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BCBSIL Medicare Supplement Plans for 2027

Real Blue Cross Blue Shield of Illinois rates for Plans G, N, HD-G, F & A. See your actual monthly premium in seconds: no contact info required.

Get Your BCBSIL Medigap Rate

Rates pulled from the official 2026 BCBSIL Outline of Coverage. No estimates. These are the actual published premiums.






/ month
BCBSIL standard (guaranteed issue) premium, effective April 1, 2026. Lower Secure rates may be available if you qualify. Plan F available only if Medicare-eligible before 1/1/2020.

2027 BCBSIL Medigap At a Glance

For 2026, the Medicare Part A deductible is $1,736 and the Part B deductible is $283. The high-deductible Plan G annual deductible is $2,950. BCBSIL offers seven standardized Medigap plans in Illinois plus Med-Select and “Plus” variants with dental, vision, hearing, and fitness benefits.

Carrier Blue Cross and Blue Shield of Illinois (a Division of Health Care Service Corporation)
Plans Available Plan A, Plan F*, High Deductible Plan F*, Plan G, Plan G Plus, HD Plan G, HD Plan G Plus, Plan N, Plan N Plus (+ Med-Select options for F, G, G Plus and N, and lower-cost Secure versions)
Network None: see any U.S. doctor or hospital that accepts Medicare assignment
Rate Areas in Illinois Metro (Rating Area 1) Cook, DuPage, Kane, Lake, McHenry, Will counties
State North (Rating Area 2) Northern Illinois outside metro (ZIPs 60111-61799)
State South (Rating Area 3) Southern Illinois (ZIPs 61801-62999)
Rating Method Attained-age. All BCBSIL plans are priced by age, gender and tobacco use. Standard plans are guaranteed issue; Secure plans cost less but may require underwriting.
Tobacco Definition Used tobacco products 4+ times per week on average within the last 6 months (cigarettes, cigars, smokeless, vaping, e-cigarettes)
Customer Service 312.800.0751 (Illinois Health Agents) · BCBSIL Member Services for enrolled members
Apply Online apply
Plans F and HD-F eligibility cutoff Plan F and High Deductible Plan F are only available if you became Medicare-eligible before January 1, 2020. MACRA law blocks Plan F enrollment for newer enrollees. Plan G is the closest equivalent: the only difference is Plan G doesn’t cover the $283 Part B deductible.

BCBSIL Plan G

Plan G is BCBSIL’s most popular Medicare Supplement plan for new enrollees. It covers every Medicare gap except the annual Part B deductible ($283 in 2026), giving you predictable, near-zero out-of-pocket costs for the rest of the year once you’ve paid that deductible.

★ Most Popular

What Plan G Covers (after the $283 Part B deductible)

  • Part A hospital deductible ($1,736 in 2026): 100% paid
  • Part A coinsurance + 365 extra hospital days lifetime
  • Part B coinsurance (the 20% Medicare doesn’t pay): 100% paid
  • Part B excess charges: 100% paid (doctors who don’t accept Medicare assignment)
  • Skilled nursing facility coinsurance: up to $217.00/day for days 21-100
  • First 3 pints of blood each year: 100% paid
  • Part A hospice care coinsurance: 100% paid
  • Foreign travel emergency: 80% after $250 deductible, up to $50,000 lifetime

Plan G does NOT cover The $283 Medicare Part B deductible (you pay this once per year).

$201.43
/month

Sample 2026 rate: Plan G Standard
Age 65, Female, Non-Tobacco, Metro or State North
Age 65, Male, Non-Tobacco, Metro or State North: $233.01/mo
Age 65, Female, Non-Tobacco, State South: $218.95/mo
Plan G Secure, if you qualify: from $184.18/mo (see Secure rates)

Plan G Rates Effective April 1, 2026: Metro Counties (Cook, DuPage, Kane, Lake, McHenry, Will)

Age Female Non-Tobacco Female Tobacco Male Non-Tobacco Male Tobacco

Plan G Rates Effective April 1, 2026: State North (Northern IL outside metro, ZIPs 60111-61799)

Age Female Non-Tobacco Female Tobacco Male Non-Tobacco Male Tobacco

Plan G Rates Effective April 1, 2026: State South (ZIPs 61801-62999)

Age Female Non-Tobacco Female Tobacco Male Non-Tobacco Male Tobacco
These are BCBSIL’s standard (guaranteed issue) rates, effective April 1, 2026, and the same rates apply in the Metro and State North areas. Standard rates rise each year with age (attained-age rating), and BCBSIL may also apply across-the-board rate adjustments subject to Illinois Department of Insurance approval. Your rate cannot increase solely because of poor health. If you are new to Medicare or can pass underwriting, see the lower Secure plan rates.

