Medicare plans

Your Medicare options, explained plainly

There are two main paths: Original Medicare with a Supplement and a drug plan, or an all-in-one Medicare Advantage plan. We'll help you see which one fits your doctors, your prescriptions and your budget.

Start here

Original Medicare: Parts A & B

This is the coverage run by the federal government. Most people get Part A at no monthly cost and pay a monthly premium for Part B.

A

Hospital insurance

Inpatient hospital stays, skilled nursing facility care after a qualifying stay, hospice, and some home health care.

B

Medical insurance

Doctor visits, outpatient care, lab work, preventive screenings, and medical equipment like walkers or oxygen.

The catch: Original Medicare doesn't cover everything. There are deductibles and a 20% share on most Part B services, with no yearly limit on what you could pay. It also doesn't include most prescriptions. That's why most people add more coverage, using one of the two paths below.
Path 1 · Part C

Medicare Advantage

Medicare Advantage plans are offered by private insurance companies approved by Medicare. They replace how Original Medicare pays your claims and cover everything Parts A and B cover, usually in one card.

Most plans include Part D drug coverage. Many also include extras like dental, vision and hearing benefits. You still pay your Part B premium.

Plans usually use a network of doctors and hospitals (HMO or PPO), so checking that your doctors are in network is the most important step. That's exactly what our free review does.

Why people choose it

  • Low or $0 monthly plan premiums in many areas
  • A yearly limit on your out-of-pocket costs
  • Drug coverage and extras often built in

Things to weigh

  • You'll usually use the plan's network
  • Copays add up as you use care
  • Some services need prior approval or referrals
Path 2 · Medigap

Medicare Supplements

A Medicare Supplement (also called Medigap) works alongside Original Medicare and helps pay the costs it leaves behind, like deductibles and the 20% coinsurance.

Plans are standardized and named by letter, such as Plan G and Plan N. A Plan G from one company covers the same things as a Plan G from another. The difference is price and service, which is why comparing companies matters.

Supplements don't include prescriptions, so most people pair one with a Part D drug plan.

Why people choose it

  • See any doctor or hospital in the U.S. that accepts Medicare
  • Predictable costs with few surprise bills
  • No referrals needed for specialists

Things to weigh

  • Higher monthly premium than most Advantage plans
  • Drug coverage is a separate plan
  • Outside your open enrollment window, you may have to answer health questions
Timing matters: Your Medigap Open Enrollment Period is the 6 months that start when you're 65 or older and enrolled in Part B. During that window, companies can't turn you down or charge more for health conditions. After it, they usually can.
Prescriptions

Part D drug plans

Part D plans are offered by private companies and cover prescription drugs. Each plan has its own list of covered drugs (a formulary), its own price tiers and its own preferred pharmacies.

The plan with the lowest premium isn't always the cheapest for you. What matters is the total cost of your exact medications at your pharmacy. We run that comparison for you.

There's now a yearly cap on what you pay out of pocket for covered drugs, which is a big help if you take expensive medications.

Good to know

  • Drug lists and prices change every year, so it pays to review each fall
  • If you go without drug coverage too long after you're eligible, you may owe a late penalty for as long as you have Part D
  • If your income is limited, you may qualify for Extra Help with drug costs
Side by side

Advantage or Supplement?

Neither is "better." It depends on your health, your doctors, how you travel and what you want to pay each month versus when you use care.

Medicare AdvantageSupplement + Part D
DoctorsUsually a network (HMO or PPO)Any provider in the U.S. that accepts Medicare
Monthly premiumOften low or $0, plus Part BHigher, plus Part B and the drug plan
When you get careCopays and coinsurance, up to a yearly limitLittle or nothing, depending on the plan letter
PrescriptionsUsually includedSeparate Part D plan
Dental, vision, hearingOften includedNot included; can be added separately
Changing laterCan switch plans each fallSwitching later may require health questions
Enrollment periods

When you can sign up or make changes

  • Initial EnrollmentAround your 65th birthdayA 7-month window: 3 months before your birthday month, your birthday month, and 3 months after.
  • Annual EnrollmentOctober 15 – December 7Join, switch or drop a Medicare Advantage or Part D plan. Changes start January 1.
  • Medicare Advantage Open EnrollmentJanuary 1 – March 31If you're in an Advantage plan, you can make one switch to another Advantage plan or go back to Original Medicare.
  • Special EnrollmentWhen life changesMoving, losing employer coverage, qualifying for Extra Help and other events can open a window to make changes.
Let us do the comparing

Find the plan that fits you

Tell us your doctors and prescriptions, and we'll compare plans from the companies we represent. No cost, no obligation.

Ohana Benefits

Licensed Medicare help, based in Huntsville, AL. Serving clients in person locally and by phone or video across 16 states.

(256) 914-4145
TTY 711

[email protected]
[email protected]

5000 Whitesburg Dr, Suite 190
Huntsville, AL 35802

Office visits by appointment