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Writer's pictureVictoria Gauze

Comparing Medigap And Medicare Advantage Plans: Which Is Right For You?

Understanding health insurance, especially the difference between Medigap and Medicare Advantage plans, can be tough. These plans are meant to add to Original Medicare but offer different benefits and coverage.


We'll examine the main differences between Medigap and Medicare Advantage and discuss what each plan offers, its advantages, and possible drawbacks. It will help you decide which plan best suits your healthcare needs, budget, and preferences.


Whether you like the extra benefits of Medicare Advantage or Medigap, this comparison will help you choose the right health insurance coverage.


Let's start exploring these two insurance options.


Medigap Vs. Medicare Advantage: Understanding The Difference


Medicare Advantage vs. Medigap are both insurance options that can be used to supplement Original Medicare, but they work in different ways. Understanding the difference between medicare advantage and Medigap can help you decide which is right.


Medigap Advantage

Medigap, or Medicare Supplemental Insurance, works with your Original Medicare Plan (Part A and B). It helps cover out-of-pocket costs that Original Medicare doesn't pay for, such as copayments, coinsurance, and deductibles.


Some Medigap plans also offer coverage for services that Original Medicare doesn't cover, like medical care when you travel outside the U.S. It's important to note that Medigap plans don't cover prescription drugs. You can join a separate Medicare Prescription Drug Plan (Part D) if you need prescription drug coverage.


1. Medicare Advantage


Medicare Advantage (Part C) is an alternative to Original Medicare. Private insurance companies approved by Medicare offer these plans. They cover all Original Medicare's services, including prescription drug coverage. Some may also offer additional benefits that Original Medicare doesn't cover, such as vision, hearing, dental, and more.


Unlike Medigap, Medicare Advantage plans have an annual limit on out-of-pocket costs. Once you reach this limit, you'll pay nothing for covered services for the rest of the year.


Key Differences

  • Medigap supplements your Original Medicare benefits, while Medicare Advantage replaces your Original Medicare benefits.

  • Medigap does not include prescription drug coverage; most Medicare Advantage plans do.

  • Medicare Advantage plans often come with additional benefits, like vision, hearing, and dental coverage, that aren't available with Medigap.

  • Medicare Advantage plans have an out-of-pocket maximum, providing a safety net for healthcare costs. Medigap does not have an out-of-pocket maximum.

Deciding between Medigap and Medicare Advantage depends on your healthcare needs, budget, and preferences. Speaking to a trusted advisor or insurance professional to help make the best decision for your circumstances is always a good idea.


 A Medicare form

Insurance Services Tailored To Your Needs


Vicki Gauze, an independent agent known as an "Insurance Broker" and "Financial Professional," works for clients, not insurance companies. Our job is to choose the best carriers for your insurance needs, ensuring you get the best coverage possible.


Here are some of the services we offer:

  • Life Insurance: Whether it's term life, final expense, or whole life insurance, Vicki Gauze has covered you.

  • Health Insurance: Navigate the complexities of the Affordable Care Act ("ACA") with ease.

  • Medicare: From Parts A to D, Vicki Gauze can help you understand and access Medicare services.

  • LegalShield: Affordable legal coverage for individuals, families, and small businesses.

  • Notary Public: Witness the signing of important documents with integrity and impartiality.

Final Say


In the world of insurance, things can get confusing. But don't worry; Vicki Gauze is here to help you. Life can be unpredictable, and keeping your finances safe is important. Regarding health coverage, you have two options: Medigap and Medicare Advantage.


Vicki Gauze has extensive experience in insurance, making them a reliable guide to help you make informed choices. They specialize in crafting insurance plans tailored to your needs, offering life, health, and Medicare coverage.


Consider Vicki Gauze as your trusted companion in planning your financial future. With their expertise and unwavering commitment, you can stride forward confidently, assured that you are in capable hands.


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Meet Vicki

Vicki is originally from Florida and relishes the fact that this is her home. After 30+ years of working in the healthcare industry as an Executive Assistant, she decided to pursue different avenues to continue what she believes in: helping others.
 

As an experienced professional, she found her niche in the insurance industry where she earned her Florida Insurance License. With this accomplishment, Vicki can continue to empower others with hope and offer them peace of mind knowing that their loved ones are financially insured. 

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