The Core Difference
Medicare Advantage (Part C) replaces Original Medicare. You get your Part A and Part B benefits through a private insurance company, often with added benefits like dental, vision, and hearing. These plans typically have networks of providers and lower monthly premiums — but may have higher out-of-pocket costs when you use care.
Medicare Supplement (Medigap) works alongside Original Medicare. It does not replace it. Instead, it helps pay for the costs that Medicare does not cover — like the 20% coinsurance, deductibles, and copays. You keep your Original Medicare card and see any doctor in the country who accepts Medicare.
Side-by-Side Comparison
| Feature | Medicare Advantage | Medicare Supplement |
|---|---|---|
| Works with | Replaces Original Medicare | Works alongside Original Medicare |
| Monthly premium | Often $0–$50 | Typically $80–$200+ |
| Provider network | Usually HMO or PPO | Any Medicare-accepting provider |
| Out-of-pocket max | Yes (up to ~$8,850) | Minimal to none depending on plan |
| Prescription drugs | Often included | Need separate Part D plan |
| Extra benefits | Dental, vision, hearing, fitness | Generally not included |
| Wisconsin mandated benefits | Not required to include | Required by Wisconsin law |
When Medicare Advantage Makes Sense
- You want a lower monthly premium
- You are comfortable staying within a network of providers
- You want extra benefits like dental, vision, and hearing bundled in
- You are generally healthy and do not expect high medical costs
When Medicare Supplement Makes Sense
- You travel frequently or live part of the year in another state
- You want to see any doctor in the country without referrals
- You have ongoing health conditions and want predictable costs
- You value financial certainty over lower premiums
The Bottom Line
There is no universally right answer — the best choice depends on your health, your budget, your doctors, and your lifestyle. Brad can walk you through both options side by side and help you find the plan that fits your specific situation. The consultation is always free.