Medigap vs. Medicare Advantage: Which Is Right for You?
Medigap supplements Original Medicare with predictable costs and any-provider access. Medicare Advantage replaces Original Medicare with managed care, often including extra benefits but with network restrictions. The right choice depends on your health needs, travel habits, and budget preferences.
When This Applies
- You are newly enrolling in Medicare
- You are leaving employer coverage and need supplemental coverage
- You want to compare out-of-pocket cost structures
- You value provider choice vs. extra benefits
Frequently Asked Questions
- Can I switch between them?
- You can switch from Medigap to Advantage during Open Enrollment. Switching back to Medigap may require medical underwriting depending on your state.
- Which costs less?
- Advantage plans often have lower monthly premiums. Medigap has higher premiums but more predictable total costs. Compare total annual spending, not just premiums.
- What about prescriptions?
- Most Advantage plans include drug coverage. With Medigap, you need a separate Part D plan.