Do Medicare Advantage plans really save seniors money in the long run? Why or why not?
Answered by 78 licensed agents
When Advantage Plans Might Save Money: Healthy individuals: If you are generally healthy & don't need a lot of medical care, Advantage plans might offer a predictable way to manage healthcare costs. Those who prioritize lower premiums & out-of-pocket limits: If you are willing to accept network restrictions & other potential drawbacks, Advantage plans can be a good option for managing your healthcare spending. When Traditional Medicare + Medigap Might be Better: Those with chronic health conditions: If you have complex health needs or regularly require specialized care, traditional Medicare with a Medigap plan might work
Answered by Fred Manas on May 23, 2025
Agent Licensed in NY, CT, DC & 7 other states
The benefit of Medicare Advantage is typically lower up-front cost like little to no premium and they often include limited benefits on dental, vision, and even gym memberships to encourage enrollment, but when major medical care is needed, clients may experience delayed and limited care options as well as higher overall out of pocket costs for care.
Original Medicare on the contrary allows you to go to any doctor, hospital, or provider that accepts Medicare. Medicare is primary insurance and pays providers for services when rendered with no preauthorization requirements for standard Medicare services. We recommend a good Medicare Supplement policy (Medigap) to the cover the cost for services Medicare approves but does not pay which reduces your annual out-of-pocket cost for approved services to as low as $257 per year in 2025 on a plan G.
Because Original Medicare with Medigap provides clients a better overall healthcare experience due to the increased service options available to clients along with a lower overall out of pocket costs for care when needed. For this reason we believe the better overall care experience far outweights the modest needed to cover the upfront costs for supplemental insurance premiums.
Answered by Mike Sosso on May 13, 2025
Broker Licensed in TX, AZ, NC & SD
Voss Speros here, Greek god of Medicare. If Medicare is all Greek to you, you're in luck, I'm Greek. So the question today is, does Medicare Advantage really save seniors money in the long run? Yes or no? I'm gonna have to say yes on that one, depending on how people look at it. Everyone's ideas are different.
But if you're turning 65 and you have the option to go on a supplement that costs $200 a month for a G plan, the standard plan, plus about $30 a month for a Part D plan, plus maybe $15 or $20 for a dental, vision, hearing plan, okay, so that's $230, $20, $250 a month. You pay $250 a month for your secondary stuff or the Advantage plan is zero. You can take that $250 and put it in a bank every month, save it.
Say your Advantage plan has a $5,000 maximum out of pocket. There's no deductible on Advantage plans. Your drugs have a little deductible, but on the healthcare side, there's no deductible. So you build up $5,000 in this other account. At $200 a month times 12 months, that's $2,400. So you're looking at about two years' worth of putting money aside in that. When you get up to $5,000, then that's covering your maximum out of pocket and you use this card here to cover your co-payments for that.
This money is just gonna build. If you just keep putting the $250 aside every month for years, then when you need the healthcare in the long run, you could have $10,000 to $15,000 saved, but your maximum out of pocket is only $5,000. So you're really never gonna go past that. So is it gonna help in the long run? I say yes, it does.
Now, if you look at it from the standpoint of getting to the long run and you didn't put it away and you just spent it willy-nilly on your retirement and then you needed care, yes, the supplement would be nice because you don't have any money to back up for all those co-payments. So at 65, set money aside like a health savings account, but not bad. Set money aside in another account, like $200 a month, basically paying for the supplement.
Give it up to $5,000 so you have that coverage, and yeah, it will save you money in the long run. If you have any questions, give us a call. Thoughts, concerns, let us know. Have a good day.
Answered by Voss Speros on August 5, 2025
Broker Licensed in AZ, CA, CO & 20 other states
Here’s the breakdown 👇
💵 Potential Savings:
• Lower or $0 monthly premiums compared to Medigap
• Out-of-pocket maximum (unlike Original Medicare)
• Extra benefits like dental, vision, hearing, and gym memberships
⚠️ Possible Downsides:
• Copays and coinsurance can add up if you need frequent care
• Limited provider networks — you might pay more to see out-of-network doctors
• Some services require prior authorization, which can delay care
💡 Bottom line:
If you’re generally healthy and stay within your plan’s network, Medicare Advantage can save money.