BCBSIL Plan N

Plan N offers lower monthly premiums than Plan G in exchange for small copays when you receive care. It’s a good fit for Illinois residents who are generally healthy, want to keep premiums down, and don’t mind modest cost-sharing.

Lower Premium Option

Plan N Copays & What It Doesn’t Cover

  • $20 copay for each office visit (up to the Part B coinsurance amount)
  • $50 copay for ER visits that do not result in inpatient admission (waived if admitted)
  • Part B deductible NOT covered: you pay the $283 Part B deductible each year
  • Part B excess charges NOT covered: if your doctor doesn’t accept Medicare assignment, you’re responsible for the difference

Plan N covers everything else Plan G covers Part A deductible, Part A coinsurance, Part B coinsurance (minus copays), skilled nursing coinsurance, blood, hospice, and foreign travel emergency.

$160.07
/month

Sample 2026 rate: Plan N Standard
Age 65, Female, Non-Tobacco, Metro or State North
Age 65, Male, Non-Tobacco, Metro or State North: $185.19/mo
Age 65, Female, Non-Tobacco, State South: $190.56/mo
Plan N Secure, if you qualify: from $132.00/mo (see Secure rates)

Plan N Standard is age-rated only: unlike Plan G, BCBSIL’s standard Plan N does not charge different rates for gender or tobacco use. Everyone the same age in the same area pays the same premium.

Plan N Rates Effective April 1, 2026: Metro Counties

Age Female Non-Tobacco Female Tobacco Male Non-Tobacco Male Tobacco

Plan N Rates Effective April 1, 2026: State North (Northern IL outside metro, ZIPs 60111-61799)

Age Female Non-Tobacco Female Tobacco Male Non-Tobacco Male Tobacco

Plan N Rates Effective April 1, 2026: State South (ZIPs 61801-62999)

Age Female Non-Tobacco Female Tobacco Male Non-Tobacco Male Tobacco
Plan N Plus is also available with gender/tobacco-based rates and adds dental, vision, hearing, and SilverSneakers fitness benefits. See Plan G/N Plus benefits →

BCBSIL High Deductible Plan G

High Deductible Plan G has the same benefits as standard Plan G, but you pay a $2,950 annual deductible in 2026 before the plan starts paying. Once you hit that deductible, Medigap covers 100% of Medicare gaps for the rest of the calendar year. The Part B deductible counts toward meeting it.

Lowest Premium

When HD Plan G Makes Sense

  • You’re healthy and rarely use significant medical care
  • You want catastrophic protection (full coverage after $2,950) at the lowest possible premium
  • You’re comfortable paying up to $2,950 out-of-pocket in a heavy-use year
  • Available to new Medicare enrollees (unlike HD Plan F, there’s no eligibility cutoff)

HD Plan G is also available as HD Plan G Plus, which adds dental, vision, hearing, and SilverSneakers fitness benefits.

For current HD Plan G rates: the premium is significantly lower than standard Plan G.
Get an HD Plan G quote → or call 312.800.0751

BCBSIL Plan F: Grandfathered Only

Plan F is the most comprehensive Medigap option: it covers every Medicare gap, including the Part B deductible. Because of MACRA, Plan F is closed to anyone who became Medicare-eligible on or after January 1, 2020.

Plan F Eligibility Check

You can enroll in Plan F only if any of these apply

  • You turned 65 before January 1, 2020
  • You qualified for Medicare due to disability before January 1, 2020
  • You already have a Plan F policy and want to switch carriers

If none apply, Plan G is your closest equivalent: covers everything Plan F does except the $283 Part B deductible.

High Deductible Plan F is also available for grandfathered enrollees: same full coverage after a $2,950 calendar-year deductible, at a much lower monthly premium.

