Should I keep original Medicare or go with an Part C, Medicare Advantage plan? What is better?
Answered by 89 licensed agents
Original Medicare only should not be a consideration for most people. The financial gaps within Original Medicare will be catastrophic to most people. However, Original Medicare + a Medicare Supplement plan is what you will want to compare to a Medicare Advantage Plan.
Most of our Medicare clients come down to the conclusion that it's Freedom VS Cost. The Medicare Supplement provides freedom of choice for a Medicare beneficiary, but typically at a higher monthly cost. The Medicare Advantage plan often has a $0 monthly premium for the plan itself, but you are often bargaining with some of your freedom of choice, such as what doctors you can see.
Regarding the cost of a Medicare Supplement or Medicare Advantage plan, we are referencing what Medicare Supplements & Medicare Advantage plans cost in the state of Florida, as costs can vary across the USA.
Answered by Medicare Melanie on May 10, 2025
Broker Licensed in FL, GA, MI & OH
Answered by Gary Church on September 14, 2025
Broker Licensed in Ca, AZ, NV & TX
Hi, thanks for watching. So the question is, this person wants to know if they should keep their original Medicare or go on a Part C Medicare Advantage plan, which is better. I've said it a hundred times, and I'll say it again: if you live in a rural area or an area that does not have a lot of 65-plus people living in it, typically the Medicare Advantage plan networks are going to be fairly limited. I would probably go on original Medicare with a Medicare gap plan or a supplement plan. But if you're in an area like we are in Phoenix, many parts in Florida, or even Southern California, the Medicare Advantage plans have great networks. There's a lot of competition, and they offer a lot of extra benefits. Typically, the Medicare Advantage plans are offered at zero premium per month. They're all copay-based. Whatever services you obtain, it's all a copay-based system, and they're definitely worth looking at.
Answered by Steve and Sue Brauer on August 27, 2025
Broker Licensed in AZ & CA
Answered by Daniel Brechin on August 30, 2025
Agent Licensed in AL, FL, KY, MS & TN
Answered by William Lawler on May 9, 2025
Broker Licensed in MO, FL, IA & 12 other states
Answered by Terri Reagin on July 7, 2025
Broker Licensed in OK, AR, CO & 6 other states
Other Medicare enrollees with a low limited income who are above State Assistance program levels, are often able to receive local or regional Hospital Financial Assistance. These folks also do not require a Medicare Supplement and may benefit from additional benefits of a Medicare Advantage plan in their local area.
Other retirees will desire to pay for a Medicare Supplement plan to cover medical costs above a small annual deductible and possible office visit or ER co-pays (Plan N) or no office/ER co-pays (Plan G).
The financial situation is unique for each enrollee and their are NO canned answers for all enrollees as some folks need a Medicare Supplement while others can benefit from a Medicare Advantage Plan without the risk of high out of pocket annual copays.
Answered by Christopher Boyd on December 29, 2025
Agent Licensed in IN, KY, MI, OH, PA & TN
For more information, contact George.
Answered by George Ibanez on September 7, 2025
Broker Licensed in AR, AL, AZ & 40 other states
It also doesn't pay for copays and deductibles. And, of any expenses you incur, you will owe 20%.
A Part C or MAP+D plan comes with all of the benefits or 90% of the benefits above (depending on the plan and service area) and has a MOOP (Maximum out of pocket) so you know that the most you will ever pay vs the 20% of Original Medicare is a set amount. Then, you are covered 100% for the remainder of the year.
That safety net and the fact that MAP+D (Part C) plans are very affordable is really what you have to consider.
Answered by Mark Maliwauki on June 7, 2025
Broker Licensed in ID, AZ, CA & 13 other states
Should I keep Original Medicare or go with a Part C Medicare Advantage Plan? Which is better all depends on the client and the circumstances. Here at my State Farm agency on Kelly Street in Manchester, we help people every day with that question. We're going to be able to give you all the pros and cons of sticking with Original Medicare Parts A and B or going to a Medicare Advantage Plan, now called Part C. It’s all Medicare alphabet soup, and it’s difficult until someone like myself can explain it so that it’s easy to understand. Then you can make the best decision for you and your family. Please allow us to help you with that; we’d be happy to.
