Medicare Advantage vs. Medigap Savings Calculator (2025)
Compare total annual out-of-pocket costs for Medicare Advantage and Medigap plans based on your age, location, and health usage.
Medicare Plan Comparison Calculator
Enter your information to compare Medicare Advantage and Medigap plans
What This Calculator Does
This tool estimates your total annual healthcare cost under both Medicare Advantage and Medigap (Supplemental) plans. It considers:
- Premiums (national/state averages)
- Typical copays, coinsurance, and hospital costs
- Expected doctor visits and prescriptions
- Extra benefits like dental or vision
The calculator helps seniors make a more informed decision on which option saves more money over time.
Key Differences Between Medicare Advantage & Medigap
| Feature | Medicare Advantage (Part C) | Medigap (Supplemental) |
|---|---|---|
| Premium | Lower ($0–$80/mo) | Higher ($150–$300/mo) |
| Out-of-Pocket Costs | Variable (copays, network) | Predictable (covers gaps) |
| Network Restrictions | Yes (HMO/PPO) | None (any provider accepting Medicare) |
| Includes Rx Coverage | Usually | Requires separate Part D plan |
| Extra Benefits | Often includes dental, vision, fitness | Typically none |
| Travel Coverage | Limited | Covers nationwide and abroad |
Average 2025 Premium & Cost Benchmarks
| Plan Type | Monthly Premium | Avg. Annual OOP | Est. Annual Total |
|---|---|---|---|
| Medicare Advantage (US Average) | $33 | $2,150 | $2,546 |
| Medigap Plan G + Part D | $190 | $1,100 | $3,380 |
| Medigap Plan N + Part D | $160 | $1,400 | $3,320 |
Sources: CMS 2025, KFF Medicare Data, AARP & eHealth 2025
Frequently Asked Questions
Q1: What's the main difference between Medigap and Medicare Advantage?
A: Medigap supplements Original Medicare, while Advantage replaces it with a private bundled plan.
Q2: Can I have both Medigap and Medicare Advantage?
A: No, you can only enroll in one.
Q3: What's the average Medigap Plan G premium in 2025?
A: About $190/month nationwide.
Q4: What is the Medicare Advantage out-of-pocket maximum in 2025?
A: $8,850 for in-network services (CMS 2025).
Q5: How can I switch from Medicare Advantage to Medigap?
A: During Medicare Advantage Open Enrollment (Jan 1–Mar 31), but medical underwriting may apply.
When Medigap May Be Better
- •You visit doctors or specialists often
- •You travel frequently (out of state or country)
- •You prefer predictable, fixed healthcare costs
- •You can afford higher premiums
When Medicare Advantage May Be Better
- •You're healthy and rarely see doctors
- •You want bundled benefits (dental, vision, fitness)
- •You prefer lower monthly costs
- •You're comfortable using an HMO/PPO network
Tips to Maximize Savings
- •Compare local plan networks before enrolling.
- •Review coverage annually, costs can change each year.
- •Ask if your medications are covered under your plan's formulary.
- •Consider future healthcare needs (not just this year's).
- •Use annual wellness visits to detect conditions early.
Data & Reference Sources
- • Centers for Medicare & Medicaid Services (CMS)
- • Kaiser Family Foundation (KFF Medicare Data)
- • eHealth Medicare Price Index 2025
- • AARP Medicare Resources