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A MyMSTeam Member asked a question 💭
Azle, TX

I'm a little over 3 years from "Medicare eligible" and 4 years from retirement. What's the major difference between traditional Medicare, Medicare replacement and a Medicare supplement?

July 16, 2023
 · 
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A MyMSTeam Member

Maybe it depends on your area. I am in Southern CA and I like the Medicare Advantage Plan Part C all inclusive. I have very low or no co pays, no deductibles, most meds are covered. A low monthly premium that is below $175. I like that I do not have the 80/20 where I would pay 20% of everything plus deductible yearly.
But we are all different so this works well for some and maybe not well at all, for others. You can call Medicare and ask them these questions they are good at explaining it all.
I hope you get all the information you need!

July 17, 2023
A MyMSTeam Member

In my opinion those all inclusive part C plans do you no favors. Thus all the advertising for them. Do you research, your doctors, your meds, limitations on services. Sometimes they work out for people but mostly they're a rip off.

July 16, 2023
MyMSTeam

Here is a detailed explanation based on the knowledge base:

Traditional Medicare
- Parts A and B
- Part A: Covers inpatient hospital care, skilled nursing facility services, hospice, lab tests, surgery, and home health care.
- Part B: Covers doctor visits, outpatient care, durable medical equipment, home health care, Show Full Answer

Here is a detailed explanation based on the knowledge base:

Traditional Medicare
- Parts A and B:
- Part A: Covers inpatient hospital care, skilled nursing facility services, hospice, lab tests, surgery, and home health care.
- Part B: Covers doctor visits, outpatient care, durable medical equipment, home health care, and some preventive services.

Medicare Replacement
- Medicare Advantage (Part C):
- Acts as an alternative to Original Medicare.
- Includes private Medicare Advantage plans that you can choose to enroll in.
- Plans under Part C work differently from Original Medicare and have different coverage and costs based on the plan you select.

Medicare Supplement
- Medigap:
- Not explicitly detailed in the knowledge base, but generally, Medigap plans are supplemental insurance policies that help cover some of the costs not covered by Original Medicare, such as copayments, coinsurance, and deductibles.

For more detailed information, you can refer to the specific resources provided in the knowledge base.

July 10, 2024

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