Medicare is the federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease. It is made up of Part A (hospital insurance) and Part B (medical insurance), together known as Original Medicare.

What is Medicare Advantage?

Medicare Advantage (Part C) is an all-in-one alternative to Original Medicare offered by private insurance companies approved by Medicare. These bundled plans combine Part A and Part B and usually include prescription drug coverage and extra benefits such as dental, vision and hearing.

Medigap, or Medicare Supplement Insurance, helps pay some of the health care costs that Original Medicare doesn't cover, such as copayments, coinsurance and deductibles. Medigap policies are sold by private companies and standardized in most states.

How do I get prescription drug coverage?

You can get Medicare drug coverage (Part D) by joining a standalone Medicare Prescription Drug Plan to add to Original Medicare, or by enrolling in a Medicare Advantage plan that includes drug coverage.

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Plan type

Medicare Advantage (Part C) Medicare Advantage covers all benefits of Part A + Part B, plus benefits that vary by plan. Prescription Drug (Part D) Part D is prescription drug coverage. Medicare Supplement (Medigap) Medigap helps with the out-of-pocket costs of Original Medicare (varies by plan).

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Medicare Advantage

Medicare Part C

Combines Original Medicare (Parts A & B) into a single policy, with additional benefits that vary by plan.

Covers the same benefits as Parts A & B
Often includes Part D Rx coverage
May cover other benefits
May be restricted to in-network providers (except in emergencies)
May require using doctors and hospitals in the plan network.

Medicare Part D

Prescription drug coverage

Provides prescription drug coverage under a standalone Part D plan or Medicare Advantage plan.

Low copay for most generic drugs
Covers brand and/or specialty drugs
Insulin cap is $35 with no deductible
Does not cover weight-loss drugs
Does not cover non-FDA approved or non-prescription drugs

Medigap

Medicare Supplement Insurance

Helps with costs not covered by Original Medicare (Parts A & B), including coinsurance, copays and/or deductibles.

Supplements Original Medicare
Covers some cost sharing for Parts A & B
May include health care coverage while traveling outside the U.S.
Does not include Part D Rx coverage

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