What’s the difference between Medicare and Medicare Advantage?

Medicare is a federally mandated health insurance program in the U.S. aimed at providing coverage to citizens aged 65 and above, as well as younger individuals with certain disabilities. While the U.S. government is the steward of the Medicare system, it’s not a universal entitlement—eligibility is contingent upon meeting defined requirements.

Medicare Advantage, also known as MA plans, are an alternative offered to those enrolled in Medicare. These plans are sanctioned by Medicare and are managed by private entities. Such companies are allocated a fixed payment from the federal coffers to deliver medical services to those who are part of the Medicare umbrella. Medicare Advantage plans often possess their own network of medical professionals and facilities, which might not overlap with those in the standard Medicare network. Yet, these plans are obligated to cover the equivalent services provided by original Medicare and commonly include drug prescription coverage. Beneficiaries of Medicare Advantage may also have the option to incorporate supplementary benefits by paying an additional monthly premium, which could cover vision and dental care.