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Compare Medicare Options

In addition to Medigap, Medicare Advantage (MA) can also enhance your Medicare coverage. Medicare Advantage plans take the place of Medicare Parts A & B, as well as offer some additional benefits above and beyond Original Medicare. MA plans are not supplemental like Medigap.


Medigap plus Part D vs. Medicare Advantage

  • Both Medigap and Medicare Advantage plans require that you be enrolled in Medicare Parts A and B.
  • All Medigap plans have a premium. You must pay both the Medigap and Medicare Part B premiums.
  • Medicare Advantage plans usually (but not always) have a premium. You must pay both the Medicare Advantage and the Medicare Part B premiums.
  • With Medicare Advantage, your Medicare coverage is provided through one plan, which is managed by a private insurance company.
  • Most Medicare Advantage plans also include Medicare Prescription Drug coverage, known as Part D.
  • Medigap plans do not include Part D coverage. You can add a stand-alone Part D plan to Medigap, providing coverage for both medical and drugs costs.

Compare Your Options Chart

The following chart compares Medicare only, Medicare with Medigap, Medicare with Medigap plus Part D, and the two most popular Medicare Advantage options. The chart shows various factors you may consider when selecting your plan and whether or not the plan meets your needs.


What Do You Want in Your Plan? Medicare Only
(Parts A & B)
Medicare with Medigap Medicare with Medigap & Part D Medicare Advantage HMO* Medicare Advantage PPO*
Choice of Doctor and Hospitals (coverage available out-of-network)
plan may meet your needs plan may meet your needs plan may meet your needs Plan may not meet your needs plan may meet your needs
PCP Coordinates Your Care
Plan may not meet your needs Plan may not meet your needs Plan may not meet your needs plan may meet your needs Plan may not meet your needs
No Referrals Required
plan may meet your needs plan may meet your needs plan may meet your needs Plan may not meet your needs plan may meet your needs
Lower Out-of-Pocket Costs
Plan may not meet your needs Look carefully and ask questions Look carefully and ask questions Look carefully and ask questions Look carefully and ask questions
Predictable Copays
Plan may not meet your needs Plan may not meet your needs Plan may not meet your needs plan may meet your needs plan may meet your needs
Coverage Away from Home
plan may meet your needs plan may meet your needs plan may meet your needs Plan may not meet your needs plan may meet your needs
Plan may not meet your needs Plan may not meet your needs Plan may not meet your needs plan may meet your needs plan may meet your needs
Extra benefits**
Plan may not meet your needs Look carefully and ask questions Look carefully and ask questions Look carefully and ask questions Look carefully and ask questions
Part D Outpatient Prescription Drug Coverage
Plan may not meet your needs Plan may not meet your needs plan may meet your needs plan may meet your needs plan may meet your needs
No Precertifications beyond Original Medicare
plan may meet your needs plan may meet your needs plan may meet your needs Plan may not meet your needs Plan may not meet your needs
KEY:
check mark  Plan may meet your needs
question mark    Look carefully & ask questions
X   Plan may not meet your needs

* Medi-CareFirst does not offer MA plans.

** Extra benefits include things like vision and health and wellness programs



Plan Resources

Additional Information

  • Medicare Advantage plans (MA) do not always include prescription drug coverage
  • If you are enrolled in an MA plan, you may not enroll in either a Medigap or Part D plan, even if your MA plan does not include Part D coverage.
  • For more information, visit Medicare.gov.
Senior Prescription Drug Assistance Program

We administer Maryland's SPDAP program

Find out what it is and if you're eligible.