Feature
|
Medicare Advantage (Part C)
|
Medicare Supplement (Medigap)
|
How It Works
|
Becomes Primary – a private insurance plan |
Is Secondary – works with Original Medicare to cover “gaps” |
Coverage
|
Includes Part A and B benefits, usually Part D (drugs), often extras (dental, vision, hearing) |
Covers some or all out-of-pocket costs (like copays, coinsurance, deductibles) |
Doctor/Provider Access
|
Must use plan’s network (HMO or PPO) |
See any doctor or hospital that accepts Medicare nationwide |
Prescription Drugs
|
Usually included |
Not included (must buy a separate Part D plan) |
Costs
|
Typically lower monthly premiums, but pay copays/coinsurance; out-of-pocket max limit |
Higher monthly premiums; very low to no out-of-pocket costs for services |
Best For
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People who want low upfront costs and are okay with “pay as you go” |
People who want predictable healthcare costs and nationwide freedom |
Enrollment
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Can join or change during Annual Enrollment Period (Oct 15 – Dec 7) |
Best to buy during your Medigap Open Enrollment Period (first 6 months after enrolling in Part B); later enrollment may require underwriting |
