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Medicare Options Compared

Medicare Resources

Medicare Advantage or Medigap? Compared.

There are two main ways to get your Medicare. One usually costs less each month, the other costs less when you need care. Here’s how they stack up, side by side.

Want any doctor and predictable bills?

Original Medicare + Medigap + Part D

Want a lower premium and extras?

Medicare Advantage (Part C)

Either way, you keep paying your Part B premium, which is $202.90 a month for most people in 2026.

Side by Side

How the two paths really differ

What matters
Original Medicare + Medigap + Part D
Medicare Advantage
Doctors and hospitals
Medigap pathAny doctor or hospital that takes Medicare, anywhere in the U.S.
Medicare AdvantageUsually the plan's network in your area. Some PPO plans pay out of network at a higher cost.
Referrals and approvals
Medigap pathGenerally not needed to see a specialist.
Medicare AdvantageYou may need referrals and prior approval for some care.
Monthly premium
Medigap pathPart B premium, plus a Medigap premium and a Part D premium.
Medicare AdvantagePart B premium, plus the plan's premium. Some plans charge $0.
When you get care
Medigap pathLittle or nothing. With Plan G, you pay only the $283 Part B deductible each year.
Medicare AdvantageCopays and coinsurance as you use care.
Yearly out-of-pocket limit
Medigap pathNo cap on Original Medicare alone. A Medigap plan covers most of that gap.
Medicare AdvantageEvery plan has one. In 2026 it can be up to $9,250 in network, and many plans set it lower.
Prescription drugs
Medigap pathAdd a separate Part D plan.
Medicare AdvantageUsually built into the plan.
Dental, vision and hearing
Medigap pathNot included. A separate dental and vision plan can fill the gap.
Medicare AdvantageOften included, with limits that vary by plan.
Travel
Medigap pathCoverage goes with you across the U.S. Many Medigap plans also pay 80% of emergency care abroad.
Medicare AdvantageRoutine care is mostly local. Emergency and urgent care are covered anywhere in the U.S.
Changing your mind later
Medigap pathOutside your first Medigap window, companies may ask health questions or turn you down.
Medicare AdvantageYou can switch plans each year. Going back to a Medigap plan later may mean answering health questions.

Quick Check

Which path fits how you live?

Check the statements that sound like you. It takes 30 seconds, and there are no wrong answers.

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Your answers lean toward
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Medigap pathMedicare Advantage

This is a starting point, not a recommendation. Your doctors, prescriptions and budget decide the best fit.

Talk it through with us →

A Real-World Example

A quiet year vs. a tough one

In a healthy year, Medicare Advantage often costs less, because premiums are low and you only pay copays when you use care.

In a year with a surgery or a hospital stay, Medigap usually wins. Your medical costs are almost fully covered, while an Advantage plan can bill you up to its yearly limit.

Illustration · 2026 limits
What you'd payMedigap Plan G + Part DMedicare Advantage
Monthly premiumsHigherLower, sometimes $0
A quiet, healthy yearMostly premiumsA few copays
Medical costs, worst case$283up to $9,250
Drug costs, worst caseup to $2,100up to $2,100
Tough year, before premiumsup to $2,383up to $11,350

Worst cases use the 2026 Part B deductible ($283), the federal Part D cap ($2,100) and the highest in-network limit a Medicare Advantage plan can set ($9,250). Many plans set lower limits, and premiums vary by plan, age and location.

Timing

When you can choose or switch

Moving from Medicare Advantage back to Medigap after your first window may mean answering health questions, so the first choice matters.

7 months

Turning 65

Your Initial Enrollment Period runs 3 months before, the month of, and 3 months after your 65th birthday month.

6 months

Your Medigap window

Starts the first month you’re 65 or older and have Part B. It’s the easiest time to get any Medigap plan.

Oct 15 – Dec 7

Every fall

Switch between Medicare Advantage and Original Medicare, or change your Part D plan, for January 1.

Jan 1 – Mar 31

If you're on Advantage

Switch to another Advantage plan once, or go back to Original Medicare and add a Part D plan.

We offer both paths, so you get a straight answer.

We offer Medicare Advantage, Medicare Supplement and Part D plans. We’ll check your doctors and prescriptions against each one and show you what you’d really pay. In-person or virtual.

What to have ready
Sources

Figures are for 2026 and are updated each year. Plan availability, premiums and benefits vary by plan and location. Security First Benefits is not connected with or endorsed by the U.S. government or the federal Medicare program.

Our Office

Security First Benefits Corporation

2357 Stonebridge Dr.
Flint, MI 48532

Let’s chat about our dedicated employee benefit and compliance advisory services, in addition to value-add administration and HR tools.

MEDICARE DISCLAIMER:

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

Other Important Disclaimers:  Security First Benefits Corporation is a licensed health insurance agent authorized to market Medicare Insurance Plans. This is a solicitation for insurance.  Please note a sales agent may call as a result of your inquiry for a quote.  The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan. Limitations, copayments, and restrictions may apply. Please note you have no guarantee issue.

Security First Benefits Corporation is not part of the Federal Medicare System.

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