 [ Symptoms ] does the aca now allow supplemental insurance policies to be purchased by people covered by medicare disability [ Disease ] the law does not change the rules about people under the age of 65 covered by medicare being able to buy medigap plans plans are not required by federal law to sell these plans to people under the age of 65 though some states allow it it sounds like you have already checked and live in a state that does not require it but you can inquire further at medicare gov