What are my Medicare coverage choices?
There are 2 main choices for how you get your Medicare coverage. Use these steps to help you decide.
Decide if you want Original Medicare or a Medicare Advantage Plan
Original Medicare (includes Part A (Hospital) and/or Part B (Medical)
- Medicare provides this coverage directly
- You have your choice of doctors, hospitals, and other providers that accept Medicare
- Generally, you or your supplemental coverage pay deductibles and coinsurance
- you usually pay a monthly premium for Part B
Decide if you want prescription drug coverage (Part D)
- If you want drug coverage, you must join a Medicare Prescription Drug Plan. You usually pay a monthly premium.
- These plans are run by private companies approved by Medicare
Decide if you want supplemental coverage
- You may want to get coverage. You can choose to buy a Medicare Supplement Insurance (Medigap) policy from a private company
- Costs vary by policy and company
Medicare Advantage Plan
(Like an HMO or PPO)
Part C Includes BOTH Part A (Hospital) and Part B (Medical)
- Private insurance companies approved by Medicare provide this coverage
- In most plans, you need to use plan doctors, hospitals, and other providers or you may pay more or all the costs
- You may pay a monthly premium (in addition to your Part B premium) and a copayment or coinsurance for covered services
- Costs, extra coverage, and rules vary by plan
Decide if you want Medicare prescription drug coverage (Part D)
- In most cases, you can get the drug coverage through your plan
- In some types of plans, that don't offer drug coverage, you can join a separate Medicare Drug Plan
Note: If you join a Medicare Advantage plan, you can't use a Medicare Supplement to pay for out-of-pocket expenses you have in the Medicare Advantage Plan.