But if you have chronic conditions or prefer flexibility, Original Medicare + Medigap may cost more upfront but save you long-term stress and surprise bills.
Answered by Marta Iris González on November 10, 2025
Broker Licensed in FL, GA, NJ, OH & TX
Answered by Gregg Matheny on March 25, 2025
Agent Licensed in AZ & UT
Medicare Advantage often reduces upfront costs and can save money for seniors who remain relatively healthy. However, for people who later develop significant medical needs, the combination of copays, network limitations, and the potential inability to obtain affordable Medigap coverage can make it more expensive—or at least more restrictive—over the long run. The key tradeoff is usually lower premiums today versus greater flexibility and potentially lower risk of large medical expenses later.
Answered by Alicia Tyring on June 1, 2026
Broker Licensed in IN, AL, AR & 42 other states
If you break it down, usually a Medicare Advantage plan is about $0 monthly premium, and includes your prescription drug coverage. You will still have to pay your Part B premium (in 2025 the standard premium is $185) and any copayments associated with your plan for doctors visit, procedures, medications. This is why Medicare is considered the Pay as You Go Plan. And that suits some people just fine.
With a Medicare supplement, you are responsible for your Part B premium, your Medicare supplement premium, your prescription drug plan premium and any additional policies you may require such as a Stand-alone Dental, or bundled Dental, Vision and Hearing policy (because Medicare Supplement plans do not include coverage for these). This is why a Medicare Supplement/Medigap plan is known as a Prepaid Plan.
Answered by Samantha Jellison on March 6, 2025
Broker Licensed in NC, FL & SC
Yes, most have a $0 monthly premium. But, if a senior is not healthy, the money is quickly spen on:
Office visit copays for specialists
Diagnostic tests
High-tier prescriptions
Deductibles
The amount you pay once you meet your deductible until you reach the Maximum Out-Of-Pocket (which you might never reach every year)
So, a Medicare Advantage Plan will only save money in the long run if it is one with a Part B giveback and it's never used for anything beyond preventative care (colorectal cancer screenings, women's visits, etc.). Otherwise, without an additional indemnity policy that covers the deficiencies of an Advantage Plan, the unexpected expenses can add up fast.
Answered by Jim Carroll on August 20, 2025
Broker Licensed in FL, AL, GA & 9 other states
Answered by Michael Denniston on March 25, 2025
Agent Licensed in FL, AL, AR & 11 other states
Answered by Mel Stevens on December 20, 2025
Broker Licensed in AZ
Do Medicare Advantage plans save seniors money in the long run? That's a great question. Hypothetically, yes. The whole idea around Medicare Advantage plans is proactive care. Managed care means having one person coordinating your care so that we can be proactive. When we're proactive, we're keeping you healthier and keeping you out of the hospital. So from that perspective, Medicare Advantage may save money throughout the entire system, and it may save you money.
Now, if we look at it over a course of time, if you're enrolled in original Medicare and you're paying for a supplement plan, if you go 25 years and you're super healthy and you never need your health plan, well then, yeah, Medicare Advantage is likely saving you money. Now, if something happens early on after you get on Medicare and you develop a chronic illness or chronic disease that you now need treatment for the rest of your life, in that scenario, Medicare Advantage is likely going to cost you more money.
So the question shouldn't be, "Is Medicare Advantage saving you money?" The question should be, "What type of health care coverage do you need? What is your financial situation?" And to marry those things and make the best decision on what your coverage options are based off of the area in the part of the country that you live in. So it all depends. It's hard to answer. Hypothetically, the whole point of Medicare Advantage is proactive care to keep you healthy, to keep you out of the hospital, and across the entire system. That should save money. That is why Medicare Advantage was introduced in the first place. And that is the goal.
I know that may not answer your entire question, but it all depends on the health care coverage you need. And that's what you need to understand as you make your decision. Until next time, be healthy and be well.
Answered by Andrew Firmin on April 4, 2026
Broker Licensed in MA, CT, DE & 13 other states
Here’s the real deal:
Medicare Advantage plans can save seniors money when they’re matched correctly to how someone actually uses healthcare.
