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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.
In most cases, if you choose to buy Part A, your must also have Medicare Part B (Medical Insurance) and pay monthly premiums for both. The inpatient deductible for Part A, is: 1  $1,260 deductible for each benefit period.ou'll make these payments throughout the year in a Medicare drug plan: 1  Monthly premium (in addition to your Part B premium). 2  Yearly deductible: Deductibles vary between Medicare drug plans. 3  Copayments or coinsurance. 4  Costs in the coverage gap. 5  Costs if you pay a late enrollment penalty.