of Plan A only during specific time periods | http://webserver.rilin.state.ri.us/Statutes/title27/27-18.2/27-18.2-3.HTM | ||||||
| SOUTH CAROLINA | X | https://www.doi.sc.gov/DocumentCenter/View/14582/2024-Medicare-Supplement-Shoppers-Guide | ||||||
| SOUTH DAKOTA | X | https://dlr.sd.gov/insurance/medicare_supplement_policies.aspx | ||||||
| TENNESSEE | X | https://www.tn.gov/content/dam/tn/commerce/documents/insurance/bulletins/120110.pdf | ||||||
| TEXAS | Guaranteed issue of Plan A only for Medicare beneficiaries under 65. | https://www.tdi.texas.gov/pubs/consumer/medsup.html | ||||||
| UTAH | X | https://www.medicare.gov/medigap-supplemental-insurance-plans/#/m/plans?fips=49035&zip=84044&year=2024&lang=en | ||||||
| VERMONT | X | https://dfr.vermont.gov/sites/finreg/files/doc_library/dfr-insurance-medicare-supplemental-shopping-guide-102120.pdf | ||||||
| VIRGINIA | X | https://law.lis.virginia.gov/vacode/title38.2/chapter36/section38.2-3610/ | ||||||
| WASHINGTON | X | https://www.insurance.wa.gov/medigap-medicare-supplement-plans | ||||||
| WEST VIRGINIA | X | https://www.medicare.gov/medigap-supplemental-insurance-plans/#/m/plans?fips=54055&zip=24701&year=2024&lang=en | ||||||
| WISCONSIN | X | https://oci.wi.gov/Documents/Consumers/PI-002.pdf | ||||||
| WYOMING | X | https://www.medicare.gov/medigap-supplemental-insurance-plans/#/m/plans?fips=56021&zip=82001&year=2024&lang=en | ||||||
| GUAM | ||||||||
| Last Updated | 5/2/24 |