What’s the Difference Between Medicare Advantage and Medigap?

Option 1: Medicare Advantage (Part C)

All-in-one plan
Medicare Advantage combines:

  • Part A (hospital)
  • Part B (medical)
  • Usually Part D (prescriptions)

You’ll get your coverage through a private insurance company, not the government.

What’s included?

  • Hospital & doctor coverage
  • Prescription drugs (usually)
  • Extra benefits like dental, vision, hearing, gym memberships, or transportation

What you should know:

  • You still pay your Part B premium
  • Many plans have $0 premiums, but you may pay copays when you get care
  • You must use the plan’s network of doctors and hospitals (HMO or PPO)

Option 2: Medigap (also called Medicare Supplement)

Works with Original Medicare
Medigap helps pay for costs Original Medicare doesn’t cover, like:

  • Deductibles
  • Coinsurance
  • Copays

What’s included?

  • Helps you pay out-of-pocket costs
  • No dental or vision
  • No drug coverage (you’ll need to buy a separate Part D plan)

What you should know:

  • Higher monthly premium, but lower costs when you use care
  • No network restrictions — see any doctor that accepts Medicare
  • Best if you travel often or want flexibility

Quick Comparison Table:

FeatureMedicare AdvantageMedigap (Supplement)
Covers Part A + B✅ (you still use Original Medicare)
Includes Part D (drugs)Usually❌ (buy separately)
Extra Benefits✅ (dental, vision, etc.)
Choose your doctor❌ (must use a network)✅ (any Medicare doctor)
Monthly PremiumOften $0–lowHigher
Out-of-Pocket CostsPay as you go (copays)Lower (helps cover costs)
Travel CoverageLimited (in-network only)Good for travelers

Which One Is Right for You?

It depends on your:

  • Budget
  • Preferred doctors
  • Travel habits
  • Health care needs

Need help deciding? I can walk you through it in plain language and help you compare your options.

👉 Let’s Talk

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Hanna Basham is the heart behind Plan with Hanna, bringing warmth, knowledge, and a personal touch to every conversation. With a background spanning Medicare, insurance, and data analytics, Hanna offers clear, caring guidance to help people confidently navigate their health coverage choices.

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