How the Supplement vs. Advantage: Total Cost works
We compare the total annual cost of the two ways people typically cover Medicare's gaps: Original Medicare with a supplement (Medigap) plus a standalone drug plan, versus a Medicare Advantage plan. Both paths use the premiums you enter; expected out-of-pocket costs come from your chosen usage level.
Step by step
- Supplement path: your Medigap premium plus your drug-plan premium × 12, plus a small out-of-pocket allowance — supplements absorb most cost sharing, so this path's spending is steady and premium-driven.
- Advantage path: your Advantage premium × 12, plus a share of the plan's out-of-pocket maximum that scales with your usage level — low usage spends little of it, heavy usage runs toward the max.
- We show both paths side by side for one year and for five, so the premium-versus-cost-sharing trade-off is visible at your usage level, not just in the sticker price.
The math
supplementAnnual = (medigapPremium + drugPremium) × 12 + medigapOop(usage); advantageAnnual = advantagePremium × 12 + oopMax × usageFraction(usage); fiveYear = annual × 5.
Sources & assumptions
- Medicare.gov — "How do Medigap plans work?" and "Understanding Medicare Advantage Plans" (coverage-type mechanics, public domain).
- All dollar inputs are yours; the usage-level out-of-pocket assumptions are shown with your results and are tenant-configurable.
Note: Nothing proprietary — the arithmetic is fully described; the only estimates are the disclosed usage-level assumptions.
- This is an educational comparison of two coverage TYPES using premium and out-of-pocket figures you supplied — it is not a recommendation of any plan or insurer.
- Real plans differ in networks, drug formularies, extra benefits, and underwriting; premiums and plan terms change every year.
- Out-of-pocket estimates at each usage level are simplified assumptions shown with your results, not predictions of your actual claims.
- This tool is not affiliated with or endorsed by Medicare, CMS, or any insurance carrier.