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Medicare Is Not One-Size Fits-All

Don't settle for general coverage! Learn about Medicare and coverage options customized to your needs and budget.

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Part B increases

Part B premium will increase to $202.90. Part B deductible will increase to $283.00 for 2026

Part D Prescription Increases

Part D out-or pocket cap increases to $2,100.  Part D maximum deductible increases to $615 in 2026

Medicare Advantage Changes

Advantage prices increasing while many carriers are scaling back their plan offerings or exiting the market.

2026 Medicare Highlights

Plan Feature
Medicare Advantage
Medicare Supplement
Best For
Low cost & extra benefits
Maximum flexibility & predictable costs
Extra Benefits
Dental, vision, hearing, OTC, gym
Typically none
How it Works
All-in-one bundled plan that replaces Original Medicare
Works with Original Medicare to cover gaps in cost
Monthly Cost
Usually low or $0 premium (varies by plan)
Higher monthly premium
Out-of-Pocket Costs
copays, deductibles, coinsurance as you go
Very low out-of-pocket costs; some plans cover nearly all medical expenses
Provider Access
Must use doctors in plan network (HMO/PPO)
Any doctor nationwide who accepts Medicare

Medicare Advantage vs. Medicare Supplement

For a deeper understanding, let’s explore the details of each plan.

What is Medicare Supplement insurance?

Medicare Supplement plans, also known as “Medigap,” help pay your share of medical costs not paid by Original Medicare, like copayments, coinsurance and deductibles. Some Medigap plans may also assist in paying for home healthcare durable medical equipment (DME) , hospital costs and lab costs.

Who is eligible for Medicare Supplement insurance?

You’re eligible to buy a Medicare Supplement plan if you’re:

  1. 65 years old or older

  2. Enrolled in Medicare Parts A and B

  3. Living in the state where the policy you want is offered

Note: In some states, you can be under age 65 with a disability or end-stage renal disease (ESRD).

How much does Medicare Supplement insurance cost?

The Medicare Supplement premium you pay can depend on your plan, your age and where you live. Generally, the more coverage you choose, the more your plan can cost. Some Medicare Supplement plans  set a maximum out-of-pocket limit.

What is Medicare Advantage?

Medicare Advantage is an alternative to Original Medicare, and it is offered by private insurance companies to Medicare beneficiaries. Medicare Advantage plans include Part A and Part B coverage, and some include Part D prescription drug coverage as well. Some Medicare Advantage plans also offer extra benefits that aren’t available with Original Medicare, such as routine vision, hearing and dental care .

Who is eligible for Medicare Advantage?

To join a Medicare Advantage Plan, you must:

  • Be enrolled in Medicare Parts A and B

  • Live in the plan’s service area

  • Be a U.S. citizen or lawfully present in the U.S.

Note: You may also be eligible if you’re under 65 and have Medicare because of a disability.

How much does Medicare Advantage cost?

Medicare Advantage premiums, deductibles and other costs can vary by plan and change each year. You must pay the Part B premium ($185 in 2025) and keep paying it to stay in your plan. The out-of-pocket limit can also vary by plan, but once you reach it, the plan pays 100% of your covered health services for the rest of the year.

How can I change Medicare plans?

Switching from a Medicare Supplement plan to a Medicare Advantage plan

Medicare Supplement plans help cover some costs that Original Medicare doesn’t pay, but they don’t include routine dental, vision, hearing or prescription drug benefits. If you’re interested in those extra benefits, learn about switching to an all-in-1 Medicare Advantage prescription drug plan .

However, you can’t switch from Medigap to Medicare Advantage at any time. You’ll have to wait for the Medicare Open Enrollment Period , which runs from Oct. 15 to Dec. 7 each year. Be sure to contact your Medigap insurance company to tell them you’re cancelling before you enroll in a Medicare Advantage plan.

Switching from a Medicare Advantage plan to a Medicare Supplement plan

If you want to switch to Original Medicare and buy a Medigap policy, contact your Medicare Advantage Plan to see if you're able to disenroll. If you’re able to disenroll and return to Original Medicare, you can only leave a Medicare Advantage plan during 2 enrollment periods:

  1. The Medicare Advantage Open Enrollment Period (MA OEP) between Jan. 1 and March 31.

  2. The Annual Enrollment Period (AEP) between Oct. 15 and Dec. 7.

Once you’re enrolled in Original Medicare, you’re generally eligible to apply for a Medigap plan.

Note: In most cases, when you switch from Medicare Advantage to Original Medicare, you lose your “guaranteed-issue” rights for Medigap. You generally have guaranteed-issue rights for 6 months when you’re 65 or older and enrolled in Medicare Part B. Without guaranteed-issue rights, insurance companies may require medical underwriting before selling you a plan.

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