Medigap Versus™

Which Medicare Path Is Right for You?

Answer 8 questions and get a personalized, unbiased comparison of Medicare Advantage vs. Original Medicare + Medigap.

🏛️ Completely Unbiased: DMEHelper provides analysis of both Medicare Advantage and Medigap. We do not receive commissions for recommending either path. Our only goal is to help you make the best decision for your situation.
🏥

Medicare Advantage

All-in-one plans from private insurers. Often $0 premium. Network-based.

🛡️

Original Medicare + Medigap

Federal coverage + supplemental policy. Any doctor nationwide. Higher premiums, lower risk.

  • Takes under 3 minutes
  • No personal information required
  • Includes 5-year and 10-year cost projections
  • Shareable results link for family discussions

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Question 1 of 8

How would you rate your overall health today?

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Excellent

Rarely need specialist visits or hospitalizations

😊
Good

Routine visits, a few specialist visits per year

🌡️
Fair

Multiple chronic conditions, regular specialist care

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Poor or Complex

Frequent hospitalizations, complex care needs

Question 2 of 8

Do you travel frequently or spend significant time in multiple states?

Medicare Advantage plans are network-based — care outside your network area may not be covered except in emergencies.

✈️
Yes

I travel 3+ months/year, winter in Florida, or live in two states

🏠
No

I stay primarily in one area

Question 3 of 8

How important is the freedom to see any doctor without referrals?

Original Medicare + Medigap lets you see any doctor in the US who accepts Medicare — no network, no referrals needed.

Very Important

I want to see any doctor nationwide — specialists, second opinions, etc.

🤔
Somewhat Important

I prefer flexibility but could work with a broad network

🏘️
Not Important

I'm fine staying within a local network

Question 4 of 8

Do you have specific doctors or specialists you want to keep seeing?

If your doctors aren't in an MA plan's network, you may face higher costs or need to switch providers.

👨‍⚕️
Yes — I have important relationships

My primary doctor, cardiologist, oncologist, or other specialist matters to me

🔍
No preference

I'm open to finding new providers in a network

Question 5 of 8

What's your comfort level for monthly insurance premiums?

This is in addition to your Medicare Part B premium (~$185/month). Medigap plans average $150-$200/month for Plan G.

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Under $50/month

I prefer the lowest possible premium, even if costs vary

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$50–$150/month

Moderate premium for added protection

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$150–$300/month

Willing to pay more for predictable costs

💰
$300+/month

Budget isn't a primary concern — coverage quality is

Question 6 of 8

How important is having dental, vision, and hearing bundled into your plan?

Original Medicare doesn't cover routine dental, vision, or hearing. Medicare Advantage plans often include these benefits — quality varies widely.

🦷
Very Important

I want dental, vision, and hearing bundled — these are essential for me

👓
Nice to Have

Helpful, but I could buy separate coverage or use FSA funds

🎯
Not a Priority

I have other dental/vision coverage or prefer to pay separately

Question 7 of 8

Do you use or anticipate needing durable medical equipment (DME)?

DME includes CPAP machines, wheelchairs, oxygen equipment, continuous glucose monitors, and similar devices. Prior authorization requirements vary significantly by plan.

Yes — I rely on DME

I use a CPAP, wheelchair, oxygen, CGM, or other equipment now or soon

🔮
Possibly in the future

Conditions suggest I may need equipment in the next few years

No — not applicable

DME isn't a significant factor in my Medicare decisions

Question 8 of 8

How do you feel about unpredictable medical costs?

With Original Medicare + Medigap, you pay more monthly but face almost no surprise bills. With Medicare Advantage, premiums are lower but cost-sharing can add up.

🔒
I want predictable costs — even if monthly premiums are higher

I sleep better knowing there won't be a $5,000 hospital bill surprise

📊
I'm comfortable with some variability to keep premiums lower

I'll pay lower monthly costs and manage if I need more care

Side-by-Side Comparison

Based on national 2026 averages. Actual costs vary by plan, location, and health use.

Factor 🏥 Medicare Advantage 🛡️ Original Medicare + Medigap G

Cost Projections

Estimates based on your health profile and national averages. Assumes 5% annual MA cost increases, 3% Medigap premium increases.

Medicare Advantage

Original Medicare + Medigap G

* MA costs include estimated MOOP usage based on your health profile. Medigap G costs include Part B premium + Plan G premium + Part B deductible ($257/yr). Part D not included. These are estimates only — actual costs will vary.

Next Steps

📋 Save or Share Your Results

Share this link with family members or your SHIP counselor for discussion.

Important Disclaimer: This tool provides general educational information only and is not personalized financial or insurance advice. Individual results depend on your specific health, location, and plan options. Always consult a licensed insurance counselor, SHIP counselor (free), or licensed Medicare insurance broker before enrolling. Contact your State Health Insurance Assistance Program (SHIP) for free, unbiased assistance: shiphelp.org or call 1-800-MEDICARE.