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Medicare · Plan Types Compared

Original Medicare vs Medicare Advantage
vs Medicare Supplement

Three paths. Same goal: cover your health in retirement. The differences come down to doctor freedom, cost predictability, and what's built in versus what you pay extra for. Here's how each one stacks up.

Original Medicare

Parts A + B (from the government)

The federal program. You can see any doctor or hospital nationwide that accepts Medicare — no networks. Part A is usually premium-free; Part B has a monthly premium and a 20% co-insurance on most services with no out-of-pocket maximum. You can pair it with a Part D drug plan and a Medigap (Supplement) policy to fill the gaps.

Pros

Use any doctor that accepts Medicare
No network restrictions
Predictable when paired with Medigap

Cons

20% co-insurance with no max out-of-pocket
No dental/vision/hearing built in
Separate Part D + Medigap usually needed

Best for

People who travel, want freedom of doctor choice, or have chronic conditions.

Medicare Advantage

Part C (private bundled plan)

Private insurers bundle A + B (+ usually D) into one plan, often $0 premium beyond your Part B premium. Comes with a maximum out-of-pocket cap. Typically includes dental, vision, hearing, and gym benefits. Uses a network — HMO, PPO, or POS — so doctor flexibility is more limited.

Pros

Often $0 additional premium
Dental, vision, hearing included
Maximum out-of-pocket cap

Cons

Network restrictions
Prior authorizations more common
Plan benefits change every year

Best for

People in stable health, who stay local, and like one-plan simplicity.

Medicare Supplement

Medigap — adds onto Original Medicare

Private policies that fill Original Medicare's cost gaps (deductibles, co-insurance). Standardized across carriers — Plan G from Carrier A covers the same as Plan G from Carrier B. You pay a monthly premium on top of Part B, but afterward most services are fully covered. Paired with a separate Part D drug plan.

Pros

Predictable costs — minimal surprises
Use any Medicare doctor nationwide
Standardized benefits across carriers

Cons

Monthly premium ($100-$300+)
No dental/vision/hearing built in
Underwriting risk if you sign up late

Best for

People who want predictable costs, full doctor freedom, and have stable budget room.

20%

Original Medicare's coinsurance — with no out-of-pocket max

Without a Medigap policy, you're on the hook for 20% of most Part B services indefinitely. Medicare Advantage and Medigap both solve this — differently.

Which path fits you?

Choose Original + Supplement if…

You travel often, want to use specialists nationwide without referrals, or have chronic conditions where predictable costs matter more than monthly savings.

Choose Medicare Advantage if…

You're in good health, stay local, and prefer one bundled plan with $0 premium plus extras like dental, vision, hearing.

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Sources

medicare.gov · cms.gov

Educational content only. Not financial advice. Consult a licensed advisor for your specific situation.

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