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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.
If your secondary insurance is from your employer's retirement package, you will have to contact the insurer to find out the details of coverage. The secondary coverage may include coinsurance for Part A or Part B, and it may also cover prescription drugs. If you're covered by your spouse's plan and your spouse is still working, Medicare is the secondary payer.