For current Plan F and HD Plan F rates, use the online quote tool or call 312.800.0751.

SHOW THE SAVINGS: PLAN F vs PLAN G

Plan F and Plan G pay for exactly the same things, with one single exception: Plan F pays your Medicare Part B deductible and Plan G does not. For 2026 that deductible is $283. The Part A deductible, all of the coinsurance, skilled nursing care, Part B excess charges and foreign travel emergency coverage are identical on both plans.

So the entire decision comes down to one question

Does Plan F cost more than $283 per year more than Plan G?
Yes: Plan G is the cheaper plan.
No: Plan F is the cheaper plan.

Worked example (2026)

The premiums below are round sample numbers to show the math, not BCBSIL rates. See the BCBSIL rates above for actual 2026 pricing, or call 312.800.0751 for your personal rate.

Your annual cost Plan F Plan G
Step 1. Annual premium (sample: $200 vs $165 a month) $2,400 $1,980
Step 2. Part B deductible you pay yourself $0
(Plan F pays it)
$283
Step 3. Total worst case cost for the year $2,400 $2,263
Annual savings with Plan G - $137

How to read it Plan F costs $420 more per year in premium ($2,400 minus $1,980), but the only extra thing it buys you is the $283 deductible. You would be paying $420 to avoid $283 of cost, so Plan G finishes $137 ahead. And that is the worst case, in a year where you actually use the whole deductible. In a year you never meet it, Plan G is ahead by the full $420.

Break-even point with a $1,980 Plan G premium, Plan F only wins if it is priced at $2,263 a year or less. Anything above that and Plan G is the better buy.

Important Plan F is only available if you were eligible for Medicare before January 1, 2020. If you turned 65 after that date, Plan G is the most comprehensive Medicare Supplement you can buy.

BCBSIL Plans K & L: Not Currently Offered

Blue Cross and Blue Shield of Illinois does not currently sell Medicare Supplement Plans K or L. They are not in BCBSIL’s 2026 Medicare Supplement plan list or in its rate outlines effective April 1, 2026, in any Illinois rating area.

If you were looking at Plan K or L for a lower premium, compare Plan N, High Deductible Plan G or the Secure plans. Other Illinois carriers may still offer Plans K and L; call 312.800.0751 and we can compare them for you.

BCBSIL Plan A

Plan A is the most basic standardized Medigap plan. It covers Medicare’s core benefits only and does not cover the Part A hospital deductible, skilled nursing coinsurance, Part B excess charges, or foreign travel emergency.

What Makes Plan A Different at BCBSIL

  • Community-rated: no gender or tobacco surcharge, everyone pays the same age-based rate
  • Covers: Part A hospital coinsurance + 365 extra days, Part B coinsurance, first 3 pints of blood, hospice coinsurance
  • Does NOT cover: Part A deductible ($1,736), skilled nursing coinsurance, Part B deductible, Part B excess charges, foreign travel emergency
Plan A is rarely the best value. One inpatient hospital stay could cost you $1,736 out-of-pocket, potentially more than a full year of premium savings versus Plan G or N. Most Illinois residents are better served by Plan G, N, or HD Plan G.

Side-by-Side Plan Comparison

Benefit Plan A Plan N Plan G HD Plan G Plan F*
Your Out-of-Pocket Exposure
Calendar-year deductible $0 $0 $0 $2,950 $0
Annual out-of-pocket cap None None None $2,950 None
Part B deductible ($283) You pay You pay You pay Counts toward ded. Covered ✓
Office visit copay $0 $20/visit $0 After ded., $0 $0
ER copay (no admission) $0 $50/visit $0 After ded., $0 $0
Medicare Gaps Covered
Part A hospital deductible ($1,736) ✓ ✓ ✓ After ded. ✓
Part A coinsurance + 365 extra days ✓ ✓ ✓ After ded. ✓
Part B coinsurance (20%) ✓ ✓ minus copays ✓ After ded. ✓
Part B excess charges ✗ ✗ ✓ After ded. ✓
Skilled nursing coinsurance ✗ ✓ ✓ After ded. ✓
First 3 pints of blood ✓ ✓ ✓ After ded. ✓
Hospice coinsurance ✓ ✓ ✓ After ded. ✓
Foreign travel emergency ✗ 80% / $50K 80% / $50K 80% / $50K 80% / $50K
Rating & Eligibility
Gender/tobacco rated? Yes Yes Yes Yes Yes
Available after 1/1/2020? ✓ ✓ ✓ ✓ ✗ Grandfathered only

*Plan F and High Deductible Plan F only available to those Medicare-eligible before January 1, 2020.

