Start with the big questions
Each guide answers one question properly, shows its sources, and carries the date it was last reviewed.
Comparison
The first real decision most people face. One lets you see almost any doctor; the other caps your yearly costs but uses a network. Includes the switching rule that catches people out years later.
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Deadlines
When you can join, switch or drop a plan: the October 15 to December 7 Annual Enrollment Period, the January 1 to March 31 Advantage window, and the Special Enrollment Periods that open when life changes.
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Comparison
Medigap pays your share of Original Medicare's costs; Advantage replaces Original Medicare entirely. You cannot have both — and one of them can turn you down for your health once your window closes.
Read the comparison →
Getting started
Your seven-month window, whether you are enrolled automatically, what to do if you are still working, and the three traps — COBRA, HSAs and Marketplace plans — that cost people real money.
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Three things worth knowing before you choose
- A $0 premium is not the same as $0 cost. You still pay your Part B premium every month, plus copays and coinsurance when you actually use care. A $0 premium describes the plan's own charge, not your total cost of coverage.
- Your doctors matter more than the brochure. Before comparing benefits, check whether the people you already see are in the plan's network. Networks also change from year to year, which is why the notice your plan sends each September is worth reading.
- The first choice is easier to make than to undo. Moving from Medicare Advantage back to Original Medicare with a Medigap policy can involve medical underwriting, depending on your state and your timing. In many states an insurer can then decline you or charge more.
Where our information comes from
Medicare rules, premiums and plan details are set by the Centers for Medicare & Medicaid Services and change every year. We publish the review date on every guide and update pages when new figures are released. Where a number for the coming plan year has not been published yet, we say so rather than estimate it.
For official information covering every option available to you, including plans we do not offer, see Medicare.gov or call 1-800-MEDICARE.
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