Answered by Tony Capraro III on May 9, 2025
Agent Licensed in NH & ME
If you have just Medicare, you’re going to have massive deductibles when you use the plan and you’re gonna be penalized. If you don’t get a drug program.
Answered by Jonathan Potter on November 17, 2025
Broker Licensed in UT, AZ, CA & 14 other states
Answered by Steven Lovell on June 21, 2025
Broker Licensed in GA, AL, CA & 11 other states
The best option comes down to your budget, your health, and which doctors and medications you want covered. That’s where I step in — I’ll walk you through both options and help you choose what truly fits your life.
Answered by Lauren Fodde on September 24, 2025
Broker Licensed in MO & FL
Answered by Jacqueline Proffit on November 26, 2025
Broker Licensed in FL, AR, CA & 15 other states
Paul Potter
Answered by Paul Potter on May 9, 2025
Broker Licensed in FL
Answered by Don Hudson on August 27, 2025
Broker Licensed in FL
Medicare Advantage plans are getting worse and worse year over year. I can give you a much more detailed response if you’d like to contact me
I can’t go ahead and tell you this. In 2025, 2 million people were displaced from their Medicare Advantage plans. Also, the same in 2024. In 20 2540, hospital systems across the United States withdrew from disadvantaged plans. If you would like more information, I’m happy to provide it. You can contact me.
Answered by Ellen Diehl on April 13, 2026
Broker Licensed in GA
Answered by Marsha Reiniers on July 1, 2025
Agent Licensed in FL, GA, MI & NC, PA, SC & VA
When you enroll in Medicare, should you keep Original Medicare or go with a Part C Medicare Advantage plan? Which is better? Great question! Now, the term "better" is subjective. What is better for one person may not be what is best for another. It's important to understand what your healthcare needs are and what your financial situation is.
Now, the way Medicare Advantage works, it's managed care, just like the health coverage you had when you were working. Now, what does that mean? That means you may need to adhere to a network of doctors and hospitals. There may be prior authorizations for certain procedures or services, and you may have co-pays up to a certain dollar amount. So, it's important to understand what your coverage is, what your propensity or appetite for risk is, whether or not you're interested in staying with a certain network of doctors, and whether or not you want co-pays in exchange for trying to pay a lower dollar amount upfront.
So, what is best for one person may not be best for another. It's important to understand what the plans are in your area and what all of your options are. I hope that helps! 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
Contact us so we can better assist you. Please feel free to reach out.
Answered by Sherry Rose on April 8, 2026
Broker Licensed in Ga, AL, AR & 5 other states
Answered by Brian Cronin on February 18, 2026
Broker Licensed in NH & ME
If paying a monthly premium for a supplement and a stand alone drug plan seems pricey, and you are ok with seeing the network providers, as well as getting prior authorizations for your services, along with some extra benefits not covered by Medicare rolled into one plan, then Part C a good option. In either case, sitting down with an experienced advisor will help clear this up for you. Keep in mind that part C benefits change every year, as do networks. A reputable agent will not make a recommendation until he/she is familiar with your needs.
Answered by Lilyana Uzdenova-Gomez on April 27, 2026
Broker Licensed in FL
Answered by Mariela Arana on August 1, 2025
Agent Licensed in CA, AL, AZ & 8 other states
Answered by Duane Everding on February 2, 2026
Broker Licensed in NC, AZ, MD & 6 other states
Then there is the issue of control. With Medicare Advantage you are essentially giving your Medicare over to the insurance company to manage. Are they going to manage it in your best interest or their best interest? I'm sure you have heard the term "prior approval" or "utilization review"... or maybe your doctor just said, "I'd like to do a "such and such" test, but we have to check with the insurance company to make sure they will pay for it.
There's a lot more of that with Medicare Advantage. There are some prior approvals with traditional Medicare, but they really are just looking for fraud, waste, and abuse... they aren't trying to protect their stock price or their executive's compensation package.
With traditional Medicare and a supplement, you and your doctor have more control of your healthcare.
Now... all that being said... it's going to cost a little more. Most Advantage Plans have plans that are $0 a month (Keep in mind you have to pay your Part B premium whatever your choice is). There is a cost for keeping control of your healthcare and that is the cost of a Medicare Supplement and a Drug Plan (Part D). The price of that supplement will likely go up every year. What you start out paying is not what you will end up paying.
