What's the best way to compare my current Medicare supplement plan to a Medicare advantage plan?
Answered by 69 licensed agents
Answered by Adam Simon on May 1, 2025
Broker Licensed in MI, AL, AZ & 13 other states
Answered by Steve and Sue Brauer on May 7, 2025
Broker Licensed in AZ & CA
The benefit of the supplement is the ability to get the care you need when you need it and from the provider you choose. The down side is there is an additional monthly premium and it increases over time.
The benefit of the MAPD is a low cost and a few extra benefits like some dental coverage and help with glasses and hearing aides. However the low price brings with it the cost of provider networks, referrals and prior authorizations.
If you are considering changing from a supplement to an MAPD, look for one that your doctors accept. Depending on how many you currently see, you may not find them all in the same plan. Also, if there is a specific benefit you are interested in, make sure you understand how the benefit works. Dental, vision and hearing benefits also have networks. These networks may be different from the medical portion of the MAPD.
The bottom line is your supplement will give you more freedom and predictability. The MAPD will cost less up front but will have ongoing costs and more hurdles to overcome.
Answered by Mark Bilgere on January 29, 2026
Broker Licensed in TX, AR, IN & LA, MN, NE & OK
Medicare Supplement has low or no co-pays and has a monthly premium.
Premiums began at 60-100 per month. Then you will need to purchase a PDP plan to cover your prescriptions. Generally, 35.00 to higher. Both of these will increase 3-7% annually.
It is a question I talk to everyone about
Daniel Brechin
Contact me.
Answered by Daniel Brechin on September 12, 2025
Agent Licensed in AL, FL, KY, MS & TN
Medicare Advantage is often what people end up with when they can’t afford Original Medicare with a Supplement Plan—but that combination is what truly gives you choice and freedom. With Original Medicare and a Supplement, you have nationwide coverage across the U.S. and its territories. You’re free to choose the doctors and facilities you trust, including the very best specialists and hospitals in the country—Mayo Clinic, Johns Hopkins, Moffitt, Cleveland Clinic, and many more. These are typically not available under a Medicare Advantage plan.
You’ll never hear that part on TV, the radio, or in glossy ads, though. Instead, they promise all sorts of “free” extras—dental cleanings, eyeglasses, grocery cards. It all sounds appealing—until you actually need serious medical care.
That’s when the problems begin. You might find your surgery isn’t approved right away. They may require you to try another medication, undergo another stress test, or complete more physical therapy before authorizing treatment. And the doctor or specialist you really want to see—the one with the best reputation—might not even accept your plan. Why? Because Medicare Advantage often pays only about 60% of what Medicare pays, and providers can wait 90–120 days for reimbursement. What top medical professional wants to deal with that?
So, was that grocery card really worth it? Even if your doctor accepts your plan today, there’s no guarantee they’ll still take it six months from now. Plans change constantly. For instance, in Florida, Cigna has completely stopped offering MA plans, and Aetna has shifted many clients into different plans that their doctors may not accept. Is the stress really worth the few dollars saved on a supplement premium?
Even the drug plans tied to MA policies can be misleading. They’re often structured to benefit the insurer—not you. I frequently help people move off Medicare Advantage once they realize they’ve been paying more.
Answered by Norman Smith on November 4, 2025
Agent Licensed in FL, AL, NJ & PA
Answered by Lt Col Tim Brown on February 16, 2026
Broker Licensed in TN, AL, CO & 10 other states
I'm going to be honest with you. I'm not a huge fan of Plan K. The reason why is because, for one thing, it does not cover Part B excess, which is the difference between what Medicare's allowable fees are and those allowable fees by the doctor. They are allowed to balance bill you if you do not have that coverage in place, so I personally see that as quite a big risk. The other thing is my attitude is if we're going to be paying so many copays and deductibles out of pocket, when you put K and G side by side, you'll see that K has a lot of out-of-pocket expenses related to it that G does not. If you're going to be paying that much out of pocket anyway when you go to the doctor or when you go to the hospital, I don't see any reason why you wouldn't want to go with an Advantage plan, because there are many Advantage plans that have a zero premium. So that's just kind of my opinion on it. Not everybody may agree with me on that, but that's my take.
