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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 you have Medicare or Medigap and are self-employed, the IRS can deduct your premiums. This includes premiums for all four Medicare Parts (A, B, C, and D). If you have long-term care insurance, you can deduct your premiums for long-term care, whether you work for someone or are self-employed.