You have to keep your budget in mind.
Answered by Andrew Bennett on May 26, 2025
Broker Licensed in TN, GA & VA
Answered by Joseph Lipski on April 13, 2026
Broker Licensed in NJ, CA, DE & 17 other states
Answered by Joseph Mullen on June 23, 2025
Broker Licensed in NY, CT, FL & 5 other states
Answered by Timothy Baggett on February 17, 2026
Broker Licensed in FL
Answered by Michael Brady on December 1, 2025
Broker Licensed in Ut, AL, AZ & 6 other states
Answered by Denise Johnson on May 20, 2026
Agent Licensed in NC, FL, ME, SC, VA & WV
Staying on Original Medicare provides you with a wider range of coverage and freedom to choose your doctor, but you do have higher deductibles, copays, and coinsurance amounts.
Choosing a Part C plan may limit your options for doctors/facilities, but you would have little to no copays/coinsurance amounts, some additional benefits not offered under Original Medicare, and generally the same coverage as Original Medicare.
Answered by Diana Garner on August 4, 2025
Broker Licensed in KY, FL, IN, OH & TN
Answered by Steve Houchens on June 19, 2025
Agent Licensed in KY & TN
Answered by Jim Tretola on September 8, 2025
Broker Licensed in NJ, CA, CT & 6 other states
Answered by Timothy Brown on July 16, 2025
Broker Licensed in PA, CT, DE & 15 other states
Original Medicare gives flexibility to see any doctor but usually doesn’t cover extras.
Medicare Advantage (Part C) bundles Medicare with extra benefits like dental, vision, or fitness, often with lower out of pocket costs, but may limit your doctor network.
Choosing the right plan depends on your doctors, prescriptions, and the benefits you want.
Answered by Priscilla Ramos on March 28, 2026
Agent Licensed in OH, AZ, FL & 5 other states
It all depends on your personal preference you we would make sure that all your doctors and medicines are covered in a Medicare advantage plan before we could consider it
Medicare Advantage has become very popular. In fact you can have a Medicare Advantage trial. Or anytime in the first year if you do not like it, you can go back to a Medicare supplement.
Walt Smith
Contact me.
Answered by Walt Smith on July 28, 2025
Agent Licensed in NJ, NY, PA & VA
Answered by James Stang on August 28, 2025
Agent Licensed in OH
The difference between Medicare Supplement and Medicare Advantage plans. Many people think these things are the same. They're actually quite different. A Medicare Advantage plan is typically either an HMO or PPO type of plan where you have to worry about doctors and hospitals being in networks. They usually have a lower premium than a Medicare supplement. Depending on where you are, certain service areas have a zero premium plan, which does not cost you anything above and beyond what you would normally pay for just a part B premium. Medicare Advantage plans typically do include prescription drugs. They do have a maximum out-of-pocket, referred to as MOOP, of maximum $9,350. So that is your worst-case scenario. Even if something catastrophic were to happen, they won't give you some coverage, usually for dental, vision, and hearing. But it's usually not comprehensive, but more preventative. So for dental, things like checkups, cleanings, and sometimes they will offer a wider range to give you more comprehensive dental. The Medicare Advantage plans are locked in for one year, and you can only get the plans that are in your service area. With Medicare supplement, you will pay a higher premium, but you do get better coverage. You don't have to worry about networks. You can go to any doctor, any hospital that you want. Medicare supplements do not include prescription drugs, so you probably also want to get a standalone prescription drug plan. Medicare supplement will also not give you anything towards dental, vision, and hearing. But again, you can get a standalone dental, vision, and hearing plan. Medicare supplements can also be changed at any time throughout the year. Unlike Medicare Advantage and prescription drug plans that you're locked into for the year, and you can't change it till the end of the year for a January 1st effective date. The first time you get a Medicare supplement, you will get a guaranteed issue, so you don't have to answer health questions. But after that, in the future, if you want to change to a different plan or a different carrier, you will need to go through health underwriting and answer health questions. And there are no service areas that you have to worry about. So if you have any other questions, please feel welcome to give me a call. I am licensed in every state and DC.