Why they can save money:
Lower (sometimes $0) monthly premiums
Built-in extras like dental, vision, hearing, fitness
Annual out-of-pocket maximums (Original Medicare doesn’t have one)
Why they don’t always save money:
Provider networks can be limited
Costs add up if you go out-of-network
Heavy users of care may hit the max and pay more than expected
Benefits change every year
Here’s the part commercials skip:
The plan isn’t the problem — the fit is.
That’s why working with my office matters. We offer concierge service, meaning we don’t just enroll you and disappear. If you’re confused, can’t find a provider, or something isn’t working the way you expected, we step in and help fix it.
Bottom line:
Medicare Advantage can absolutely save money — when chosen strategically and supported properly. One-size-fits-all plans usually cost more in the long run.
Answered by Leslie Kaz on December 30, 2025
Agent Licensed in CA, AL, AZ & 7 other states
If you are turning 65 with health issues and can afford it, I highly suggest a supplement plan with Part D. If you are healthy and do not use your plan often, I would go into a Medicare Advantage Plan. I call that side the pay-as-you-go side. You only pay if you use the plan.
I see people who have had a supplement and didn't use it often; they would save money getting into an Advantage plan. And if you are healthy and can afford it, you can price shop your supplements to see if you can get a better rate. Most people do not know they can price shop for their supplements all year round; only Part D has enrollment periods.
Answered by Lea Vollmer on May 13, 2026
Broker Licensed in IL, AL, AZ & 7 other states
While Medicare Advantage plans offer little to no premiums, deductibles, max out-of-pocket, copays, and coinsurance can add up over time. For someone who doesn't have a lot of medical issues, doesn't go to the doctor often, or utilizes the VA, it could save them money.
Many times, the premiums on a Medicare Supplement and a standalone drug plan (Part D) are less than the max out-of-pocket on a Medicare Advantage plan.
It is best to review your options with a broker or agent who can explain all details to you.
Answered by Diana Garner on June 4, 2025
Broker Licensed in KY, FL, IN, OH & TN
Answered by Sean Davis on March 26, 2025
Broker Licensed in NY, LA, MD & 6 other states
Some people compare Medicare Advantage to Medicare Supplements but the comparison is not apples to apples. The big disadvantage Medicare Advantage when compared to med supps is not financial, is the accessibility to providers due to network restrictions. Med supps are standardized mostly while Medicare Advantage plans are designed in many shapes and forms to accommodate different populations, incomes and in some cases even specific medical conditions.
The answer is Yes they could save people a lot of money. Speak to a licensed and objective agent before making a decision on a plan.
Answered by Hector Vazquez on May 1, 2025
Broker Licensed in FL & TX
Answered by Michael Hixson on April 28, 2025
Broker Licensed in OK, AR & TX
In a short answer, yes, Medicare Advantage plans will be the cheapest route when you are looking at premiums only. It is definitely going to be cheaper premiums than a Medigap or Medicare supplement. If you weigh the cost of a Medigap plan over a five or ten year span against the co-pays that you will pay out of pocket for an Advantage plan, I'm a firm believer that the math does favor the Medicare Advantage plan. People that make the decision for a Medigap plan are typically doing so for convenience, convenience of not having a network, convenience of not having a co-pay. But the math will favor the Advantage plan.
Answered by Terri Reagin on July 21, 2025
Broker Licensed in OK, AR, CO & 6 other states
Answered by Steven Lovell on June 1, 2025
Broker Licensed in GA, AL, CA & 11 other states
Answered by Darko Bozic on April 9, 2025
Broker Licensed in OH
If you are super healthy, and have no major medical issues during the year, and you are on a "free" or low cost Medicare Advantage plan, then you save the money that you would have potentially paid for your Medigap plan. However, if your health isn't good or you need a major medical procedure, surgery, etc. you would have to pay your M.O.O.P. (Maximum Out Of Pocket). Should this happen, you will pay significantly MORE than you would have if you would have been on Original Medicare and had a Medigap G or N plan.