BCBSIL Secure Plans: Lower Rates If You Qualify

The rate tables above are BCBSIL’s standard plans, which BCBSIL calls guaranteed issue: you cannot be turned down because of your health. BCBSIL also sells Secure versions of Plans A, F, G, G Plus, N and N Plus, plus Plan G Secure Select. Secure plans have exactly the same benefits as the standard plans but cost less.

Who Can Get a Secure Plan

  • No health questions if you are newly eligible for Medicare (turning 65 and within your initial enrollment period) or you have a federal or Illinois guaranteed issue right, such as losing employer coverage.
  • Everyone else answers medical questions and must pass BCBSIL’s underwriting.
  • If you do not qualify for Secure, BCBSIL’s standard plans are always available.
Secure rates stay the same from age 65 through 67, then rise each year. Unlike the standard plans, Secure plans price the Metro and State North areas differently, so check your area: some Will County ZIP codes, including Plainfield (60544, 60585, 60586), are in State North. Secure Plus plans cost $23.29 a month more than the same Secure plan. Tables show non-tobacco monthly rates effective April 1, 2026 and are subject to change. For tobacco rates or an exact quote, use the online quote tool or call 312.800.0751.

Plan G Secure Rates Effective April 1, 2026 (Non-Tobacco)

Age Metro Female Metro Male State North Female State North Male State South Female State South Male

Plan N Secure Rates Effective April 1, 2026 (Non-Tobacco)

Age Metro Female Metro Male State North Female State North Male State South Female State South Male

Plan G Plus & Plan N Plus: Extra Benefits

BCBSIL’s “Plus” versions of Plan G and Plan N include the same Medicare Supplement coverage as their standard counterparts, plus additional dental, vision, hearing, and fitness benefits through Silver Sneakers.

Plus plans are rated by gender and tobacco use, with premiums slightly higher than standard versions. Med-Select Plus variants are also available for additional savings.
Benefit Description Member Pays (In-Network) Member Pays (Out-of-Network)
Dental Cleanings & oral exams (2x/yr), X-rays (1x/yr), oral cancer screening (1x/yr), extractions (unlimited), restorative fillings (1x/tooth/yr) 0% preventive; 25% extractions; 50% restorative 50% all services
Vision Routine eye exam with dilation (1x per 12 months); eyeglasses or contacts $0 exam; remaining balance after $130 allowance for glasses/contacts $40 exam; remaining after $65 reimbursement
Hearing Routine hearing exam (1x per 12 months); advanced hearing aids; premium hearing aids $0 exam; $699/aid (advanced); $999/aid (premium) Not applicable
Fitness SilverSneakers program: access to thousands of gyms and fitness locations nationwide $0 included in plan Not applicable

What a Plus Plan Costs

In BCBSIL’s rate tables effective April 1, 2026 (all three Illinois rating areas, standard and Secure plans), the Plus version of a plan costs $23.29 more per month than the same plan without Plus. The difference is the same at every age, for men and women, and for tobacco and non-tobacco rates. That works out to about $279 a year for the added dental, vision, hearing and fitness benefits. Rates are subject to change.

Plus Plan or Blue Dental Plus?

The Plus dental benefit is built for routine care: cleanings, exams, X-rays, extractions and fillings. It does not cover root canals, crowns, bridges or dentures. If you want coverage for that kind of work, look at a separate Blue Dental Plus policy, which you can buy with or without a Plus plan.

BCBSIL Medicare Supplement Discounts

  • Household discount (10%): you live with a spouse or civil union/domestic partner, or have lived with up to three adults age 60 or older for the last 12 months. For policies effective May 1, 2019 or later.
  • Continue with Blue discount (7%): you were enrolled in a Blue Cross and Blue Shield individual or group health plan within one year before your BCBSIL Medicare Supplement policy takes effect. For policies effective April 1, 2022 or later.
  • Blue Family discount (12%): you qualify for both of the discounts above. For policies effective April 1, 2024 or later.