Answered by William Lawler on August 2, 2025
Broker Licensed in MO, FL, IA & 12 other states
Answered by Terri Reagin on November 30, 2025
Broker Licensed in OK, AR, CO & 6 other states
Under the Part A Deductible, your Supplement most likely covers these charges 100%:
-The Medicare Part A inpatient hospital deductible is $1,676 for the first 60 days of Medicare-covered inpatient hospital care in a benefit period.
-skilled nursing facilities, the daily coinsurance for days 21 through 100 of extended care services in a benefit period will be $209.50 in 2025.
The Medicare Advantage Plan shares these costs with the patient, the daily hospital inpatient stay co-pay varies by Advantage Plan as does the Skilled Nursing daily co-pay.
Unfortunately, many people signup for Medicare Advantage and were not aware of their plan $ copays and network requirements and possible preauthorizations.
Answered by Christopher Boyd on September 15, 2025
Agent Licensed in IN, KY, MI, OH, PA & TN
Answered by Ronnie Robinson Jr on October 31, 2025
Broker Licensed in FL, AL, GA & 9 other states
Answered by Christy Jones on May 31, 2025
Broker Licensed in ID, AL, AR & 20 other states
Answered by Shelly Hefley on July 31, 2025
Broker Licensed in IN, AL, IL, KY & TN
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?
Contact us.
Answered by Steven Graves on July 1, 2025
Agent Licensed in TX
Answered by Jacqueline Proffit on April 27, 2026
Broker Licensed in FL, AR, CA & 15 other states
Answered by Marsha Reiniers on April 29, 2026
Agent Licensed in FL, GA, MI & NC, PA, SC & VA
Answered by Sherry Rose on April 6, 2026
Broker Licensed in Ga, AL, AR & 5 other states
Answered by Donna Berube on March 31, 2026
Agent Licensed in NH
It all depends on what the client is more comfortable with - sup/med advantage.
Answered by Jamie Goble on December 22, 2025
Broker Licensed in IL, AR, FL, MD & MO
Answered by Brenda Trejos on May 5, 2025
Broker Licensed in CA, AR, AZ & 28 other states
Answered by Enoch Vega on January 11, 2026
Broker Licensed in NV, AZ, CA & 6 other states
Answered by Donna Lueders on February 24, 2026
Broker Licensed in FL, GA, LA, NC & SC
Answered by Kathryn Zekas on May 7, 2025
Broker Licensed in FL
Answered by Melissa Barton on March 28, 2025
Agent Licensed in NC, DE, IL & 9 other states
Plans are insured or covered by a Medicare Advantage (HMO, PPO and PFFS) organization with a Medicare contract and/or a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan’s contract renewal with Medicare. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
Answered by Andrew Zurbuch, MBA on December 19, 2025
Broker Licensed in IN, FL, KY, MO, OH & TN
* 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 Steve Houchens on September 25, 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 Kristen Skinner on November 6, 2025
Broker Licensed in OK
Answered by Leslie Kaz on August 13, 2025
Agent Licensed in CA, AL, AZ & 7 other states
Answered by Walt Smith on May 5, 2025
Agent Licensed in NJ, NY, PA & VA
What's the difference between Medicare Supplement and Medicare Advantage plans? Many people think these things are the same, but 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-network. They usually have a lower premium than a Medicare Supplement, and depending on where you're at, certain service areas have a zero premium plan that doesn't cost you anything above and beyond what you would normally pay for just the Part B premium.
Medicare Advantage plans typically include prescription drugs. They do have a maximum out-of-pocket, referred to as MOOP, of $9,350, so that is your worst-case scenario. Even if something catastrophic were to happen, they will give you some coverage, usually for dental, vision, and hearing, but it's typically not comprehensive—more preventative. For dental, things like checkups and cleanings are covered, and sometimes they will offer a rider to give you more comprehensive dental.
Medicare Advantage plans are locked in for one year, and you can only get the plans that are in your service area. A Medicare Supplement will have a higher premium, but you do get better coverage. You don't have to worry about networks; you can go to any doctor or hospital that you want. Medicare Supplements do not include prescription drugs, so you probably also want to get a standalone prescription drug plan. Medicare Supplements also won't give you anything towards dental, vision, and hearing, but again, you can get a standalone dental, vision, and hearing plan.
Medicare Supplements can be changed at any time throughout the year, unlike Medicare Advantage and prescription drug plans, which lock you in for the year and you can't change them until 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, 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.