Answered by Andrew Kelly on November 19, 2025
Agent Licensed in WA & OR
Answered by Shahwali Hotaki on August 5, 2025
Agent Licensed in CA, CO, GA, IL & VA
Answered by Mary Brown on May 19, 2026
Broker Licensed in NJ, DE, FL & NC, OH, PA & TX
Answered by Pamela Fugitt-Hetrick on June 15, 2026
Agent Licensed in CA
Advantage is more of a 'pay as you go' path with lower or zero premiums, but you pay copays as you use services and you must follow the plan's network and rules.
Medigap is more of a 'predictable path' with a higher monthly premium, but very low and stable medical costs when you use care, and much more freedom with doctors.
My job is education first, sales second: I walk you through both paths with your doctors, prescriptions, and budget so you can pick the lane that feels safest for you over time.
Answered by Tamela Clayton on May 27, 2026
Broker Licensed in TX, AL, AZ & 12 other states
Answered by Rick Boyd on April 6, 2026
Broker Licensed in KY, AZ, CA & OH, TN, TX & UT
Answered by George Kolitsas on March 25, 2025
Broker Licensed in CT
On Medicare advantages, most of them premiums are No cost and you pay Copay as you use them. The Copays control the costs and the copays cap out each year. Less than 1% ever hit the max copay or max out of pocket on a Medicare advantage plan.
You may have a few bad years but not every year and over time Medicare advantages do save you money. Not just on premiums but they also have extra dental, Vision, hearing and over the counter items that Original Medicare does not.
Answered by Tasha Riggs on March 27, 2025
Broker Licensed in CO, AZ, HI & 10 other states
1. how much do you use the coverage? A MA plan will usually have copays and deductibles on most services including a max out of pocket in the thousands whereas a supplement usually does not. If you need to see physicians, specialists and get tests on a regular basis a Medicare advnatga ewill not nexessarily save you money overall because what you save in premium may beexceeded by what you spend on the cost of care services.
2. How much geographic flexibility do you need? An MA plan is typically geographically limited in network scope so you may pay for more expenses out of pocket. MAPD plans may alsohave nedtwork restrictions forcing you again to pay more out of pockey for providers you want to see who are not in network.
Answered by Edward MacConnell on May 20, 2026
Broker Licensed in PA, AK, AZ & 19 other states
Answered by Dutch VanHoesen on March 25, 2025
Broker Licensed in FL
Answered by Michael Yost on May 29, 2025
Broker Licensed in OH, AL, AZ & 27 other states
If you enjoy fairly good health, you can choose a Medicare Advantage plan that covers parts A, B and D (drugs) that costs $0 monthly premium. Your only cost will be whatever SSA charges for your Original Medicare part B costs (generally $185.00/mo)
Answered by Andre Cabral on April 11, 2025
Agent Licensed in NJ
Answered by Paul Potter on September 3, 2025
Broker Licensed in FL
Answered by Cody Biggs on March 23, 2026
Broker Licensed in LA, AL, AZ & 24 other states
Answered by Muriel Evans on December 9, 2025
Broker Licensed in TX, AZ, GA & 5 other states
Answered by David Silver on March 26, 2025
Broker Licensed in FL, NJ & NV
Answered by Brian Krantz on March 25, 2025
Agent Licensed in NY, AK, AL & 48 other states
Answered by Sam Duffield on December 15, 2025
Broker Licensed in AL, CO, FL & 5 other states
Answered by Mark Boone on December 17, 2025
Agent Licensed in MN, FL, MI & NC, OH, SC & VA
Answered by Mark Bilgere on July 29, 2025
Broker Licensed in TX, AR, IN & LA, MN, NE & OK
Answered by Aisha Saleem on March 17, 2025
Agent Licensed in MD & FL
Answered by Yasmery Vargas on June 25, 2025
Agent Licensed in PA
I have had a few clients that could no longer afford the monthly premiums of Medicare Supplement plans as they got older; the rates can increase as you age like car insurance. So I have moved them to Medicare Advantage plans.