Answered by Chad Watkins on November 2, 2025
Agent Licensed in NJ, AK, AL & 48 other states
Answered by Diana Salisbury on May 11, 2025
Broker Licensed in OH, IN & MI
Today's question is, should I keep original Medicare or go with a Part C Medicare Advantage plan? Which is better? There's no real way to answer that question. These are two distinctly different types of coverage. If you go with straight Medicare, you'll never have to worry about network. You can see any doctor in the country that accepts Medicare, and you'll never have to worry about referrals or, for that matter, prior authorizations, which are not very common either. But you will pay a monthly premium whether you get sick or not.
For folks that go with Medicare Advantage, these are people who do not want to pay a monthly premium. These are people looking to get extra benefits that Medicare does not provide, like prescription drug coverage, dental, vision, hearing, and over-the-counter medicine. But with Medicare Advantage plans, there are networks; these are network-driven health plans, meaning some doctors take them and some doctors don't. Prior authorizations are required for most services. So it's a bit more restrictive, but both of these plans can work quite well. It depends on what your needs are.
So if you're looking to distinguish what's going to be a better option for you, feel free to reach out to us, and we'll be more than happy to help you out, steer you through, and make sure you make the right decision for yourself.
Answered by David Silver on August 5, 2025
Broker Licensed in FL, NJ & NV
Medicare Advantage (Part C):
Pros: Lower monthly premiums, includes extras like dental and vision, etc(each plan is different)
Cons: Limited provider network, may need referrals, variable out-of-pocket costs
Original Medicare + Supplement (Medigap):
Pros: Freedom to see any doctor nationwide, predictable costs, no referrals needed
Cons: Higher premiums, doesn’t include dental or vision coverage
Everyone’s situation is unique, and I’d be happy to help you review your options and find what gives you the most peace of mind.
Answered by Satoshi Aoki on July 21, 2025
Agent Licensed in CA
Original Medicare offers nationwide access to any doctor that accepts Medicare and works well for people who want flexibility or travel often. You can add drug coverage and a supplement for an extra cost.
Medicare Advantage bundles coverage into one plan, often with drug coverage and extras like dental, vision, and fitness benefits. These plans usually have provider networks and and no extra premiums other than your Medicare Part B premium.
The bottom line is to choose the option that best fits your doctors, budget, and how you prefer to receive care.
Answered by Cheryl Lockhart on January 26, 2026
Agent Licensed in FL, CO, KY, NC & WV
Answered by Jason Vallejos on December 29, 2025
Broker Licensed in CA, AZ, CO & 17 other states
Part C, or Medicare Advantage plans, offer predicable cost and some $0 premium plans. The major carriers offer travel benefits and national networks, along with ancillary add-ons such as dental, vision and hearing. As the plans change, beneficiaries must always remember that Medicare Advantage plans are medical service plans, not dental, vision or hearing plans.
Better is not always best. Having a local agent review your plan annually is crucial to knowing what is better for one's health.
Answered by Sagrario "Sage" Dyer on March 16, 2026
Broker Licensed in AZ, CA, CO & 10 other states
Thanks for asking!
Dawn Young
HealthMarkets Insurance Agency
Answered by Dawn Young on September 2, 2025
Agent Licensed in OK & TX
I recommend finding a professional like myself. My job isn’t to push one or the other. My job is to look at your doctors, your prescriptions, and your budget—and recommend the option that fits you the best.
reach out if you’re interested in a sit down.
Harold Randolph
Contact me
Answered by Harold Randolph on November 23, 2025
Broker Licensed in MI, IN, KY & OH
Answered by Cathy Barnett on June 4, 2025
Broker Licensed in TX, AL, NC & SC
Answered by Hudson Albert on April 1, 2026
Broker Licensed in TN, AL, AZ & 20 other states
Answered by Nick Morris on September 22, 2025
Agent Licensed in MO, AR, AZ & 6 other states
Part C, or a Medicare Advantage plan often comes with no premiums and no deductibles. Those plans also have a Maximum Out of Pocket cost (MOOP) , so once you pay that amount, you do not pay any medical bills once your out of pocket cost hit that amount.
Also, Original Medicare does not come with Rx coverage. You must buy that (Part D) separately. Most Advantage plans include Part coverage at no extra charge.
The bottom line? Part C provides more coverage than Original Medicare, and often does not cost you money.
