Should I keep original Medicare or go with an Part C, Medicare Advantage plan? What is better?

Question

***Medicare Melanie*** · Accepted Answer

What is better for one Medicare beneficiary, could be the biggest mistake for you. Unfortunately, there is no 'better' or 'best' when it comes to choosing your Medicare path. It is important that you work with a trusted broker to clarify your options.  

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.

Tony Capraro III · Answer

This answer is provided in a video format. Watch the agent's video response here: https://medicareagentshub.com/questions/should-i-keep-original-medicare-or-go-with-an-part-c-medicare-advantage-plan-what-is-better-#tony-capraro

William Lawler · Answer

Original Medicare (OM) is an 80/20 health plan. If hospitalized, the government pays 80% and you pay 20% of the costs. There is no limit on your 20%. A Part C (Advantage Plan) would cover a lot of these costs that OM does not. A Part C plan can also give you coverage for prescription drugs, vision, dental and hearing that OM does not.

Answered by William Lawler on May 9, 2025

Broker Licensed in MO, FL, IA & 12 other states

Answered by William Lawler Medicare Insurance Agent

Mark Maliwauki · Answer

Original Medicare has no Rx, dental, vision, hearing or OTC benefits. You would need separate policies to have them and the Part D or Rx plan is mandatory or your will be fined for life.

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.

Paul Potter · Answer

You should compare both options to see which fits your requirements and needs.  I can help if you want.

Paul Potter
321-346-9996
PaulPotte@Email.com

Alondra Arce · Answer

Original Medicare lets you see almost any doctor, but it doesn't cover everything. Medicare Advantage (Part C) usually has extra perks and lower costs, but depending on the plan you have to stick to their network.

Answered by Alondra Arce on May 9, 2025

Agent Licensed in CA, AL, AR & 14 other states

Answered by Alondra Arce Medicare Insurance Agent

Andrew Bennett · Answer

IF cost isn't a factor then for your medical coverage I think traditional Medicare with a supplement is better.  Hands down.  Why?  Medicare Advantage plans have too many dis-Advantages.  There are networks and it's always harder to stay in-network than it should be.  There are plan changes every year.  The Out-Of-Pocket Maximums can be significant financially.  

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 executives 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.

Joseph Mullen · Answer

Choosing between an original Medicare plan and a Medicare Advantage plan depends on your budget, care needs, desired benefits and preferred doctors. Medicare is the federal health insurance program designed for people over age 65, as well as those under 65 with qualifying disabilities. Medicare Part A (inpatient care) and Part B (outpatient care) are known as original Medicare. Medicare Advantage, or Medicare Part C, refers to plans offered by private insurance companies. These plans offer coverage comparable to original Medicare as well as some additional benefits, such as vision or dental coverage. I would need a little more information to advise on which option is best for you. Please contact me at your convenience.

Answered by Joseph Mullen on June 23, 2025

Broker Licensed in NY, CT, MD, PA, SC & TX

Answered by Joseph Mullen Medicare Insurance Agent

Steven Lovell · Answer

That lies in whether or not you want to pay more or less in copayments and large MOOP deductibles. If you keep original medicare and you don't have a medicare supplement, you're going to be paying copayments and large deductibles. If you go with a medicare part c medicare advantage. You're gonna have copays and large deductibles. If you go with a medicare supplement, you'll have a premium, one small annual deductible and no copayments.

Answered by Steven Lovell on June 21, 2025

Broker Licensed in GA, CA, FL & 7 other states

Answered by Steven Lovell Medicare Insurance Agent

Steve Houchens · Answer

That would depend on your own personal needs and financial situation. You would need to talk to an agent that is versed and knowledgeable on both plans and can explain all options available to you and what would work best for you personally. I don’t feel there is a one size fits all plan but should be individualized for you.

Answered by Steve Houchens on June 19, 2025

Agent Licensed in KY & TN

Answered by Steve Houchens Medicare Insurance Agent

Diana Salisbury · Answer

Do research on your own.  Or take time to meet with an insurance professional to learn what your options might be.

Cathy Barnett · Answer

If you go with part C (Medicare Advantage plan), you'll get additional benefits such as dental, vision, hearing and your par D (prescription drug coverage is included. Also, you avoid the 20% charge Medicare doesn't pay.

Answered by Cathy Barnett on June 4, 2025

Broker Licensed in TX, AL, NC & SC

Answered by Cathy Barnett Medicare Insurance Agent

Shannan Pruitt · Answer

I would definitely with out reservation enroll in a Medicare Advantage plan before ever staying with original Medicare A and B. I can explain with one benefit and that the max out of pocket Advantage plans have to offer by federal law. 
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.

Maria Tabor · Answer

That question is difficult to answer unless you know the individual's health status. Everyone is unique, and I would need to know if they travel, which doctors they see, what medications they are taking, etc.

Answered by Maria Tabor on June 10, 2025

Agent Licensed in NC, FL, GA & 6 other states

Answered by Maria Tabor Medicare Insurance Agent

Fred Manas · Answer

The choice between Original Medicare and a Medicare Advantage (Part C) plan depends on individual needs and preferences. Original Medicare provides the most flexibility in choosing healthcare providers, but may have higher out-of-pocket costs and doesn't cover many "extras" like routine vision, hearing, and dental care. Medicare Advantage plans offer a wider range of coverage, often including those extra benefits, but with network restrictions and potentially higher premiums.

