Medicare Part A and Part B (Original Medicare) do not cover all medical expenses. Obtaining additional coverage can help you better manage or reduce your out-of-pocket costs.
Medicare Part A and Part B (Original Medicare) do not cover all medical expenses. Obtaining additional coverage can help you better manage or reduce your out-of-pocket costs.
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(Part C)
Provides all Medicare Part A and Part B benefits, along with additional services like wellness programs, hearing aids, and vision
services.
Is an option for those with Original Medicare, providing coverage for prescription drug costs.
Note: Individuals enrolled in Medicare Advantage plans typically do not need to purchase a separate Part D plan, as prescription drug coverage is often included in
Medicare Advantage plans.
(Medicare Supplement)
Is an option for individuals with Original Medicare, covering out-of-pocket costs for health expenses not typically covered by Medicare Parts A and B (Original Medicare).
Note: Those enrolled in Medicare Advantage plans typically do not need to purchase a Medigap plan, as Medicare Advantage often provides similar coverage.
Provides all Medicare Part A and Part B benefits, along with
additional services like wellness
programs, hearing aids, and vision
services.
Is an option for those with Original Medicare, providing coverage for prescription drug costs.
Note: Individuals enrolled in Medicare Advantage plans typically do not need to purchase a separate Part D plan, as prescription drug coverage is often included in Medicare Advantage plans.
Is an option for individuals with Original Medicare, covering out-of-pocket costs for health expenses not typically covered by Medicare Parts A and B (Original Medicare).
Note: Those enrolled in Medicare Advantage plans typically do not need to purchase a Medigap plan, as Medicare Advantage often provides similar coverage.
Plan
Medicare Advantage
(Part C)
Prescription Drug Coverage (Part D)
Medigap
(Medicare Supplement)
Premium
All Medicare Advantage plans require that you continue to pay your Part B insurance premium.
You may also have a separate monthly insurance premium for your Medicare Advantage plan.
Most Part D plans require a monthly premium. These premiums may change each year.
You will be notified of these changes in the fall prior to the annual Open Enrollment Period.
All Medigap plans require that you continue to pay your Part B premium and a separate premium for Medigap coverage.
Deductible
Some plans have deductibles.
Some plans have deductibles.
Some plans have deductibles.
Copays
There may be copayments that apply to specific services.
Many Part D plans require a fixed copayment each time you fill a prescription.
There may be copayments that apply to specific services.
Coinsurance
May apply to specific services.
Some plans require that you pay coinsurance for a medication every time you fill a prescription.
Coinsurance varies depending on the plan.
Coverage Gap
All plans have an annual limit on your out-of-pocket expenses.
Most Medicare Part D plans incorporate a cost-sharing feature commonly referred to as a coverage gap or "donut hole."
The coverage gap represents a temporary threshold wherein you are accountable for covering all of your drug expenses until you reach the plan's annual out-of-pocket limit. Once you reach this limit, you will only be responsible for paying a small portion of your prescription costs for the remainder of the year.
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Legal
Legal