Making a switch in your Medicare insurance is an important decision,
like all decisions related to your health. By law, all Medicare insurance
is as good as Original Medicare. There
two most important
considerations: whether your total cost will be lower after paying
co-pays, and whether you are comfortable in the differences between how
the insurance policies work.
It’s important to consider how much you’re currently
paying for your insurance and how much benefit you’re getting
out of that plan. Unless you are very sick and regularly in and out of
a hospital or skilled nursing facility, chances are your costs with a
Medicare Advantage (MA) policy will be
less than with a Medigap policy.
The other consideration has to do with the flexibility of the MA plan
relative to your Medigap plan. The rules around MA plans differ widely
from plan type to plan type. In some types of plans (e.g.,
PPO, PFFS or
MSA plans), there are no or few physician
restrictions, while HMO plans generally require referrals to see
specialists and restrict care to a network of physicians.