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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.
Most taxpayers do not realize that premiums from Medicare supplement plans that are deducted from their Social Security benefits are deductible as a medical expense. I had an inquiry recently regarding deductibility of hearing aids and prescription eyeglasses; be sure to add those to your list if they apply.