Medigap vs. Medicare Advantage: The Real Difference
They sound like they should be similar. They're not. One lets you see any doctor who accepts Medicare, anywhere in the country, no referrals needed. The other trades some of that flexibility for a lower monthly cost and extra perks like dental and vision.
There's no one-size-fits-all here. Truly! The right fit depends on your budget and your priorities, and I'm here to help you sort out what matters most.
| Medigap (Medicare Supplement) | Medicare Advantage | |
|---|---|---|
| Doctors and hospitals | Any doctor in the U.S. who accepts Medicare |
A defined network Providers can drop out at any time |
| Referrals | Never needed |
Often required, especially with an HMO |
| Monthly cost | Higher premium, but predictable |
Lower or $0 premium, but you pay as you use services |
| Coverage changes |
Locked in Benefits never change once you're on a plan |
Reviewed every year and can change (ANOC) |
|
Extra benefits (dental, vision, hearing) |
Not included Part D is separate |
Often bundled in |
| Switching later | Switching to a different Medigap plan later may mean health questions | Switch plans every year, but coming back to Medigap may mean health questions |
When Medicare Advantage Can Fit
See Who You Want.
Go Where You Want.
No restrictions on which doctors or hospitals you can see, as long as they accept Medicare.
I work with an insurance company rated A (Excellent) by AM Best, built to stand behind your plan.
Your plan is guaranteed renewable as long as premiums are paid on time and there are no material misrepresentations on your application.
You get a real person on the other end. Me! No call centers, no chatbots, no “your call is very important to us” while you wait 45 minutes. I return calls and messages within one business day.
