Medicare State Laws:
Coverage & Navigation

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.

StateAll Medigap plans are guarantee issue, and include limits on premiumsAll Medigap plans are guarantee issue, but if under 65 premiums can be moreNo requirement for companies to sell Medigap plans to people under 65 with a disability, but plans are currently being soldNo requirement for companies to sell Medigap plans to people under 65 with a disability, but no plans are currently being sold
ALABAMAXhttps://www.medicare.gov/medigap-supplemental-insurance-plans/#/m/plan-policies/MEDIGAP_PLAN_TYPE_A?fips=01073&zip=35064&year=2022&lang=en
ALASKAXhttps://www.commerce.alaska.gov/web/portals/11/pub/consumers/medicare-rate-guide.pdf
ARIZONAXhttps://www.medicare.gov/medigap-supplemental-insurance-plans/#/m/plan-policies/MEDIGAP_PLAN_TYPE_A?fips=04013&zip=85001&year=2022&lang=en
ARKANSASXhttps://www.arkleg.state.ar.us/Acts/Document?type=pdf&act=684&ddBienniumSession=2017%2F2017R
CALIFORNIAXhttps://www.insurance.ca.gov/0200-industry/0120-notices/upload/NoticeMedigapChanges2010.pdf
COLORADOXhttps://doi.colorado.gov/insurance-products/health-insurance/senior-health-care-medicare
CONNECTICUTXhttps://www.cga.ct.gov/current/pub/chap_700c.htm#sec_38a-473
DELAWAREXhttps://legiscan.com/DE/text/SB42/2013
*DISTRICT OF COLUMBIAXhttps://www.medicare.gov/medigap-supplemental-insurance-plans/#/m?lang=en&year=2022
FLORIDAXhttps://www.floir.com/sitedocuments/medigapfaqs.pdf
GEORGIAXhttps://codes.findlaw.com/ga/title-33-insurance/ga-code-sect-33-43-3.html
HAWAIIXhttps://files.hawaii.gov/dcca/ins/har/har_12-c.pdf
IDAHOXhttps://legislature.idaho.gov/sessioninfo/billbookmark/?yr=2021&bn=S1143
ILLINOISXhttps://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=021500050K363
INDIANAPlan A Onlyhttps://www.billtrack50.com/BillDetail/1010218/2838
IOWAXhttps://shiip.iowa.gov/sites/default/files/2020-10/2020MedSuppguide10-2020.pdf
KANSASXhttps://insurance.ks.gov/documents/department/publications/medicare-supplement-ins-shoppers-guide.pdf
KENTUCKYXhttps://insurance.ky.gov/PPC/Documents/msguide.2.2022.pdf
LOUISIANAXhttps://www.ldi.la.gov/consumers/senior-health-shiip
MAINEXhttps://www1.maine.gov/pfr/insurance/consumer/consumer_guides/pdf/consumer_guide_medicare_supplement.pdf
MARYLANDXhttps://www.billtrack50.com/BillDetail/758059/2838
MASSACHUSETTSXhttps://www.mass.gov/files/documents/2017/10/23/211-71.pdf
MICHIGANXhttps://www.legislature.mi.gov/(S(mqyjxr1pyhvemk50pomh4vg2))/mileg.aspx?page=getObject&objectName=mcl-500-3831
MINNESOTAXhttps://www.revisor.mn.gov/statutes/2018/cite/62A.31?keyword_type=all&keyword=medicare+supplement
MISSISSIPPIXhttps://www.mid.ms.gov/consumers/pdf/medicare-supplement-guide.pdf
MISSOURIXhttps://insurance.mo.gov/seniors/documents/2020MedigapBook-Online.pdf
MONTANAXhttps://rules.mt.gov/gateway/ruleno.asp?RN=6.6.507C
NEBRASKAXhttps://doi.nebraska.gov/sites/doi.nebraska.gov/files/doc/Supplement%20Fact%20Sheet_4.pdf
NEVADAXhttps://doi.nv.gov/uploadedFiles/doi.nv.gov/Content/Consumers/Health_and_Accident_Insurance/MedicareSupplementGuide.pdf
NEW HAMPSHIREXhttps://www.nh.gov/insurance/consumers/documents/2021-medicare-supplement-rates.pdf
NEW JERSEYXhttps://www.billtrack50.com/BillDetail/1124806/2838
NEW MEXICOXhttps://www.medicare.gov/medigap-supplemental-insurance-plans/#/m?lang=en&year=2022
NEW YORKXhttps://govt.westlaw.com/nycrr/Document/I7642340bac6811de925e8b6c0f928f1d?viewType=FullText&originationContext=documenttoc&transitionType=CategoryPageItem&contextData=(sc.Default)
NORTH CAROLINAXhttps://www.ncleg.net/EnactedLegislation/Statutes/HTML/ByChapter/Chapter_58.html
NORTH DAKOTAXhttps://www.insurance.nd.gov/sites/www/files/documents/Medicare%20-%20SHIC/Medicare%20Supplement/20200804/20200804%20Approved%20ND%20Medicare%20Supplement%20Plan%20A.pdf
OHIOXhttps://www.medicare.gov/medigap-supplemental-insurance-plans/#/m?lang=en&year=2022
OKLAHOMAXhttps://www.oid.ok.gov/wp-content/uploads/2019/10/190219-OAC10P5.pdf
OREGONXhttps://shiba.oregon.gov/medicare-65/Pages/medigap.aspx
PENNSYLVANIAXhttps://www.insurance.pa.gov/Coverage/Documents/Older%20Pennsylvanians/Medigap4-16.pdf
*PUERTO RICO
RHODE ISLANDXhttps://www.medicare.gov/medigap-supplemental-insurance-plans/#/m/plan-policies/MEDIGAP_PLAN_TYPE_A?fips=44005&zip=02878&year=2022&lang=en
SOUTH CAROLINAXhttps://doi.sc.gov/DocumentCenter/View/12667/2020-Brochure---Medicare-Supp-Shop-Guide-Rev-2018-01-AR?bidId=
SOUTH DAKOTAXhttps://dlr.sd.gov/insurance/medicare_supplement_policies.aspx
TENNESSEEXhttps://www.tn.gov/content/dam/tn/commerce/documents/insurance/bulletins/120110.pdf
TEXASXhttps://www.tdi.texas.gov/pubs/consumer/medsup.html
UTAHXhttps://www.medicare.gov/medigap-supplemental-insurance-plans/#/m/plan-policies/MEDIGAP_PLAN_TYPE_A?fips=49035&zip=84044&year=2022&lang=en
VERMONTXhttps://dfr.vermont.gov/sites/finreg/files/doc_library/dfr-insurance-medicare-supplemental-shopping-guide-102120.pdf
VIRGINIAXhttps://www.billtrack50.com/BillDetail/1159484/17934
WASHINGTONXhttps://www.insurance.wa.gov/medigap-medicare-supplement-plans
WEST VIRGINIAXhttps://www.medicare.gov/medigap-supplemental-insurance-plans/#/m?lang=en&year=2022
WISCONSINXhttps://oci.wi.gov/Documents/Consumers/PI-002.pdf
WYOMINGXhttps://drive.google.com/file/d/1jDzPjM54gg_E9tLxBkoHt7NDjqnnJfXI/view
GUAM
2/14/23