What is the Difference between a Medicare Supplement Policy and a Medicare Advantage Policy
- lisa maas
- Feb 21, 2024
- 1 min read
Medicare Supplement (Medigap) Policy:
Medigap policies are offered by private insurance companies to fill in the "gaps" in Original Medicare coverage.
They work alongside Original Medicare (Parts A and B) to help cover out-of-pocket costs such as copayments, coinsurance, and deductibles.
Generally, you'll pay a monthly premium for your Medigap policy in addition to the premium you pay for Medicare Part B.
You can use any healthcare provider that accepts Medicare, as long as they accept your Medigap plan.
Medicare Advantage Policy:
Medicare Advantage plans, also offered by private insurance companies, are an alternative to Original Medicare.
These plans provide all the benefits of Original Medicare (Parts A and B) and often include additional benefits like prescription drug coverage (Part D), vision, dental, and wellness programs.
Instead of paying premiums for Part A, Part B, and potentially a separate Medigap policy, you'll typically pay one monthly premium for your Medicare Advantage plan (although you still need to pay your Part B premium).
Medicare Advantage plans usually have networks of providers, and you may need to use doctors and hospitals within the plan's network or pay higher out-of-pocket costs for out-of-network care.

So, in essence, Medigap policies help cover costs that Original Medicare doesn't, while Medicare Advantage plans replace Original Medicare with additional benefits and potentially lower out-of-pocket costs, however they can have more restricted provider networks depending on the county you live in.
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