Answered by Ron Hamilton on January 31, 2026
Agent Licensed in NC, FL, GA, MA & VA
Answered by David Koller on November 24, 2025
Broker Licensed in UT, ID & NV
The examples I would use for that........
If you have Original Medicare with NO gap coverage, you need something. You need to look at a supplemental policy or a Medicare Advantage Plan (Part C)
You have Original Medicare and you receive Medicaid, all your medical bills and prescription drugs are probably covered at zero charge. But, Medicare Advantage Plans in most cases can add some rich benefits to your life.
Answered by Diane Walker on November 6, 2025
Agent Licensed in IL & IN
Most people decide between Medicare supplement (medigap)- which covers out of pocket costs and that 20% for part B (while letting you see any doctor that takes Medicare), and Medicare Advantage (Part C)- which acts as a replacement for original Medicare with some added perks, but comes with its own limitations. You still pay the part B premium regardless of which path you take; but you have to factor in things like your lifestyle, budget, and providers/meds when deciding which is best for you. A good broker will explain these things in depth, do a needs assessment with you, and help you make an educated decision.
Answered by Toyin Adeleye on November 17, 2025
Broker Licensed in NH
This max out of pocket will protect you if you have a bad health year so you’re limited, protected on what you would spend on Medicare approved health care. Keep in mind if you’re trying to keep your out of pocket cost at a minimum you may want to to consider adding a hospital indemnity to your Medicare advantage plan. Even adding this you’re still saving more money going this route than with a supplement. Just keep in mind Medicare advantage plans are not Medicare supplements and you will have to get prior authorization and need to stay in network for the most cost savings with advantage plans. But they do offer additional benefits supplements or original Medicare don’t offer. I hope that helps you make your decision.
Answered by Shannan Pruitt on June 4, 2025
Broker Licensed in AR, MO, OK & TX
Answered by Maria Tabor on June 10, 2025
Agent Licensed in NC, FL, GA & 6 other states
Answered by Fred Manas on May 15, 2025
Agent Licensed in NY, CT, DC & 7 other states
Answered by Vachik Chakhbazian on May 12, 2025
Agent Licensed in CA, AL, AR & 22 other states
All plans are standardized so they're all the same
They work anywhere in the United States and US territories
Much better coverage
Answered by Gary Henderson on August 5, 2025
Agent Licensed in TX, AK, AL & 46 other states
Answered by Mary Brown on March 30, 2026
Broker Licensed in NJ, DE, FL & NC, OH, PA & TX
Answered by Andrew Kramer on May 9, 2025
Agent Licensed in FL
Answered by Carol Thompson on May 26, 2025
Broker Licensed in FL, LA, MI & NC, SC, VA & WI
Answered by Suzanne Lamperti on June 19, 2025
Broker Licensed in MD
Answered by Jaye Maxx Alexander II on June 23, 2025
Broker Licensed in NC, AK, AL & 47 other states
Answered by Eizel Mere on September 22, 2025
Broker Licensed in FL
Answered by Rodolfo Rojas on November 18, 2025
Broker Licensed in NV, AL, AR & 36 other states
Answered by Don Hansford on April 27, 2026
Broker Licensed in TX
Answered by Adam Ernst on December 29, 2025
Agent Licensed in NC, SC & TN
Option A- Using Medicare Parts A and B to pay for your hospital and medical related bills in the future using Medicare’s formula of 80%/20% split. Medicare pays 80% you would be responsible for the remaining out of pocket (OOP) of 20%, and purchase a separate Prescription Drug Plan, or
Option B- After being granted Medicare Parts A and B. Choose a Medicare Advantage plan offered in your area that will help manage your Medicare by adding additional benefits and services that will help keep you healthier with annual Preventative exams, teeth cleanings, eye, ear and vision exams with minimal copays and in most cases $-0- cost to you.
A seasoned Broker can review a variety of plans in your area that competing carriers offer. To assist you further, Brokers have the ability to reveal each plan’s 5-star rating that help you determine the Medicare Advantage plan that’s right for you.
The best plan is the one that will address all in not most of your needs and piece of mind.
