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Medicare Advantage vs Original Medicare

If you're turning 65, you're most likely ready to apply for Medicare. There are many choices to consider and you will need to weigh your options; for example, comparing Medicare Advantage vs Original Medicare.

Should you go with Original Medicare, which includes Medicare Parts A and B? Or should you apply for a Medicare Advantage plan, also known as Medicare Part C? And do you need Part D?

Your personal budget and your coverage needs are all factors. It's important to know the difference between Original Medicare and Medicare Advantage when you compare plans to see what works best for you.

About Original Medicare

Medicare Parts A and B, the main parts of Original Medicare, give you inpatient and outpatient coverage. When comparing original Medicare vs Medicare Advantage, consider the following:

Medicare Part A covers:
  • Hospital stays (semi-private rooms) up to 60 days
  • Hospital meals
  • Nursing services
  • Intensive care services
  • Drugs, medical supplies and equipment used on the premises
  • Lab tests and X-rays taken while hospitalized
  • Surgery and recovery costs
  • Rehabilitation and therapy services
  • Part-time home nursing care
Medicare Part B covers:
  • Doctor visits
  • Vaccinations and flu shots
  • Health screenings and medical tests
  • Medical supplies
  • Ambulance services
  • Smoking cessation and other preventive health care programs

The difference between Medicare and Medicare Advantage

When looking at the differences between Medicare and Medicare Advantage, keep in mind that Medicare Advantage plans, also known as Part C, are offered through private insurers like Anthem. They include everything that Part A and Part B cover, plus lots of other benefits that Original Medicare doesn’t cover.

Think of Medicare Advantage plans as comprehensive coverage for your health care needs. Some of the benefits Medicare Advantage plans have that Original Medicare does not have include:

Prescription drug coverage
Medicare Advantage plans can cover your prescription drugs, much like Medicare Part D. While Medicare Part D provides only prescription drug coverage, Medicare Advantage plans can cover that and more.

Dental care
Many Medicare Advantage plans offer dental coverage for things like routine checkups and exams, cleanings, dentures and coverage for unplanned dental procedures like root canals and crowns.

Vision care
Eye health becomes more important as we age. Eye exams, glasses and contacts are a part of many Medicare Advantage plans.

Hearing care
Original Medicare doesn't cover hearing aids, which can be expensive. Many Medicare Advantage plans provide hearing coverage that includes testing and medically required hearing aids.

Wellness and fitness
Medicare Advantage plans give you options for maintaining a healthy lifestyle. Many plans include access to gym memberships, senior fitness programs and coaching to improve overall well-being, including nutrition.

Compare the costs

If you or your spouse worked and paid Medicare taxes, you will most likely receive Part A premium-free in Original Medicare. Part B with Original Medicare has a premium and a deductible. Both of your Part B costs are based on your lifetime earnings, so low-income beneficiaries may pay less for Part B.

While you continue to pay for your Medicare Part B premium, costs of Medicare Advantage plans vary depending on where you live. Some plans have $0 premiums, but on average your monthly premiums are usually lower than what you pay for Medicare Part B.

Compare the differences between Medicare and Medicare Advantage

As you get older, health care protection becomes more important than ever. More coverage offers peace of mind, so you don't get surprise medical bills in the event of a sudden injury or illness. So, think about the pros and cons of Medicare Advantage plans vs Original Medicare when selecting your coverage.

More coverage can also offer more value. You save more money with the added benefits in Medicare Advantage plans. With the right Part C plan, you can save on costs for dental, vision and prescription drug coverage.

Because private insurers like Anthem offer Medicare Advantage plans, you also have more flexibility with your plan selection. You can tailor your coverage to fit your health care needs.

Find a Medicare plan that fits you. Explore all your plan options.

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Y0114_20_113219_U  CMS Accepted 9/10/19
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Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.  In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. In Ohio: Community Insurance Company. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), which underwrites or administers the PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare or WCIC; Compcare Health Services Insurance Corporation (Compcare) underwrites or administers the HMO policies and Wisconsin Collaborative Insurance Company (WCIC) underwrites or administers Well Priority HMO or POS policies. Independent licensees of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Use of the Anthem websites constitutes your agreement with our Terms of Use.