Understanding Medicare Advantage vs. Medigap
Understanding Medicare Advantage vs. Medigap Choosing the Right Plan for Your Health and Budget
When it comes to Medicare, one of the most important decisions you'll make is how to supplement your Original Medicare (Part A & B). Two common options are Medicare Advantage (Part C) and Medigap (Medicare Supplement Insurance) — but how do you know which is right for you?At F.S.B.G. (Friendly Senior Benefits Group), we're here to break it down so you can feel confident in your choice.
✅ What Is Medicare Advantage?
Medicare Advantage plans are all-in-one alternatives to Original Medicare. Offered by private insurance companies approved by Medicare, these plans often include:Hospital & medical coverage (Parts A & B)Prescription drug coverage (Part D)Extra benefits like dental, vision, hearing, gym memberships, and morePros:May have low or $0 monthly premiumsIncludes extra benefits beyond Original MedicareCoordinated care with provider networks (HMO or PPO)Cons:Must use network doctors (except for emergencies)Costs like copays and coinsurance can add upMay require referrals or prior authorizations
💡 What Is Medigap?
Medigap is supplemental insurance that helps pay for out-of-pocket costs not covered by Original Medicare—such as deductibles, copays, and coinsurance. These plans don’t include drug coverage, so you’ll need to pair it with a separate Part D prescription plan.Pros:Freedom to see any doctor that accepts MedicarePredictable costs with fewer surprise billsNo network restrictions, ideal for frequent travelersCons:Monthly premiums can be higherNo extra benefits like dental or visionMust purchase a separate Part D plan
🔍 Key Differences at a Glance
Feature Medicare Advantage Medigap
Doctor Network: Limited (HMO/PPO) Any provider accepting Medicare
Prescription Drugs: Often included Not included
Monthly Premium: Low or \$0 (plus Part B premium) Varies, higher than Advantage
Out-of-Pocket Costs: Pay as you go (copays, etc.) Most costs covered after premium
Extra Benefits: Yes (dental, vision, etc.) No extra benefits
Travel Coverage: Limited to plan area Nationwide (some include foreign travel)
👩⚕️ Which One Is Right for You?
The best plan depends on your health needs, lifestyle, and budget. If you want convenience and extra perks, Medicare Advantage may be a great fit. If you value flexibility and want to minimize out-of-pocket costs, Medigap could be your best bet.
📞 Need Help Deciding?
Choosing between Medicare Advantage and Medigap can be confusing—but you're not alone. At F.S.B.G., we offer personalized guidance to help you make the choice that's right for you.