Comparing Plans
Choosing between a Medicare Advantage Plan (Part C) and a Medicare Supplement (Medigap) Plan can depend on several factors, including your healthcare needs, budget, and personal preferences. The chart below highlights how the plans differ to help you better understand.
Ultimately, there is no one-size-fits-all answer. It's essential to review each option carefully, preferably with the help of a licensed Medicare advisor, to choose the plan that best meets your healthcare needs and financial situation.
See below comparison chart to learn more!
Differences Between Medicare Advantage & Medicare Supplement Plans in NJ
Advantage Plan
Type of Network
Advantage Plans are made up of either HMO or PPO Networks:
HMO's (Health Maintenance Organizations) only cover care within a specified network of providers,
A PPO (Preferred Provider Organization) plan offers more flexibility. Members can see out-of-network providers as well, though it may cost more compared to in-network care.
All Inclusive
May include a Prescription Drug Plan, other ancillary benefits like Dental, Hearing, Vision, Fitness, and Over-the Counter Benefits. Each Plan is different and can vary in it's offerings.
Travel
Some plans have network providers that are out-of-service area (both in and out-of-network.) If not, these plans will only pay for emergencies.
If you travel frequently, make sure to check this beforehand as plans do vary.
Foreign Travel
Advantage Plans will reinburse for emergencies only.
Make sure to get an itemized receipt to submit for reimbursement.
No Underwriting
Medicare Advantage Plans do not ask Medical Questions. You will always be entitled to coverage no matter how severe your Medical conditions may be.
Medi-Gap/Medicare Supplement
No Network
You are not limited by networks with Medicare Supplement/Medi-Gap Insurance.
Every provider that accepts Medicare, must accept every Medi-Gap Plan. This includes Doctors, Hospitals, Imaging centers, Labs, Physical Therapy Centers, etc.
Exclusive
Prescription Drug Plans and other Ancillary Benefits are NOT included in Medicare Supplement/MediGap Plan coverage.
You must purchase your Prescription Drug Plan, Dental, Vision, etc. seperately.
Travel
A Medicare Supplement/MediGap Plan may be used anywhere in the US.
Foreign Travel
Will reimburse up to a pre-determined amount with proof of receipt.
Make sure to get an itemized receipt to submit for reimbursement!
Underwriting Requirements
Except during Initial Enrollment Period, Part B Open Enrollment, or Guaranteed Issue situations, Medicare Supplement/MediGap Plans will ask Medical questions prior to acceptance.
Therefore, barring condtions above, you may not be a candidate for this insurance if you have certain Medical Conditions.
Click on the arrow above for each section to expand.
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We do not offer every plan available in your area. Currently we represent 8 organizations which offer 177 products in your area. Please contact Medicare.gov, 1-800-Medicare, or your local State Health Insurance Program (SHIP) to get information on all your options. This is a proprietary website and is not associated, endorsed or authorized by the Social Security Administration, the Department of Health and Human Services or the Center for Medicare and Medicaid Services. This site contains decision-support content and information about Medicare, services related to Medicare and services for people with Medicare. If you would like to find more information about the Medicare program please visit the Official U.S. Government Site for People with Medicare located at http://www.medicare.gov.