What's the best way to compare my current Medicare supplement plan to a Medicare advantage plan?
Answered by 22 licensed agents
Answered by Adam Simon on May 1, 2025
Broker Licensed in MI, AZ, CA & 7 other states
1. List Your Priorities
Do you want freedom to see any doctor or prefer a network?
How important are extra benefits like dental, vision, or gym memberships?
What’s your tolerance for out-of-pocket costs vs. monthly premiums?
2. Compare Costs Side by Side
Monthly premiums: Medigap premiums plus Part B and Part D vs. Medicare Advantage premiums (often $0) plus copays/coinsurance
Out-of-pocket limits: Medicare Advantage plans have annual maximums; Medigap covers almost all after deductibles but has higher premiums
Drug coverage: Medigap doesn’t include prescription drugs—you’ll need a separate Part D plan, whereas many Medicare Advantage plans include drug coverage
3. Check Provider Networks
Medigap + Original Medicare lets you see any provider accepting Medicare
Medicare Advantage plans usually have networks—check if your doctors and hospitals are in-network
4. Review Your Health and Medication Needs
Look at your medical history and prescriptions to see which plan covers your treatments and drugs best
Use the Medicare Plan Finder tool or consult an agent to compare plan details based on your ZIP code and medications
5. Consider Convenience and Extras
Medicare Advantage plans often include extra benefits like dental, vision, hearing, and wellness programs
Medigap plans focus on covering gaps but don’t include extras
6. Use Expert Help
Talk to a licensed Medicare agent who can run personalized comparisons based on your current plan, health needs, and budget
Would you like me to help you start a detailed comparison or connect you with a Medicare expert to walk through your options?
Medicare4USA.com 214-989-7900https://medicareagentshub.com/#
Answered by Steven Graves on July 1, 2025
Agent Licensed in TX
Answered by Christy Jones on May 31, 2025
Broker Licensed in ID, AL, AR & 20 other states
Answered by Kathryn Zekas on May 7, 2025
Broker Licensed in FL
Answered by Melissa Barton on March 28, 2025
Agent Licensed in NC, IL, IN & 7 other states
* Monthly premiums
- Most Medicare Advantage plans have little to no premiums, while Medicare Supplement plans have a monthly premium
* Out-of-pocket costs such as deductibles, coinsurance, copayments
- Medicare Advantage plans usually have a max out-of-pocket limit, coinsurance, and copayment amounts, while a few also have medical and/or prescription deductibles.
- Medicare Supplement Plan F does not have any out-of-pocket costs, Plan G has the Part B deductible, and other plans may have the deductible as well as copayments/coinsurance amounts.
* Benefits included
- Medicare Advantage plans typically include prescription drug coverage, dental, vision, hearing, and some other benefits.
- Medicare Supplement plans do not offer any additional benefits.
* Assess provider networks
- Medicare Advantage plans have 3 different networks
* HMO - doctors must be in the plan's network
* PPO - there is a network of doctors, but you can also see doctors outside the network at a higher cost.
* PFFS - you can see any provider who agrees to the plan's terms and conditions.
- Medicare Supplements do not operate on a network. If your provider accepts Medicare assignment, they must accept your Medicare Supplement.
Answered by Diana Garner on May 30, 2025
Broker Licensed in KY, FL, IN, OH & TN
Answered by Joseph Peck on April 7, 2025
Agent Licensed in MI, AL, CO, KS & TN
Answered by Chad Watkins on May 19, 2025
Agent Licensed in NJ, AK, AL & 48 other states
Answered by Walt Smith on May 5, 2025
Agent Licensed in NJ, PA & VA
Answered by Brenda Trejos on May 5, 2025
Broker Licensed in CO, AR, AZ & 28 other states
1. Understand Your Needs:
Coverage: Consider your typical healthcare needs (prescription drugs, specialist visits, etc.) and how each plan addresses them.
Cost: Evaluate premiums, deductibles, copays, and coinsurance for both plan types.
Provider Network: If you have specific doctors or hospitals you prefer, verify their participation in the Medicare Advantage network.
2. Compare Coverage and Benefits:
Medicare Advantage:
Generally offers a broader range of benefits, including prescription drug coverage, dental, and vision, but may have network restrictions.
Medigap: Typically has fewer added benefits but allows you to see any doctor who accepts Medicare.
3. Assess Cost:
Medicare Advantage: Often has lower premiums but may have higher out-of-pocket costs due to copays and coinsurance.
Medigap: May have higher premiums, but you can see any doctor who accepts Medicare and have less out-of-pocket expenses.
4. Consider Network Restrictions: Medicare Advantage: May have network restrictions, meaning you can only see doctors and hospitals within the plan's network for non-emergency care. Medigap: Allows you to see any doctor or hospital that accepts Medicare nationwide.
5. Use Comparison Tools: Medicare.gov: Utilize the Medicare Plan Finder tool to compare plans available in your area. Third-Party Websites: Consider using websites like eHealth or NerdWallet to compare plans.
6. Consult with Professionals: Insurance Agents: Seek guidance from licensed insurance agents who specialize in Medicare plans. State Health Insurance Assistance Programs: Contact your local SHIP for free, non-biased advice.
Answered by Fred Manas on June 2, 2025
Agent Licensed in NY, CT, DC & 7 other states
Answered by Steve Brauer on May 7, 2025
Broker Licensed in AZ & CA
Answered by Mike Henry on April 13, 2025
Agent Licensed in TX
Medicare Supplement, Works with Original Medicare (Parts A and B).
Medicare Advantage. Replaces Original Medicare.
Answered by Sam Silva on April 15, 2025
Broker Licensed in FL, GA, NJ & 7 other states
Answered by Jaye Maxx Alexander II on May 13, 2025
Broker Licensed in NC, AK, AL & 47 other states
Answered by Glenn Alterman on April 8, 2025
Broker Licensed in TX, AZ, CA & FL, NJ, OH & TN
Answered by Mel Stevens on April 2, 2025
Broker Licensed in AZ
Answered by Robert Remin on June 5, 2025
Agent Licensed in NY, CT, FL & NJ
Medicare Advantage plans, on the other hand, may have deductibles, co-payments, and higher out-of-pocket maximums for the year. With these plans, you can only choose and see doctors within the Medicare Advantage network. If you select a doctor who is outside this network, you will be responsible for the payments.
Answered by Glenn Soucek on June 17, 2025
Agent Licensed in IL
Answered by Jamie Herrick on April 15, 2025
Agent Licensed in WI
Answered by Louanne Allison on April 14, 2025
Agent Licensed in MI, FL, IL & OH, TN, TX & UT
Answered by Robert Vitale on May 21, 2025
Agent Licensed in FL & OH
Tags: Medicare Advantage Medicare Supplement
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