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The truth is that both of them are quite different from each other. A Medicare Supplemental Insurance policy is a private health insurance policy especially intended to fill in the gaps where Original Medicare falls short. Herein, the Medicare is the primary or the first payer. A Medigap insurance policy pays for the costs that are not covered in Medicare because of the limits or the insurance deductible amounts under the Medicare plan.
(For details see Medicare Premiums: Rules for Higher-Income Beneficiaries.. ). Deductibles: You pay annual deductibles for Part B ($147 in 2014) and Part D (up to $310 in 2014) before coverage kicks in. Part A has a deductible ($1,126 in 2014) for hospital stays. Some Part D and Medicare Advantage plans reduce or waive deductibles.