Here is How They Compare:
In 1997, Congress approved a competitor to original Medicare. Known first as Medicare+Choice (M+C), then renamed Medicare Advantage in 2003, Part C plans allowed health maintenance organizations (HMO’s) and preferred provider organizations (PPOs) into the system. Suddenly, Medicare enrollees had to make a distinct choice for their coverage: original Medicare, managed directly by the federal government, or Medicare Advantage, through a private-sector provider. Here are some of the key factors in choosing either.
Original: About 39 million Medicare Advantage(MA):
enrollees as of 2019, equal to 63 percent of enrollees Roughly 22 million, or 37 percent of enrollees
Original: Beneficiaries sign up for parts A and B Medicare Advantage: First you sign up for Medicare
(hospital and doctor coverage) directly with Parts A and B with the government in order
Medicare; a prescription drug plan (and, if desired to receive your Medicare card. You then fill out an
a Medigap policy) is bought directly from private enrollment form with the plan you wish to join;
insurers. you’ll need your Medicare number and other personal information.
Original: You may choose any doctor or hospital that Medicare Advantage: These private insurance plans have networks
accepts Medicare of specific doctors and hospitals you must use to be covered.
Original: The government annually adjusts premiums, Medicare Advantage: Private plans also adjust their premiums, fees and
deductibles and copays that apply to all enrollees coverages annually; be sure to review each autumn, when they are
nationwide. Generally, you (or your Medigap insurer) announced. But generally these plans tend to have lower copays and
are responsible for 20 percent of health bills. out-of-pocket costs than original Medicare.
Original: Medicare pays for most basic medical needs Medicare Advantage: Coves everything original Medicare does; some plans also
cover dental, vision, and hearing, as well as prescription drug costs. Some also provide
services such as transportation, home-delivered meals and health-related
WHO PREFERS ORIGINAL MEDICARE?
Generally, original Medicare is popular among people who:
*Want Flexibility in choosing doctors and providers
*Travel Often or have more than one residence
*Prefer to Manage their own health care by picking their own doctors