Medicare Advantage vs. Medicare Supplement

Medicare Advantage vs. Medicare Supplement: Which is Right for You?

Navigating your Medicare options can feel overwhelming.

At Sherwood Insurance Solutions, we believe understanding the key differences between Medicare Advantage and Medicare Supplement plans is the first step toward finding the right coverage. Both plans help cover costs that Original Medicare doesn't, but they work in fundamentally different ways. Making an informed decision is crucial to managing your healthcare costs and accessing the care you need.

woman meeting with her doctor

Understanding Your Choices

Medicare Advantage (Part C) plans are an all-in-one alternative to Original Medicare, offered by private insurance companies. These plans bundle Part A (Hospital Insurance) and Part B (Medical Insurance) and often include Part D (prescription drug coverage) and extra benefits like dental, vision, and hearing. Most Advantage plans operate within a specific network of doctors and hospitals.

Medicare Supplement (Medigap) plans, on the other hand, work alongside Original Medicare. They help pay for out-of-pocket costs like deductibles, copayments, and coinsurance. Medigap plans offer the flexibility to see any doctor or specialist who accepts Medicare, without needing a referral.

Tips for Selecting Your Plan

When choosing between a Medicare Advantage and a Medicare Supplement plan, consider your personal health needs and budget. Think about how often you visit the doctor, what prescription medications you take, and whether you prefer the predictability of a monthly premium (Medigap) or the lower upfront costs of many Advantage plans. It's also vital to check if your preferred doctors and hospitals are in a Medicare Advantage plan's network.

older couple looking over Medicare options at dining room table

Be Aware of Annual Changes

It's important to remember that Medicare Advantage and Part D plans can change their benefits, provider networks, and drug formularies each year. Before the annual enrollment period, you will receive an "Annual Notice of Change" (ANOC) from your plan. Reviewing this document carefully will help you decide if your current plan will still meet your needs for the upcoming year.

elderly couple walking outdoor

Mark Your Calendar: Key Deadlines

The most important deadline for most people is the Annual Enrollment Period (AEP), which runs from October 15th to December 7th each year. During this time, you can switch between Original Medicare and Medicare Advantage, change your Medicare Advantage plan, or enroll in a Part D prescription drug plan. Missing these deadlines could mean you're locked into your current plan for another year.

Let Us Help You Decide

Choosing the right Medicare plan is a significant decision. The team at Sherwood Insurance Solutions is here to provide personalized guidance and help you compare your options. Contact us today to schedule a consultation and find a plan that gives you peace of mind.