Comparing & Combining Medicare Options

Understanding your Medicare options is the first step in preparing for enrollment. Now, it’s time to learn how the different options compare and fit together to create the right coverage for you.

Medicare Option Comparison

Even with all the details, understanding your plan options and making a decision isn’t always easy. Here’s a side-by-side comparison of the options available to you.

BENEFITS AND FEATURES

ORIGINAL MEDICARE (PART A & B)

MEDICARE ADVANTAGE (PART C)
Benefits vary by plan

MEDICARE SUPPLEMENT (MEDIGAP)
Benefits vary by plan

Helps pay for hospital stays Covered Covered Covered
Helps pay for some medical care, such as doctor visits Covered Covered Covered
Helps pay for preventive services, such as flu shots Covered Covered Covered
Limits your annual out-of-pocket medical costs Not Covered Covered Covered
Helps pay for Part D prescription drugs Not Covered Covered Not Covered
Helps pay for over-the-counter drug costs Not Covered Covered Not Covered
Routine dental coverage Not Covered Covered Not Covered
Routine vision coverage and eyewear allowances Not Covered Covered Not Covered
Routine hearing exam and hearing aid coverage Not Covered Covered Not Covered
Fitness benefits Not Covered Covered Not Covered

How Can You Combine Medicare Options?

Medicare plans fit together to provide coverage that’s right for you. In total, there are seven different Medicare coverage combinations. Depending on what type of base coverage you select, the options for additional benefits may change. Here are all the ways you can combine various types of Medicare to meet your needs.

If you choose a combination that does not include Part D prescription drug coverage: To avoid a financial penalty, you must purchase or have separate drug coverage that is considered “creditable” meaning it covers at least as much as Medicare Part D.

Original Medicare Combinations

Medicare members have several options when combining Part A & B (Original Medicare) with other types of coverage. Original Medicare is funded through the federal government, though members may be responsible for some costs, including deductibles, copayments, and coinsurance.

Original Medicare


Part A


Part B


Original Medicare


Part A


Part B

Prescription Drug Plan


Part D


Original Medicare


Part A


Part B

Prescription Drug Plan


Part D

Medicare Supplement


Medigap


Original Medicare


Part A


Part B

Medicare Supplement


Medigap

Medicare Advantage Combinations

Members also have several options when customizing and purchasing Medicare Part C (Medicare Advantage) plans. Medicare Advantage plans are government-approved options provided by private insurers.

Medicare Advantage Only


Part C


Medicare Advantage with Drug Coverage


Part C

With


Part D


Medicare Advantage


Part C

Creditable Drug Coverage


 

Ready to Enroll? Our Team Is Here to Help

Univera Healthcare has Medicare experts right here in Western New York, and we’re ready to support you in every way possible.

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Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. Enrollment in Univera Healthcare depends on contract renewal. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. Y0028_9776_C.

This page last updated 10-01-2023.

 

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