Only one discount applies per member. You request it on the enrollment application, and it stays in effect as long as you keep your BCBSIL Medicare Supplement plan.

For your exact Plus plan rate, use the online quote tool or call 312.800.0751.

Blue Dental Plus: Dental Coverage for Medicare Members

Medicare Supplement plans, including Plan G and Plan N, do not cover routine dental care. BCBSIL sells two stand-alone dental plans for people on Medicare: Blue Dental Plus Standard and Blue Dental Plus Premier. You do not need a BCBSIL Medicare Supplement plan to buy one, but if you have one you get 5% off the dental premium.

Rates below are for ZIP 60585 (Plainfield, Will County, in BCBSIL’s State North rating area), quoted on BCBSIL’s enrollment site for a January 1, 2027 start. Blue Dental Plus premiums are set by where you live, not by age, using the same rating areas as BCBSIL Medicare Supplement plans. Rates are subject to change.
Feature Blue Dental Plus Standard Blue Dental Plus Premier
Monthly premium (ZIP 60585) $24.26 $48.03
With 5% Medicare Supplement discount $23.05 $45.63
Deductible $75 in network, $100 out of network $50
Annual maximum $1,000 $2,000
Exams, cleanings and X-rays Plan pays 80% Plan pays 100%, no deductible
Fillings, simple extractions, periodontal cleaning Plan pays 50% Plan pays 80%
Root canals and oral surgery Plan pays 50% Plan pays 50%
Crowns, bridges, dentures, periodontal surgery Plan pays 50% after a 12-month waiting period Plan pays 50% after a 12-month waiting period
Hearing Free annual hearing exam, about 30% off hearing aids Free annual hearing exam, about 30% off hearing aids
Orthodontics Not covered Not covered

Percentages are the share the plan pays of BCBSIL’s maximum allowance. You can see any dentist, but a dentist outside the BCBSIL network can bill you for charges above that allowance. Source: BCBSIL Blue Dental Plus Outlines of Coverage, effective January 2027.

Which Dental Plan Fits?

  • Standard keeps the premium low if you mainly need checkups and cleanings.
  • Premier pays exams, cleanings and X-rays in full, pays more toward fillings, and doubles the annual maximum to $2,000.
  • Both plans have a 12-month wait for crowns, bridges and dentures, so enroll before you expect to need that work.
  • A Plus Medicare Supplement plan already includes basic dental. Blue Dental Plus adds the root canals, oral surgery and major work that Plus plans do not cover.

To apply, open the BCBSIL enrollment site and choose Blue Dental Plus, or call 312.800.0751. We can also check whether your dentist is in the BCBSIL dental network.

BCBSIL Medicare Med-Select Option

BCBSIL offers a Med-Select (reduced premium) option for Plans F, G, G Plus and N. You receive identical benefits as the standard plan, but agree to use a BCBSIL Medicare Select participating hospital for non-emergency elective admissions. In exchange, your monthly premium is meaningfully lower.

Key Med-Select Facts

  • You must live within 30 miles of a Med-Select participating hospital to qualify
  • Emergency care at any hospital is fully covered: Med-Select only applies to planned (non-emergency) admissions
  • You can still see any doctor or specialist: Med-Select only restricts which hospital for elective inpatient stays
  • If you use a non-participating hospital for a non-emergency admission, you pay the $1,736 Part A deductible
  • Med-Select is NOT an HMO: no referrals required, full freedom to choose physicians
Sample savings Plan G Med-Select at age 65 (female, non-tobacco, Metro) is $179.26/mo vs $201.43/mo for standard Plan G, saving about $266/year. Check if your hospital is in the Med-Select network →

How to Enroll & When

Medigap Open Enrollment Period: Your Best Window

The 6 months starting the month your Medicare Part B becomes effective (and you’re 65+) is your Medigap Open Enrollment Period. During this window, BCBSIL

  • Cannot deny coverage based on health status
  • Cannot charge higher premiums for pre-existing conditions
  • Must offer any Medigap plan they sell in Illinois

Outside the Open Enrollment Period

After the 6-month window, BCBSIL still accepts applications for its standard plans without health questions, at the rates shown in the tables above. Its lower-cost Secure plans require medical underwriting unless you have a guaranteed issue right, for example when your existing coverage ends: apply within 63 days of losing coverage.

