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"For the most part, Medigap, the private supplemental insurance to Medicare Parts A and B, is regulated by each state. It turns out that there are significant differences both in availability and in enrollment among the 50 states and D.C. The Kaiser Family Foundation recently published a brief reporting on research into the topic.\nHighlights of the findings\nAs a reminder, Medigap plans cover out of pocket costs for traditional Medicare Parts A and B, among other things. There are 10 different plans offering different coverage options.\nThe percentage of people who have traditional Medicare and are enrolled in Medigap differs widely by state. For instance, in Hawaii, three percent of people with traditional Medicare have Medigap. In Kansas, that figure is 51 percent. In 20 states, at least 25 percent of the Medicare population has a Medigap plan."
<https://medicareonvideo.com/medicare-alphabet/>