Answered by William Scott on June 17, 2025
Broker Licensed in GA, CO, NC, OH, SC & TX
Answered by Chad Hardy on September 29, 2025
Broker Licensed in TX, AL, AR & 8 other states
Answered by Jeremy Watson on September 12, 2025
Broker Licensed in IN, FL, KY & MI, OH, SC & TN
Answered by Charlie Fitzgerald on November 4, 2025
Broker Licensed in NV, AZ, CA & 12 other states
Answered by Tony Merwin on June 26, 2025
Broker Licensed in TX, AL, AR & 29 other states
Answered by Donald Baker on October 13, 2025
Agent Licensed in MN
Answered by Casey Graves on April 21, 2026
Broker Licensed in TN
Think of this as "The Nationwide Option."
• Freedom: You can see any doctor or visit any hospital in the U.S. that accepts Medicare (about 90% of doctors do). No referrals needed.
• Costs: You pay a monthly Part B premium ($202.90 in 2026). You usually need to buy a separate Part D plan for drugs and a Medigap policy to cover the 20% "gap" that Medicare doesn't pay.
• Best for: People who travel, live in two states (snowbirds), or want the best access to specialists without "gatekeepers."
2. Medicare Advantage (Part C)
Think of this as "The All-in-One Option."
• Structure: Private companies (like UnitedHealthcare or Aetna) manage your care. It bundles Parts A, B, and usually D into one card.
• Extras: Often includes benefits Original Medicare doesn't, like routine dental, vision, hearing, and gym memberships (SilverSneakers).
• Costs: Many plans have $0 premiums (though you still pay your Part B premium). It has a built-in Maximum Out-of-Pocket (MOOP) limit, which protects you from unlimited medical bills.
• Restrictions: You must stay within a network of doctors. You often need prior authorization or referrals for specialist visits.
Answered by Rachida Silva on January 7, 2026
Broker Licensed in FL, AR, CT & 20 other states
Answered by Douglas Carney on May 9, 2025
Broker Licensed in FL, GA, NC, OK & TX
If you travel a lot or want the freedom to see almost any doctor Original Medicare with a supplement may suit you. If you want one plan with extras like dental and vision and are okay staying in a network Medicare Advantage may be the better choice.
Answered by Jessica Ellis on October 2, 2025
Broker Licensed in OK
Selecting Part C Medicare Advantage Plan lessens the risk of exposure to deductible and coinsurance.
Answered by Daniel Keane on June 2, 2025
Agent Licensed in TX, FL, MI & NC
Answered by Alondra Arce on May 9, 2025
Agent Licensed in CA, AL, AR & 14 other states
Answered by Scott Klag on June 23, 2025
Agent Licensed in OH
A Medicare Advantage plan (Part C ) offers you lower copays and a built in max-out-of-pocket limit to protect you from high medical costs in the event of a serious health issue. Many Medicare Advantage Plans will offer extra benefits such as prescription drug coverage, dental, vision, and hearing as well.
Original Medicare allows flexibilty with no networks to stay in, but also leaves you vulerable with no max-out-of-pocket limit. Medicare Advantages gives you a max-out-of-pocket limit and often includes extra benefits.
Answered by Brooke Smith on April 13, 2026
Agent Licensed in UT, CA, ID, NV, OR & WY
Going with a Medicare Advantage, Part C will have a Built in Part D along with many other extra benefits to complimenting and expand benefits under Medicare. Some plans have zero or a small premium for the Medicare Advantage plan.
Answered by Daniel Keenan on June 8, 2025
Broker Licensed in FL
Answered by Althea Sanders on November 24, 2025
Broker Licensed in WA & ID
Answered by Joseph Lombardo on May 9, 2025
Agent Licensed in NY, CT, NJ & PA
Answered by Al Bernotas on November 15, 2025
Broker Licensed in PA
Answered by Julius Baradas on December 29, 2025
Agent Licensed in CA
Part C has a network it covers and to keep cost down you need to see doctors and specialists in this network. A referral is needed from your PCP. If your plan allows you to go out of network it will cost you more. The advantage it does have additonal benefits like vision, dental and hearing that Original Medicare does not. It all depends on what you need and what types of features you seek.
Answered by Oscar Molina on March 12, 2026
Agent Licensed in UT, CA, TX & WA
Answered by Beth Duncan on March 30, 2026
Agent Licensed in SC & GA
Answered by William Austin on May 12, 2025
Agent Licensed in FL
Tags: Medicare Advantage The Medicare System
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