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Supplements vs. Advantage

After enrolling in Original Medicare, you will have the opportunity of doing one of two options: buying a Medicare Supplement (Medigap) plan or joining a Medicare Advantage (Part C) plan. Before making a decision on which one of these plans will work best for your coverage needs, it’s important to understand their differences.

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Medicare Supplements

  • Medigap plans are designed to provide coverage for the out-of-pocket expenses that your Original Medicare plan doesn’t cover. These expenses can include:
  • Part A deductible
  • Part B deductible
  • Part A coinsurance and hospital costs
  • Part B coinsurance and hospital costs
  • Part A hospice care care coinsurance and copayment
  • Part B excess charges
  • Skilled nursing care coinsurance
  • First three pints of blood in a transfusion
  • Foreign travel emergency care 

There are ten types of Medigap plans: A, B, C, D, F, G, K, L, M, and N. Each of these plans will provide a very specific level of coverage for the costs listed above. They will also provide coverage anywhere that accepts Medicare.

Medicare Advantage

If choosing a Medigap plan is not the route you want to take, you still have the option of joining a Medicare Advantage plan. Medicare Advantage plans will provide you with the same coverage as Original Medicare, but they can also provide plan members with additional coverage benefits. These benefits can include:

  • Dental, vision, or hearing coverage
  • Memberships to a gym
  • Nutrition and wellness programs
  • Prescription drug coverage
  • Transportation to doctor appointments
  • Adult daycare services

Depending on what type of Medicare Advantage plan you join will determine what additional benefits you receive. Some plans may also require you to stay within their plan’s network to receive care, while others may have you pay more out-of-pocket when receiving care outside of the plan network.

Some of the more common types of Medicare Advantage plans include:

  • PPO Plans – Preferred Provider Organization
  • HMO Plans – Health Maintenance Organization
  • MSA Plans – Medicare Medical Savings Account
  • PFFS Plans – Private Fee-For-Service
  • D-SNPs – Dual Eligible Special Needs Plan
  • C-SNPs – Chronic Condition Special Needs Plan

Which Medicare Plan Is Right For You?

While both Medigap and Medicare Advantage can be very beneficial, you cannot have both types of coverage at the same time. You will have to choose one over the other. At Insured For Life, we will go over each of the plans available to help you determine which one provides the coverage you need.

Give us a call today for more information!