Medicare Supplements Vs. Medicare Advantage

When it comes to covering what Original Medicare doesn’t, you’ve got two main options—Medigap and Medicare Advantage. One works with Medicare, the other replaces it. They offer very different networks, costs, and levels of control over your care. Understanding the difference is key to making the right choice for your health and budget.

Medicare Supplements

  • Works with Original Medicare (Parts A & B)

  • Nationwide coverage – see any doctor that accepts Medicare

  • No networks or referrals required

  • No prior authorization for covered services

  • Helps cover deductibles, copays, and coinsurance

  • Predictable out-of-pocket costs

  • Requires separate Part D plan for prescriptions

  • Monthly premium may be higher, but fewer surprises

  • Enroll any time, but best during Medigap Open Enrollment

Medicare Advantage

  • Replaces Original Medicare with private plan

  • Coverage is ZIP code-based with restricted networks

  • Often requires referrals and prior authorizations

  • May include extras like dental, vision, hearing, and gym

  • Annual out-of-pocket limit, but costs can be unpredictable

  • Usually includes Part D drug coverage

  • Lower or $0 premiums—but more cost-sharing as you go

  • Must enroll or switch during specific enrollment periods

  • Plans and coverage vary greatly by location

Making the Right Choice for You

Deciding between a Medicare Supplement plan and a Medicare Advantage plan is a big step—and it’s one that deserves careful thought. Each option has unique strengths and trade-offs. Medicare Supplement plans offer stability, freedom to see any Medicare provider nationwide, and more predictable out-of-pocket costs, making them a strong choice for those who want flexibility and long-term peace of mind. On the other hand, Medicare Advantage plans often offer extra benefits and lower upfront costs, but come with network restrictions, prior authorizations, and the need to carefully manage care within plan guidelines.

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© 2025 My Medicare Now. All rights reserved. As a national Medicare brokerage, we work with multiple carriers to provide comprehensive plan options. 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. This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.