Original Medicare Medicare Advantage What it is

• Administered by the federal government
• Includes Part A (hospital insurance) and Part B (medical insurance) benefits

• Administered by private insurance companies, such as Humana
• Called Part C
• Includes Part A (hospital insurance) and Part B (medical insurance) benefits and additional features and benefits

What it covers

• Hospital and doctor visits

• Hospital and doctor visits
• Many plans also offer coverage for prescription drugs and/or dental, vision and hearing care services

Maximum out-of-pocket cost

• No guaranteed limit to maximum out-of-pocket costs

• Guaranteed maximum yearly limit on out-of-pocket costs for covered medical services
• Once that limit is reached, there is no charge for covered services for the rest of the plan year

Doctors and hospitals

• Freedom to visit any doctor or hospital in the U.S. that accepts Medicare patients

• Emergency care covered at any facility
• Cost of services will be generally lower at network doctors and hospitals

Premiums

• Typically there is no monthly premium for Medicare Part A for people who paid Medicare taxes while working
• $174.70 or higher for 2024 Part B premium, depending on your income¹

• Many plans offer a low or $0 monthly plan premium
• Part C members must continue to pay the Part B monthly premium - $174.70 or higher for 2024 Part B premium, depending on your income¹

Deductibles and coinsurance

• The 2024 Part A deductible for inpatient hospital coverage is $1,632.¹
• The 2024 annual deductible for Part B is $240. After the deductible is met, patients typically pay 20% of the Medicare-approved amount for most doctor services. These services include outpatient therapy, most inpatient doctor services and durable medical equipment.¹

• These will vary, depending on the location, Part C plan selected and the insurance provider
• Each plan usually has a fixed deductible and/or coinsurance amount
• Cost-share will typically be higher for visiting non-network providers

Prescription drug coverage

• Original Medicare does not include prescription drug coverage

• Most Part C plans include coverage for prescription drugs

Plan choice flexibility

• Not Applicable

• Option to change the plan each year during the Annual Election Period, which runs from Oct. 15–Dec. 7