Another Medicare Advantage plan
You choose a different plan in your county, usually during the enrollment period for your situation.
- One card, and usually drug coverage in the same plan.
- A network of doctors and hospitals, so check yours is in it.
- Many plans add extras such as dental, vision and hearing, depending on the plan.
- You pay copays and coinsurance when you use care, up to the plan's yearly limit.
Original Medicare with Medigap and a drug plan
You go back to Original Medicare, add a Medigap policy, and join a separate drug plan.
- No network: you can generally see any doctor or hospital that accepts Medicare.
- Medigap pays part of what Original Medicare does not, depending on the plan letter.
- A separate drug plan, so your medicines are checked against that plan's list.
- A monthly premium for Medigap, set by the company and your state's rules, in addition to Part B.
Why timing matters
When your Advantage plan ends you can have a right to buy Medigap without health questions. Later, outside your first six months with Part B or another protected situation, a company can ask about your health and turn you down. The right after a plan ends is one of the few times it cannot.
- The right applies only if you move to Original Medicare, not to another Advantage plan.
Questions that usually decide it
Neither path is right for everyone.
- Are your doctors and hospital in the new plan's network, or do you want to keep every option open?
- Do you travel, or spend part of the year in another state?
- Do you use a lot of care, or very little?
- How would you feel about being unable to buy Medigap later?