| Provider flexibility |
✓ Any provider that accepts Medicare — nationwide, no referrals |
~ Usually network-based (HMO/PPO) — out-of-network costs apply |
| Monthly premium |
~ Typically higher monthly premium for Medigap |
✓ Often $0 or low monthly premium |
| Out-of-pocket costs |
✓ Very predictable — Medigap covers most gaps |
~ Varies — copays and coinsurance apply per service |
| Extra benefits (dental, vision, hearing) |
✗ Generally not included |
✓ Often includes dental, vision, hearing, fitness |
| Prior authorization |
✓ Rarely required |
~ Common for many services and procedures |
| Prescription drug coverage |
~ Requires a separate Part D plan |
✓ Usually included in the plan |
| Foreign travel emergency coverage |
✓ Included in most plans (Plans C, D, F, G, M, N) |
~ Varies by plan — many don't include it |
| Out-of-pocket maximum |
✓ Medigap limits your exposure significantly |
✓ Plans have an annual out-of-pocket maximum |