Answered by Chad Watkins on May 19, 2025
Agent Licensed in NJ, AK, AL & 48 other states
On the other hand, Medicare Advantage plans usually have lower or even $0 monthly premiums, but they come with trade-offs. Even PPO Advantage plans have networks of providers, so you must do your due diligence every time you see a doctor to verify if they’re in-network—otherwise, you could end up with a surprise bill.
In many HMO Advantage plans, you’ll need a referral from your primary care doctor to see a specialist, and that specialist must also be in-network and contracted with the plan.
That said, Medicare Advantage plans often include extra benefits that Original Medicare and Supplements don’t cover—such as dental, vision, hearing aids, and gym memberships.
In short:
A Medicare Supplement will cost more monthly but offers greater freedom and predictability.
A Medicare Advantage plan may cost less and offer extra perks, but your provider access is limited by network rules.
Answered by Anna Davis CIC-RSSA on July 25, 2025
Broker Licensed in CA
Answered by Celeste McGrath on January 21, 2026
Broker Licensed in GA, FL, NC & SC
1. Coverage:
• A Medigap plan works with Original Medicare, meaning you can see any doctor or specialist nationwide who accepts Medicare — no networks.
• A Medicare Advantage plan often includes extra benefits (like dental, vision, hearing, or gym memberships), but you’ll typically need to use doctors and hospitals within the plan’s network.
2. Costs:
• Medigap plans usually have higher monthly premiums but very low out-of-pocket costs when you get care.
• Medicare Advantage plans tend to have lower premiums but higher copays or coinsurance when you receive services.
3. Flexibility:
• Medigap offers more freedom to travel or see specialists without referrals.
• Medicare Advantage can provide convenience if you prefer having one card and potentially bundled benefits.
Answered by Leslie Santos on October 17, 2025
Broker Licensed in FL & TX
Typically, the biggest differences between Supplement Plans and Advantage Plans is the up front premium costs and the accessibility to doctor/hospital networks. Many Advantage Plans are available at $0 monthly premiums or low monthly premiums, but have higher out of pocket costs compared to the Supplement Plans that have more significant up front premium costs, but much lower out of pocket costs. Additionally, because Supplement Plans keep clients in Original Medicare benefits, beneficiaries can see doctors anywhere in the country and are not required to stay in a local network like most Advantage Plans. Lastly, Supplement Plans do not include drug coverage with most Advantage Plans do.
Again, it is recommended to meet with an experienced professional to evaluate what plan best suits your needs and budget.
Answered by Evan Agona on December 12, 2025
Broker Licensed in OH, FL, KY & 6 other states
Answered by Nicole Hardy on February 26, 2026
Broker Licensed in MD, AZ, PA, VA & WV
Answered by Javier Salguero on October 7, 2025
Broker Licensed in CA & NV
Answered by Arash Asadi on August 20, 2025
Agent Licensed in CA
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 Meghan Blankenship on November 13, 2025
Broker Licensed in FL, MD & OH
Answered by Mark Boone on October 7, 2025
Agent Licensed in MN, FL, MI & NC, OH, SC & VA
Contact me
Marcie Barnes
Answered by Marcie Barnes on December 7, 2025
Agent Licensed in TX, AK, AL & 48 other states
Answered by Mike Henry on April 13, 2025
Agent Licensed in TX
So many options.. Find a local Agent, that you can trust to visually see the program available.
I recommend you find a good local Agent.
Answered by Pat Papson on November 14, 2025
Agent Licensed in NM
Answered by Jaye Maxx Alexander II on May 13, 2025
Broker Licensed in NC, AK, AL & 47 other states
The best way to compare a Medicare Supplement (Medigap) plan to a Medicare Advantage plan is to look at these 5 things side-by-side:
1️⃣ Monthly premium
– Supplement: Usually higher monthly premium.
– Advantage: Often $0–low premium (you still pay Part B).
2️⃣ Out-of-pocket costs
– Supplement: Very little when you use services (predictable costs).
– Advantage: Copays/coinsurance as you go, but has a yearly max out-of-pocket limit.
3️⃣ Doctor access
– Supplement: See any provider nationwide that accepts Medicare.
– Advantage: Must use the plan’s network (HMO/PPO rules apply).
4️⃣ Extra benefits
– Supplement: Typically no dental, vision, gym, etc.
– Advantage: Often includes extras like dental, vision, OTC, fitness.
5️⃣ Long-term flexibility
– Supplement: Easier nationwide access long term.
– Advantage: Plan benefits and networks can change each year.