Answered by Fred Manas on May 15, 2025

Agent Licensed in NY, CT, DC & 7 other states

Answered by Fred Manas Medicare Insurance Agent

Vachik Chakhbazian · Answer

Original Medicare offers more flexibility in choosing doctors and hospitals, while Medicare Advantage plans often provide extra benefits and lower costs,

Andrew Kramer · Answer

There is no "pat" answer to this questions. The variables are: #1 Where do you live, in a rural or urban area? Urban areas typically have more Dr's who take Advantage plans. #2 Did you or an agent, research your current Dr's to see which Advantage plans they accept? #3 Do you live in one place, or do you have a home in another state that you frequent? #4 Can you afford a Medicare supplement plan?

Answered by Andrew Kramer on May 9, 2025

Agent Licensed in FL

Answered by Andrew Kramer Medicare Insurance Agent

Carol Thompson · Answer

Deciding on whether what plans to go with depends on your personal needs. It is important to consult with a licensed broker for guidance on what will best suit your needs.

Suzanne Lamperti · Answer

That depends on your health care needs. Do you have conditions which need special services? Most Part C plans Don include prescription coverage. Can you afford a Meducare Supplement? These are things you need to consider.

Answered by Suzanne Lamperti on June 19, 2025

Broker Licensed in MD

Answered by Suzanne Lamperti Medicare Insurance Agent

Jaye Maxx Alexander II · Answer

I would strongly recommend that you take the time to look at all of your doctors, hospitals, and the services that you will need in the future. The MAPD{Part C} may be best for you, but you have to look at the complete picture. You may need to have a Medicare Supplemental plan or a MAPD (Part C) with a hospital indemnity plan.

Answered by Jaye Maxx Alexander II on June 23, 2025

Broker Licensed in NC, AK, AL & 47 other states

Answered by Jaye Maxx Alexander II Medicare Insurance Agent

William Scott · Answer

Great question! As a Medicare recipient you have choices. 

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.

Douglas Carney · Answer

Original Medicare offers flexibility to see any provider nationwide but lacks drug coverage and an out-of-pocket cap, risking higher costs. Medicare Advantage (Part C) bundles benefits, often includes extras like dental, and caps costs (e.g., $8,850 in 2025), but limits you to networks and may require prior approvals. If you want choice, consider Original Medicare with Medigap; if you’re healthy and prefer lower premiums, Advantage might suit you. Compare plans at Medicare.gov during open enrollment (October 15–December 7, 2024).

Answered by Douglas Carney on May 9, 2025

Broker Licensed in FL, GA, NC, OK & TX

Answered by Douglas Carney Medicare Insurance Agent

Daniel Keane · Answer

Keeping Original Medicare is an option, but you are exposed to deductibles, and 20% coinsurance on Part A and Part B. 
Selecting Part C Medicare Advantage Plan lessens the risk of exposure to deductible and coinsurance.

Scott Klag · Answer

In order to apply for a PART C Medicare Advantage plan you must have Medicare Parts A and B. Remember that original Medicare is only an 80/20 plan. This means that any medical bill that you receive, you will pay 20% of the bill. For example, if the bill is $10,000 you will be responsible for $2,000.

Answered by Scott Klag on June 23, 2025

Agent Licensed in OH

Answered by Scott Klag Medicare Insurance Agent

Joseph Lombardo · Answer

Both original Medicare and Part C, Medicare Advantage plans have their benefits and drawbacks and to blanketly say one is better than the other would be hard to say. This is why having a licensed broker, who specializes in both original Medicare and Medicare Advantage plans learn about the seniors own unique situation and help educate them would be important. Once the senior is fully informed, they themselves can make the decision on what would work best for them. I hope this helps.

Answered by Joseph Lombardo on May 9, 2025

Agent Licensed in NY, CT, NJ & PA

Answered by Joseph Lombardo Medicare Insurance Agent

Daniel Keenan · Answer

If you stay with only Medicare, your next thing you have to do is get a Part D drug program. 
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.

William Austin · Answer

It's definitely not a matter of what's better. It's a matter of what your needs are. Original Medicare works great, however, depending on your needs, you may want to look into a Medicare supplement to go with your original Medicare. And those work differently than a Part C, Medicare advantage plan will. Again, it's all about your needs and what fits and works best for you and you healthcare.

Answered by William Austin on May 12, 2025

Agent Licensed in FL

Answered by William Austin Medicare Insurance Agent

Should I keep original Medicare or go with an Part C, Medicare Advantage plan? What is better?

Agents: Share Your Expertise

Seniors: Ask a Question of Your Own

Agent Locator

Medicare Agents Hub
A non-government resource website

Should I keep original Medicare or go with an Part C, Medicare Advantage plan? What is better?

Agents: Share Your Expertise

Seniors: Ask a Question of Your Own

Agent Locator

Medicare Agents HubA non-government resource website

Medicare Agents Hub
A non-government resource website