
Medicare Advantage vs Medigap: The Two Roads After Original Medicare
One path bundles everything into a private managed-care plan with low premiums and networks; the other keeps Original Medicare and buys predictable cost sharing.
Plans, coverage, underwriting logic, employer benefits, open enrollment — service journalism

One path bundles everything into a private managed-care plan with low premiums and networks; the other keeps Original Medicare and buys predictable cost sharing.

Most employees default to last year's choice; a one-hour structured review of premiums, networks and accounts usually finds money the default leaves on the table.

Both accounts let you pay medical bills with pretax money, but eligibility rules, rollover treatment and investment options split them sharply.

One number is what you pay before insurance starts paying; the other is the ceiling on what you can ever pay in a plan year — and confusing them is expensive.

The metal names on marketplace plans describe one specific number — actuarial value — and knowing that number changes how you compare plans.