Navigating Medicare can feel overwhelming, especially when trying to choose between Medicare Advantage vs. Medicare Supplement plans. Both options help cover costs not paid by Original Medicare (Parts A and B), but they differ significantly in coverage, flexibility, and cost. Understanding the nuances of each plan can help you make a confident and informed decision.

 

What Is a Medicare Advantage Plan?

 

Medicare Advantage (Part C) is an all-in-one alternative to Original Medicare. Offered by private insurance companies approved by Medicare, these plans bundle Part A (hospital insurance) and Part B (medical insurance), and often include Part D (prescription drug coverage), dental, vision, and wellness perks.

Pros of Medicare Advantage:

• Includes hospital, medical, and often drug coverage in one plan

• May cover additional services like dental, vision, and hearing

• Has an annual out-of-pocket spending limit for added financial protection

• Some plans offer $0 monthly premiums

Cons of Medicare Advantage:

• You may need to use a network of providers and get referrals for specialists

• Limited coverage outside of your plan’s service area

• Co-pays and other cost-sharing can add up depending on usage

What Is a Medicare Supplement Plan?

 

Also known as Medigap, Medicare Supplement plans help pay for out-of-pocket costs not covered by Original Medicare, such as deductibles, copayments, and coinsurance. These plans are sold by private insurers and do not include prescription drug coverage, so you’ll need to purchase a standalone Part D plan.

Pros of Medicare Supplement:

• You can visit any doctor or specialist nationwide who accepts Medicare

• Fewer out-of-pocket costs and more predictable medical expenses

• Great for people who travel frequently or live in more than one state

Cons of Medicare Supplement:

• Typically have higher monthly premiums than Medicare Advantage plans

• Does not include drug coverage—you’ll need a separate plan

• If you apply outside of your guaranteed enrollment period, medical underwriting may be required

Which Plan Should You Choose?

 

When deciding between Medicare Advantage vs. Medicare Supplement, consider your:

• Budget – Do you prefer lower monthly premiums or fewer out-of-pocket costs?

• Healthcare Needs – Do you see specialists often or need frequent care?

• Lifestyle – Do you travel often or spend part of the year in another state?

• Desire for Extras – Would you benefit from dental, vision, or wellness perks?

Let Medicare Benefits Group Help

 

Choosing the right Medicare plan is personal—and we're here to guide you every step of the way. Contact Medicare Benefits Group today for a free consultation and let us help you find the plan that best fits your healthcare needs and budget.