Answered by Carol Thompson on December 20, 2025
Broker Licensed in FL, LA, MI & NC, SC, VA & WI
Answered by Steve Houchens on April 2, 2025
Agent Licensed in KY & TN
Answered by Melanie Blackston on March 17, 2026
Broker Licensed in SC, GA & NC
Answered by Jeffrey Sodikoff on May 19, 2026
Agent Licensed in FL
Answered by Bryan Smith on March 10, 2025
Broker Licensed in UT, AL, AR & 35 other states
Answered by Frank Woerner on October 10, 2025
Broker Licensed in IN & IL
Answered by Ray McCauley on December 20, 2025
Broker Licensed in CA, AZ, FL & ID, NV, SC & TN
They can save money with low premiums and extra benefits, but costs can add up later with copays, networks, and higher out-of-pocket if you get sick. Best for healthy users; less predictable for frequent care.
Answered by Priscilla Ramos on April 14, 2026
Agent Licensed in OH, AZ, FL & 6 other states
MAPD pain will also include prescription coverage, which would be a very big savings as well
Most of your co-pays will be predictable
Answered by Anthony Albano on September 15, 2025
Agent Licensed in FL
Answered by Charles Borg on December 9, 2025
Agent Licensed in FL & NY
Answered by Deborah Krump on October 27, 2025
Agent Licensed in MN
Answered by Zachary Whitaker on May 18, 2026
Broker Licensed in NC, AL, FL & 13 other states
Answered by Ricardo Sanches on November 17, 2025
Broker Licensed in CA
Answered by Robert Pennington on March 25, 2025
Broker Licensed in NC, GA, SC & VA
No, not really. The maximum out of pocket is growing every day and often, is more cost than a year of premiums for a med supp. Also, so many other reasons that you would want to consider anmed supp, not an advantage, not just simple costs.
Answered by Melissa Nichols on June 22, 2026
Agent Licensed in MO, AZ, FL & GA, IL, TN & TX
Answered by Michael Kim on March 25, 2025
Agent Licensed in NV, AR, AZ & 18 other states
Answered by Robert Moore on May 19, 2025
Broker Licensed in IN, AL, IL & 11 other states
Answered by Debra Weber on March 25, 2025
Broker Licensed in PA, DE, FL & 5 other states
Answered by George Ibanez on May 19, 2026
Broker Licensed in AR, AL, AZ & 40 other states
Answered by Mike Henry on May 12, 2025
Agent Licensed in TX
Answered by Patricia Graham on March 16, 2026
Agent Licensed in WA
Answered by Steven Bleicher on May 26, 2025
Broker Licensed in AZ
Answered by Vachik Chakhbazian on April 15, 2025
Agent Licensed in CA, AL, AR & 22 other states
Answered by Andrew Kramer on July 31, 2025
Agent Licensed in FL
Answered by Gary Church on September 7, 2025
Broker Licensed in CA, AZ, NV & TX
Answered by Erica Huffstetler on October 12, 2025
Broker Licensed in AZ, FL, OH, SC & TX
Answered by Daniel Keane on June 2, 2025
Agent Licensed in TX, FL, MI & NC
Ultimately, whether a Medicare Advantage plan saves money depends on your individual health needs and circumstances. I will complete an analysis to help you determine which plan is right for you!
Answered by Kim Gibas on October 1, 2025
Broker Licensed in MI, FL & OH
Answered by Hope Foutz on September 17, 2025
Broker Licensed in FL & PA
Answered by Mitzi Davis on October 26, 2025
Broker Licensed in KS, AR, IA & 6 other states
Answered by Shannon Mayfield on May 19, 2025
Broker Licensed in ID
Answered by Nicolas Johnson on May 28, 2025
Agent Licensed in WI & IA
Answered by John L Herman Jr on March 31, 2025
Broker Licensed in MD, DE & PA
1) Prescription drug coverage included in MAPD plans is often less than a standalone Part D plan
2) Some MAPD plans include dental, vision, and hearing benefits that Original Medicare Part A and Part B do not cover,
3)MAPD plans have caps, such as a maximum out-of-pocket ( MOOP), which Original Medicare does not.
Answered by John Burke on July 6, 2026
Broker Licensed in FL, GA, IA & 18 other states
Answered by Brittany Morris on April 27, 2026
Agent Licensed in LA
Tags: Advice for Seniors Medicare Advantage
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