Maryland 2026 Medicare Guide
Medicare Information for 2026

Medicare in Maryland: One of the Best States for Medigap Flexibility

Compare Medicare Advantage, Medigap, provider networks, retirement costs, and Maryland's unique Medicare protections before choosing your coverage.

Biggest thing to know Maryland has a Medigap Birthday Rule. Every year, beginning on your birthday, you have a 30-day window to switch to another Medigap plan with equal or lesser benefits from any insurer without answering health questions.

State

Maryland

Medicaid Program

Maryland Medicaid

Best Used For

Retirees seeking excellent healthcare, access to nationally ranked hospitals, and greater flexibility with Medicare Supplement coverage.

Quick Facts

StateMaryland
Plan Year2026
Medicaid ProgramMaryland Medicaid
Birthday Rule No
MedigapMedigap plans help pay deductibles, copayments, and coinsurance that Original Medicare does not cover. Plan G remains the most comprehensive option for most newly eligible beneficiaries, while Plan N is a popular lower-premium alternative. Individuals eligible for Medicare before January 1, 2020, may also qualify for Plan F.
Part DStand-alone Medicare Part D plans are available statewide. Formularies, pharmacy networks, preferred pharmacies, and premiums vary by carrier and should be reviewed annually during Medicare Open Enrollment.
SHIP ProgramMaryland State Health Insurance Assistance Program (SHIP)
Last Reviewed2026-06-22

Why Maryland Is Different

Maryland offers excellent healthcare access, nationally recognized medical centers, and one of the strongest Medigap consumer protections in the country. While Original Medicare benefits are the same nationwide, Medicare Advantage plans, Part D prescription drug plans, and provider networks vary by county. Maryland's Medigap Birthday Rule gives beneficiaries an annual opportunity to change Medicare Supplement plans without medical underwriting.

Most Common Mistake

Paying increasing Medigap premiums without realizing Maryland law gives them an annual opportunity to shop for a lower-priced plan with equal or lesser benefits.

Medigap Rules

Medigap plans help pay deductibles, copayments, and coinsurance that Original Medicare does not cover. Plan G remains the most comprehensive option for most newly eligible beneficiaries, while Plan N is a popular lower-premium alternative. Individuals eligible for Medicare before January 1, 2020, may also qualify for Plan F.

Medicare Advantage

Medicare Advantage plans are available statewide, with the largest selection generally found in the Baltimore, Annapolis, Columbia, and Washington, D.C. metropolitan areas. Rural counties typically have fewer options.

Part D Prescription Coverage

Stand-alone Medicare Part D plans are available statewide. Formularies, pharmacy networks, preferred pharmacies, and premiums vary by carrier and should be reviewed annually during Medicare Open Enrollment.

Provider Network Notes

Maryland does not tax Social Security benefits. Qualified retirees may also exclude a portion of pension and retirement income from state income taxes, although property taxes vary by county.

Moving To or From Maryland

Moving into or out of Maryland may qualify you for a Special Enrollment Period if your Medicare Advantage or Part D plan is unavailable in your new service area.

Snowbird Considerations

Original Medicare provides nationwide coverage. Medicare Advantage members spending winters in another state should verify provider networks or consider PPO plans with broader travel coverage.

Long-Term Care

Maryland Medicaid provides nursing facility coverage and Home- and Community-Based Services (HCBS) waivers for eligible residents. Medicare covers only limited skilled nursing care and does not pay for ongoing custodial long-term care.

Retirement Tax Notes

Maryland does not tax Social Security benefits. Qualified retirees may also exclude a portion of pension and retirement income from state income taxes, although property taxes vary by county.

State Assistance Program

Maryland State Health Insurance Assistance Program (SHIP)

Visit SHIP Website

Sources & Review Date

Maryland Insurance Administration – Medicare Birthday Rule, Maryland SHIP Program
Maryland Medicaid, Medicare.gov, CMS – Choosing a Medigap Policy Guide

Plan year: 2026

Last content review: 2026-06-22

Last data review: 2026-06-22

Medicare plans, premiums, provider networks, formularies, and state assistance programs may change from year to year. Information on this page reflects the 2026 plan year unless otherwise noted. Always verify current plan details before making enrollment decisions.