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Life Sense

Medicare Supplement vs. Medicare Advantage: What’s the Difference?

Applying for Medicare once you reach retirement age sounds simple enough. But just because you’re covered under the federal health insurance program doesn’t mean you won’t be faced with out-of-pocket costs.

With Original Medicare (Parts A and B), you’ll receive coverage for health-related expenses like hospital care, doctor visits, medical procedures and equipment. Like a traditional health insurance policy, Medicare pays its share of the Medicare-approved amount, and you’re responsible for a portion. That typically includes out-of-pocket expenses such as copayments, coinsurance and deductibles.

But for many seniors – especially those on a fixed income – the risk of having unforeseen health care costs in retirement can be stressful. Luckily, you have options available to help set your mind at ease.

In today’s insurance market, there are two primary choices to help protect Medicare recipients against out-of-pocket medical expenses: Medicare Supplement insurance and Medicare Advantage plans. But how do you decide which plan is right for you?

Here’s a quick guide to help you understand the difference:

What’s a Medicare Supplement Plan?

Sometimes called “Medigap,” a Medicare Supplement plan is a private insurance policy that helps you pay for what Medicare doesn’t cover. You can apply for a policy when you sign up for Medicare Parts A and B. And there are a variety of plans available, so you can choose the coverage option that’s right for you.

In addition to helping you cover unexpected expenses, Medicare Supplement plans offer some additional benefits, including the ability to choose any doctor or hospital that accepts Original Medicare.

What’s a Medicare Advantage Plan?

A Medicare Advantage plan, sometimes called “Part C,” is another option to help cover medical costs for seniors. But unlike a Medicare Supplement plan, which functions like an insurance policy in addition to Medicare, Medicare Advantage plans are more like a private form of health insurance you buy in place of Medicare. In most cases, these plans cover everything provided by Medicare Parts A, B, and D, while offering some additional services.

Medicare Advantage plans are offered by a range of private companies, including:

  • Health maintenance organizations
  • Preferred provider organizations
  • Private fee-for-service plans
  • Special needs plans
  • Medicare medical savings account plans

It’s important to note that while Medicare Advantage plans generally have lower premiums, they still have out-of-pocket costs like copayments and deductibles. And because they’re like a health insurance plan, you could potentially be tied to a certain provider network and need referrals to see a specialist.

Let ERIE Help You Choose

When it comes to reviewing and choosing options for Medicare coverage, the decisions can be daunting. But you don’t need to be an expert because we’re here to help. Contact your Erie Insurance agent or find an agent in your neighborhood.

Erie Family Life and our agents can help you determine the best option for you and your family. And we offer a range of Medicare Supplement plans to fit your life and your budget. Best of all, we’ll always be here when you need us, ready to answer your questions. That’s our promise of service.

ERIE® Medicare Supplement insurance products and services are provided by Erie Family Life Insurance Company.  Go to erieinsurance.com for company licensure information.

The policy has exclusions, limitations and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, contact your ERIE agent or refer to the government guide Choosing a Medigap Policy: A Guide to Health Insurance for People With Medicare.

Eligibility for insurance coverage will be determined at the time of application based on applicable underwriting guidelines and rules in effect at that time.

ERIE Medicare Supplement insurance is not available in the District of Columbia, New York and Wisconsin.  Life insurance not available in New York.

Medicare Supplement policy forms for Tennessee: EFLMS3003 9/17 (A) TN; EFLMS3009 9/17 (F) TN; EFLMS3014 9/17 (G) TN; EFLMS3019 9/17 (N) TN.

Maryland: Medicare Supplement policies are available to disabled individuals under the age of 65.

Not connected with or endorsed by the U.S. Government or the Federal Medicare program. This is a solicitation of insurance.  An agent (or the company) may contact you.EFLMSB4 10/19

How do you decide which plan is right for you? Here’s a quick overview. /blog/difference-medicare-supplement-medicare-advantage Erie Insurance