Step-by-Step: What to Expect at Enrollment

1

Choose Your Plan

Compare Plan G, N, HD-G, A, and F (if grandfathered). Use the rate tool above or call 312.800.0751 for a side-by-side comparison.

2

Choose Your Option (Standard, Plus, or Med-Select)

Decide if the Plus benefits (dental/vision/hearing/fitness) are worth the premium difference, and whether a Med-Select plan makes sense for your location.

3

Apply Online or Through a Licensed Agent

Apply at apply.bcbsil.com or through Illinois Health Agents (our agent link pre-fills for you). Effective dates must be the 1st through the 28th of the month.

4

No Payment at Application

Send no money with your application. First premium is due after BCBSIL reviews and issues your policy.

5

30-Day Free Look

You have 30 days after receiving your policy to return it for a full refund if you change your mind.

6

Add a Part D Plan Separately

Medigap never includes Part D drug coverage. You’ll need a separate Part D Prescription Drug Plan. We can help you compare Illinois Part D options too.

Frequently Asked Questions

Why does BCBSIL have two rate areas in Illinois?
BCBSIL uses geographic rating areas based on the healthcare cost differences between the Chicago metropolitan area and downstate Illinois. BCBSIL uses three rating areas: Metro (Cook, DuPage, Kane, Lake, McHenry, and Will counties), State North (northern Illinois outside the metro counties, ZIPs 60111-61799), and State South (ZIPs 61801-62999). Rates differ by area and by plan: for 2026, Plan G is slightly lower outside metro while Plan N is slightly higher, so use the calculator above for your exact ZIP.

Why is Plan N not gender-rated while Plan G is?
BCBSIL chose to use community (age-only) rating for standard Plan N, making it the same price for men and women of the same age in the same area. Plan G uses gender and tobacco rating. This means men or tobacco users often find Plan N relatively more attractive from a pricing standpoint compared to Plan G.

Does BCBSIL Medigap include Part D drug coverage?
No. Medicare Supplement plans never include Part D. You’ll need a separate Part D Prescription Drug Plan. Call 312.800.0751 and we can help you compare Illinois Part D options alongside your Medigap plan.

What is the Blue Extras Member Discount Program?
All BCBSIL Medicare Supplement members get access to Blue Extras, a member discount program with savings on wellness products and services including vision care, hearing, fitness clubs, weight management, and complementary/alternative medicine. This is a value-add discount program, not insurance coverage.

Can I be denied during my 6-month Open Enrollment?
No, during your 6-month Medigap Open Enrollment Period, BCBSIL must accept you regardless of health history. They may impose a pre-existing condition waiting period of up to 6 months if you had less than 6 months of prior creditable coverage. Most Illinois residents transitioning from employer or Marketplace coverage have enough credit to skip the waiting period entirely.

How do BCBSIL premiums increase over time?
BCBSIL uses attained-age rating. Premiums change each year as you age, plus any across-the-board rate adjustments subject to Illinois Department of Insurance approval. Standard plan rates go up every year starting at age 66; Secure plan rates stay level from 65 through 67. BCBSIL cannot raise your premium because of poor health, only if they raise rates for the same class of policies statewide.

What happens if I cancel my BCBSIL Medigap policy?
You have a 30-day free-look period after receiving the policy: return it for a full refund. After that, BCBSIL will refund any premium paid for policy months after your termination date, including a prorated refund for partial months.

Is there dental, vision, or hearing coverage included?
Standard Plans G, N, HD-G, F and A do not include dental, vision, or hearing. However, BCBSIL’s Plus variants (Plan G Plus, Plan N Plus, etc.) include dental, vision, hearing, and SilverSneakers fitness benefits at a somewhat higher monthly premium. See the Plus Benefits section above for details.

Can I get Plan F if I’m Medicare-eligible after 1/1/2020?
No. The MACRA law blocks Plan F (and HD Plan F) enrollment for anyone newly eligible for Medicare on or after January 1, 2020. Plan G is the closest equivalent: it covers everything Plan F covers except the $283 Part B deductible.

Ready to Enroll or Have Questions?

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