In most cases, when a person enrolls, they will choose between these options. Use this chart to help you decide which option is right for you.
Step 1: Decide if you want
Original Medicare
WITH MEDICARE SUPPLEMENT
Medicare Advantage Plan
LIKE AN HMO OR PPO NETWORK
PART A (HOSPITAL INSURANCE) PART B (MEDICAL INSURANCE)
Medicare provides this coverage.
You have your choice of doctors, hospitals, and other providers that accept Medicare.
Most people pay a monthly premium for Part B. In addition, you will pay deductibles for services covered under Parts A and B and pay co-insurance for all Medicare-covered services.
IN ADDITION, YOU MAY ADD A MEDICARE SUPPLEMENT POLICY TO YOUR PART A AND B MEDICARE COVERAGE.
These plans are offered by private insurance companies that pay all or part of the deductibles and co-insurance with predictable out-of-pocket expenses.
If you have a Medicare Supplement policy you cannot join a Medicare Advantage Plan.
No network restrictions, as long as the provider accepts Medicare.
PART C: INCLUDES BOTH PART A (HOSPITAL INSURANCE) & PART B (MEDICAL INSURANCE)
Private insurance companies approved by Medicare provide this coverage.
In most plans, you need to use approved network doctors, hospitals, and other providers or you will pay more.
You pay a monthly premium (depending upon the plan), your Part B premium, and co-payments for covered services.
Costs, rules, and coverage beyond what’s covered in Medicare Parts A
and B will vary by plan.
Note: If you join a Medicare Advantage Plan, you do not need to have a Medicare Supplement policy.
Normally you will see lower monthly premium costs, but higher out-of-pocket expenses when services are rendered.
Step 2: Decide if you want Prescription Drug Coverage (Part D)
If you want this coverage, you must choose a Medicare Prescription Drug Plan.
These plans are run by private insurance companies approved by Medicare.
You must pay the monthly plan premium and drug co-payments.
Most Medicare Advantage Plans include prescription drug coverage (Part D).
Generally, the drug premium is included in your monthly Medicare Advantage premium. You will be responsible for co-payments and any other plan costs.
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