A Medicare Advantage plan works through its own network of doctors and hospitals. When you get care, you’ll pay a co‑pay for the visit or service. The amount you pay can differ from plan to plan because each one sets its own cost‑sharing rules.
Medicare Advantage is the same thing as Medicare Part C.
Advantage plans combine Part A, Part B, and, typically, Part D benefits into one plan.
If you enroll in an Advantage plan, you agree to receive your Medicare benefits through a private insurance carrier instead of the federal government, meaning that plan is responsible for your health benefits, not Medicare.
1. Medicare Supplement (Medigap) Plans: Medicare Supplement plans let you see any provider who accepts Medicare nationwide. They require a separate Part D prescription drug plan, include a one‑time Medigap Open Enrollment period, and do not require referrals.
2. Medicare Advantage Plans: Medicare Advantage plans use provider networks, typically include prescription drug coverage, offer additional benefits, and cap your annual out‑of‑pocket costs.
3. Switching Between the Two: You can move between Medicare Supplement and Medicare Advantage coverage. However, depending on your timing and situation, you may need to answer health questions when applying for a Medicare Supplement plan.
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