What is the Difference Between Medicare Advantage & Medigap (Medicare Supplement) Plans?

What is the Difference Between Medicare Advantage & Medigap (Medicare Supplement) Plans?

Medigap (Medicare Supplement) vs. Medicare Advantage

Medigap vs. Medicare Advantage Guide – CLICK HERE

Medigap insurance is also known as “Medicare Supplement” insurance.

The Medicare program is not as comprehensive as some might believe. There are gaps in the system that leave seniors looking for supplemental coverage or paying for medical care out of their savings. Figuring out the ins and outs of Medicare, and how private insurance figures into that formula, is the key to getting the healthcare you deserve during the golden years.

What is Medigap (Medicare Supplement)?

Medigap is supplemental insurance sold to cover the expenses that Medicare may not fully pay. It is important to note that Medigap does not replace any part of the Medicare coverage, just fill in the gaps. To be eligible, a person must utilize both part A and B of the Medicare program.

The insurance coverage under a Medigap policy is standardized by the Centers for Medicare and Medicaid Services. This means no matter what private company offers the policy, it covers the same base elements at each premium level.

Medigap benefits vary by price schedule, but most offset out-of-pocket expenses for the Medicare recipient. Enrolling in the six months prior to the onset of Medicare coverage means no medical screening is necessary. Those who purchase this supplemental insurance afterwards may have to submit to a physical exam.

What is Medicare Advantage?

Medicare Advantage is an offshoot of the original Medicare model. It is a different format of Medicare as opposed to a supplemental policy like Medigap. When senior citizens choose the Medicare Advantage program, they choose a primary care physician from a network of providers.

People who opt for the Advantage program pay a fixed co-pay amount or month-to-month premium instead of meeting a deductible. Participants in other Medicare plans might have to pay out-of-pocket to cover the deductible before their coverage begins. With Medicare Advantage, there is no out-of-pocket expense beyond the base co-pay or premium amount.

What is the difference between the two?

Medigap is supplemental coverage. It does not replace Medicare, just adds additional benefits to it. Medicare Advantage is a Medicare plan, not supplemental insurance. There are benefits and drawbacks for each program, but regulation is a notable difference between them.

Medigap insurance is standardized across the country. This means the insurance plan available at a certain price in Nebraska is the same as the one in New Jersey. Not all states offer every price tier, but the coverage benefits remain the same regardless of where you live.

Medicare Advantage plans vary considerably. All of these programs will offer the same basic coverage as one gets from Medicare A and B, but after that the pricing, co-pays and additional benefits depend on the private insurance company.

The Right Choice for You

Selecting the proper channel for Medicare coverage is one of the most critical decisions you will make. The choice depends greatly on your income, lifestyle, health status and location. Fill out the form here and let us provide professional advice to help you make the right choice and get the most out of your Medicare benefits.

Our agency helps you understand the different types of Medigap plans & options available to you in your specific state. We will compare and explain each plan along with giving you quote details on the carries in your area. If you would like to speak with a specialist about your options or to get a better understanding of Medicare and Medigap insurance please give us a call at (855) 321-3210. If you are just looking for a quote comparison please fill out the form on this page and one will be available to you. 

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Medigap Plans

Medicare Supplement Plan AMedicare Supplement Plan BMedicare Supplement Plan CMedicare Supplement Plan DMedicare Supplement Plan F • Medicare Supplement Plan F High Deductible • Medicare Supplement Plan G • Medicare Supplement Plan K • Medicare Supplement Plan L • Medicare Supplement Plan M • Medicare Supplement Plan N

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