It really comes down to this:
Do you prefer higher premium with predictable costs and broad access, or lower premium with pay-as-you-go copays and network rules?
Answered by Antonio Rodriguez on March 2, 2026
Broker Licensed in OR
Answered by Joseph Peck on April 7, 2025
Agent Licensed in MI, AL, CO, KS & TN
Answered by Mel Stevens on April 2, 2025
Broker Licensed in AZ
Answered by Julie Thompson on January 5, 2026
Agent Licensed in CA, AZ, KY, NV & TN
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 Brent Mowery on September 3, 2025
Broker Licensed in OK, CO, NC & TX
Answered by Gary Haft on September 22, 2025
Agent Licensed in FL, AL, DC & 9 other states
Hello, Robert Remin, expert Medicare plan advisor, licensed and Medicare certified in New York, Connecticut, New Jersey, and Florida. Comparing a Medigap supplement plan to an Advantage plan is like comparing apples to oranges. It's basically a no can do. You can only compare Medigap supplement plans to other Medigap supplement plans and Advantage plans to other Advantage plans. There's no point in trying to compare the two. I suggest you contact a professional like myself to explain the different options between Medigap supplement plans and Advantage plans, but you really can't compare them.
Answered by Robert Remin on June 5, 2025
Agent Licensed in NY, CT, FL & NJ
Answered by Glenn Alterman on April 8, 2025
Broker Licensed in TX, AZ, CA & FL, NJ, OH & TN
Answered by Kevin Chaikin on September 29, 2025
Broker Licensed in VA, AL, AZ & 31 other states
Medicare Part D sounds optional, but here's why drug coverage matters right now, so you don't get stuck paying more later. If you're new to Medicare, you've got an initial enrollment period around your 65th birthday. That's your clean shot to pick a Part D plan for prescriptions or a Medicare Advantage plan that includes drug coverage.
Here's the catch: if you don't have credible coverage and you skip Part D, Medicare may add a late enrollment penalty when you join later. Creditable coverage just means your current drug coverage is at least as good as Medicare's standard Part D. Employer plans, union plans, some retiree plans, and VA or Tricare coverage fall into that category.
Every year, your plan should send a letter saying whether it's creditable, so keep it. If you lose creditable coverage for 63 days or more after your first eligible Medicare starts counting, the penalty is typically about 1% of the national base premium for every month you went without. It's added to your Part D premium, and it sticks around as long as you have Part D.
So even if you don't take many meds today, a low-cost plan now can save you a permanent surcharge later. When can you sign up? Initial enrollment is when you hit Medicare. Annual enrollment is from October 15 to December 7. If you lose creditable coverage mid-year, you may get a special enrollment period. Don't wait; there's a clock on that action plan.
Check your current coverage for that creditable notice. If it's not creditable or you're unsure, compare Part D plans and pick one that fits. Mark the deadline so you don't cross that 63-day gap.
Bottom line: get covered on time. Keep proof of creditable coverage to avoid a penalty that can follow you for years. That's it. Quick, simple, and it can save you real money.
Answered by Blaine Shipe on October 12, 2025
Broker Licensed in AZ, CA, CO & VA
Answered by Philip Santucci on December 8, 2025
Broker Licensed in IL
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, MO, MS, OH & TX
Answered by Jamie Herrick on April 15, 2025
Agent Licensed in WI
Answered by Jessie Rhodes on July 26, 2025
Agent Licensed in TX, AL, AR & 24 other states
Answered by Uchennah Okafor on May 4, 2026
Agent Licensed in TX
Answered by Louanne Allison on April 14, 2025
Agent Licensed in MI, FL, IL & OH, TN, TX & UT
Answered by Dan Green on September 22, 2025
Broker Licensed in NC
Answered by Robert Vitale on May 21, 2025
Agent Licensed in FL & OH
Answered by Michele Wagoner on July 27, 2025
Broker Licensed in FL, AL, AZ & 8 other states
Answered by Johnnie Jeter on August 13, 2025
Broker Licensed in GA & OH
Answered by David Perkins on October 7, 2025
Agent Licensed in KY & TN
Answered by Czarida Leyco on October 8, 2025
Broker Licensed in NC, CA, MA & ME, NJ, NY & SC
Answered by Garry Yee on May 11, 2026
Agent Licensed in HI, AK & CA
Tags: Medicare Advantage Medicare Supplement
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