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Medicare Advantage (Part C) and Medigap Plan G

(2025-06-21 11:30:13) 下一个

Heres a clear and direct comparison between Medicare Advantage (Part C) and Medigap Plan G (which supplements Original Medicare). These are the two most popular ways to get fuller Medicare coverage but they work very differently:


? At a Glance

Feature Medicare Advantage (Part C) Medigap Plan G (+ Original Medicare)
Coverage Combines Parts A, B, usually D, plus extras (dental, vision) Supplements Parts A B (you add Part D separately)
Provider Access Network-based (HMO/PPO), may need referrals Any doctor nationwide that accepts Medicare
Monthly Premium $0$70 (some $0 plans) plus Part B premium $130$250 (Plan G) plus Part B and Part D
Out-of-Pocket Max Yes (usually $4,000$8,000/year) Minimal; after deductible (~$240), most costs covered
Prescription Drugs Usually included Must buy a separate Part D plan ($35$80/month)
Extras (Dental, Vision) Often included Not included (buy separately)
Travel Coverage (U.S.) Limited to network Nationwideany Medicare doctor
Overseas Emergency Rarely covered Covered up to limits
Plan Flexibility Must re-evaluate annually Keeps the same coverage yearly (as long as you pay)

???? Sample Monthly Cost (2025, per person)

Component Advantage Plan Medigap Plan G + Part D
Part B (standard) $174.70 $174.70
Advantage premium (Part C) $0$70
Medigap Plan G $130$250
Part D (if needed) Often included $35$80
Total (range) $175$250 $340$500

???? Which One Should You Choose?

You might prefer... If you...
Medicare Advantage (Part C) Want lower monthly premiums, are okay with networks co-pays, want extras like dental
Medigap Plan G + Part D Want maximum flexibility, travel often, want predictable costs, can pay higher premium

?? Important Considerations

  • Medical needs: If you have chronic conditions or travel frequently, Plan G is often more predictable and flexible.

  • Budgeting: Advantage plans cost less monthly but have higher out-of-pocket risk.

  • Switching: After your first enrollment window, switching into a Medigap plan (like G) later may require medical underwriting (i.e., you can be denied based on health).


? Bottom Line:

  • Medicare Advantage (Part C) = Low premium, higher potential costs, more restrictions.

  • Medigap Plan G + Part D = Higher premium, fewer out-of-pocket surprises, better access and portability.

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