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Medigap Compared to Medicare Advantage

Choosing a Medigap insurance plan or Medicare Advantage plan is a decision that must be considered carefully before you make it. The differences between the plans are many, the similarities few. For this reason, it is absolutely imperative that you understand the differences in order to purchase a plan that will be the most advantageous for you. The fact remains, however, that if you can afford a supplement plan and you qualify medically, a Medigap insurance plan usually proves to be the best for most people. The reality is that not everyone qualifies for it, though, so you must understand all your options.

The biggest difference that can help you understand how dissimilar these options are is that Advantage pays as a replacement of Medicare while supplements pay after Medicare. While you are still enrolled in a government program, the privatized Advantage plans replace the benefits you would have received from the federal government, simply on a privatized scale. Supplements on the other hand, as the name “Medigap” implies, are designed to fill in the gaps of the programs offered by the federal government. Supplements act as an addition to your program, not a replacement of it.

The reasons why Medigap can be more beneficial to you begin with the fact that Supplements can be used at doctors’ offices that accept the federal program, while most holders of Medicare Advantage plans have a network of doctors they must choose to visit in order to be covered by their plans. This could mean you have to leave your preferred doctor and drive long distances to reach one that is part of the network. Medicare Supplement plans do not usually use deductibles or co-pays as part of the plans. This can save you money over time, as daily hospital or doctor office co-pays do not exist with Supplement plans.

The final benefit of Supplement plans over Advantage plans is that the price is standardized and has been since 1992. Advantage plans, on the other hand, change annually. Recently this has consistently meant higher prices year after year. Understanding the benefits of one side is not enough to make your decision. Medicare advantage plans have many benefits alongside their disadvantages, so continue to compare and contrast until you feel comfortable with your choice. Medigap is not perfect for everyone, but if you qualify and can afford it, you will more than likely not regret your decision.