Original Medicare (Parts A and B) is a government-run program that covers hospital and medical services with predictable core benefits. You typically pay Part B premiums, deductibles, and coinsurance, and many people add a Medigap plan to limit out-of-pocket costs plus a separate Part D plan for drugs. It offers broad, nationwide provider access (as long as providers accept Medicare) with no network restrictions, giving you flexibility to see any doctor or hospital that accepts Medicare. Drug coverage isn’t built in—you enroll in a separate Part D plan.
Medicare Advantage (Part C) is a private-plan alternative that bundles Part A and Part B, and most MA plans include or offer Part D drug coverage. These plans use networks (HMO/PPO) and may require referrals, but they often add extra benefits like dental, vision, hearing, wellness perks, and a yearly out-of-pocket maximum. Premiums vary, with some $0 plans available, but you’ll still pay Part B premiums. Travel or residency changes may affect coverage differently depending on the plan, and out-of-network benefits (if offered) can be limited.
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