Medicare can be confusing, but understanding the differences between Traditional Medicare, Medicare Advantage, and Supplements is essential. Here's a quick guide:
Traditional Medicare: Part A and Part B
- Part A (Hospital Insurance): Covers inpatient hospital stays, skilled nursing facilities, hospice, and some home health care. Usually premium-free if you or your spouse paid Medicare taxes.
- Part B (Medical Insurance): Covers doctor visits, outpatient care, preventive services, and more. Requires a monthly premium.
- Limitations: No coverage for prescription drugs, dental, vision, or hearing.
Medicare Advantage Plans (Part C)
- Combines Part A and Part B benefits.
- Often includes extras like prescription drug coverage, dental, vision, and wellness programs.
- Typically requires using a network of providers.
- May have lower out-of-pocket costs but includes copays and coinsurance.
Medicare Supplements (Medigap)
- Covers gaps in Original Medicare, like copayments, coinsurance, and deductibles.
- No network restrictions; visit any Medicare-accepting provider.
- Requires a separate Part D plan for prescription drugs.
- Includes an additional monthly premium.Â
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Choosing the Right Plan
Feature | Traditional Medicare | Medicare Advantage | Medigap |
Provider Choice | Any Medicare provider | Restricted to network | Any Medicare provider |
Prescription Drugs | Separate Part D required | Often included | Separate Part D required |
Additional Benefits | Limited | Vision, dental, wellness | None |
Costs | Higher out-of-pocket | Lower premiums, copays | Lower out-of-pocket, extra premiums |
Need Help Choosing?
Our agency specializes in finding the perfect Medicare plan for you. Whether it’s Traditional Medicare, an Advantage Plan, or a Supplement, we’re here to help.
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