Medicare supplements have high deductible options on Plans F and J.  On these two plans, a person with Medicare Parts A and B can choose a plan with a deductible of $1,900.  In 2007, the deductible was $1,860.  The benefit for the insured is lower premiums.  Often the premiums are half of what they would have been if the  standard Plan F or J had been chosen.  Obviously, the downside is more financial responsibility on the part of the insured.  With a high deductible plan, the insurance company does not start paying until the insured has met the deductible.  Medicare Parts A & B will pay in their normal manor but the policy will not begin paying until the copays and coinsurance reach $1,900.  Whether or not this is a good fit depends on the individuals willingness to accept greater risk based on the price.