The Difference Between Medicare Advantage and Medicare Supplemental Insurance

The Difference Between Medicare Advantage and Medicare Supplemental Insurance

Medicare is the national social insurance administered by the US government. UU It was created in 1965. Americans aged 65 and over are guaranteed access to medical care through this program. However, younger people with disabilities or those in the late stages of kidney disease are covered by Medicare. Medicare benefits fall into four categories as follows:

  • Part A – hospital coverage
  • Part B – Medical coverage
  • Part C: Medicare Advantage Plans
  • Part D – prescription drug policy

The Part A plan insures any required hospitalization, while Part B insures visits to the physician and also any medical equipment the patient may require. Consequently, there are loop holes in these coverage that may be insured by a Medicare Advantage plan or a Medicare supplement policy.

Private companies offer plans that work with Medicare and usually include prescription drug coverage. They may be HMO, PPO or private services, but will not affect you negatively despite receiving the benefits of Medicare. Secondary health coverage policies that relate to Medicare insurance are referred to as Medicare Supplements. Also they are referred to as federally standardized “Medigap” policies. As with best Medicare Advantage plans, Medicare supplements also function with Medicare. Both types of plans are similar to each other in certain respects, but there is also a considerable difference between them and many different options. They offer additional coverage to your current Medicare; however one of the main discrepancies is that Medicare Advantage fees are generally less than Medicare supplement policies. These include benefits and prescription drug coverage that the original Medicare does not have. The fees out-of-pocket are also higher.

There are some services which Medicare supplements do not include and there are no network of providers with supplemental plans while Advantage plans exist. Although there are provider networks, you will pay additional costs for leaving this provider network. Another significant difference between Advantage and supplemental insurance is that Advantage plans limit the times of year that you can enroll in one of your plans. In contrast, supplemental plans allow you to sign up by visiting  whenever you want throughout the year. Finally, you must have Medicare Parts A and B to enroll in Medicare Advantage and Medicare supplemental plans. More information on any of the plan types is available on the Medicare official website. You should talk to a licensed professional from an independent coverage broker before taking any decision.