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Medicare Plans

Medicare Advantage vs. Medicare Supplement: The Denver Breakdown

Nearly every Denver senior we talk to is weighing the same two paths: a Medicare Advantage plan that bundles everything into one low-premium private plan, or a Medicare Supplement (Medigap) policy that rides behind Original Medicare and pays what Medicare doesn't.

Neither one wins on paper alone. It comes down to your doctors, your prescriptions, how often you travel, and how much monthly cost you'd trade for predictability.

  • Two different ways to fill the gaps Original Medicare leaves
  • Network access at Presbyterian/St. Luke's and Rose Medical Center is the real local factor
  • Premiums only tell half the cost story
  • Free side-by-side comparison for anyone in the Denver metro
Senior couple in Denver comparing Medicare plan paperwork

Side by side

Where the two paths actually split

Medicare Supplement

Medigap, works alongside Original Medicare

What it covers
Covers your share of Part A and B costs: deductibles, copays and coinsurance.
Doctor networks
No network. See any provider nationwide who takes Medicare.
Monthly premium
The priciest of the three, on top of your Part B premium.
Costs when you use care
Barely anything once you clear the Part B deductible on Plan G.
Prescription drugs
Not included, you'll need to add a separate Part D plan.
Extras (dental, vision, hearing)
Not included, buy a standalone policy if you want these.
Health questions to enroll
None during your 6-month open enrollment window; underwriting kicks in later.
Best if you
Travel often, see specialists a lot, and want predictable bills.
Medicare Supplement details

Medicare Advantage

Part C, one private plan covers it all

What it covers
Bundles hospital, medical and usually drug coverage under one card.
Doctor networks
HMO or PPO network. Confirm access to UCHealth or Rose Medical Center first.
Monthly premium
Frequently $0, plus your Part B premium.
Costs when you use care
Copays per visit, capped by a yearly out-of-pocket maximum.
Prescription drugs
Built into most Denver-area plans.
Extras (dental, vision, hearing)
Often included, though allowances vary widely by plan.
Health questions to enroll
None, you're guaranteed acceptance during a valid enrollment window.
Best if you
Are settled with Denver providers and want low premiums with extras thrown in.
Medicare Advantage details

Part D Drug Plan

Prescriptions only, an add-on plan

What it covers
Just prescriptions. No medical coverage attached.
Doctor networks
Pharmacy network only, preferred pharmacies save you money.
Monthly premium
A modest premium, added on top of Part B.
Costs when you use care
A deductible plus tiered copays tied to the plan's drug list.
Prescription drugs
This plan is the drug coverage.
Extras (dental, vision, hearing)
Not part of this plan.
Health questions to enroll
None at all.
Best if you
Picked Medigap or Original Medicare and still need drug coverage.
Part D Drug Plan details

Local networks

What this looks like at Denver hospitals

  • Medigap: no network at all

    If a provider takes Original Medicare, your Medigap plan follows along. That covers UCHealth, Rose Medical Center, and specialists in Boulder, Colorado Springs or Houston with no referrals needed.
  • Advantage: the network is the whole plan

    Denver Advantage plans differ on which system they contract with. Some lean heavily on Presbyterian/St. Luke's, others toward Rose Medical Center. Networks reset every January.
  • Drug coverage works differently

    Advantage plans usually build in Part D. With Medigap you buy a standalone Part D plan and can shop it separately each fall, often the cheaper route for pricey drugs.

Choose Advantage if

When Medicare Advantage tends to be the right call

  • You want the lowest monthly premium possible, often $0 beyond Part B
  • Your doctors and preferred hospital are already in the plan's Denver network
  • Extras like dental, vision, hearing and a gym membership matter to you
  • You're fine with copays as you use care plus an annual out-of-pocket cap
  • You rarely leave the Front Range for routine care

Choose Medigap if

When Medicare Supplement tends to fit better

  • You want predictable spending, a flat premium instead of copays every visit
  • You see multiple specialists, or split time between Denver and another state
  • You want to keep any doctor who takes Medicare, with no referrals
  • You're managing an ongoing condition where per-visit copays would add up fast
  • You're inside your 6-month Medigap open enrollment window and can skip health questions

The timing detail people get burned by

You can join or switch an Advantage plan each fall during Open Enrollment. Moving back to a Medigap plan later can require health underwriting in Colorado. That imbalance should shape your first decision.

Total cost

Look at the full year, not just the premium

A $0-premium Advantage plan isn't actually free. Total up realistic copays for your primary care visits, specialists, imaging and any planned procedure, then stack that against a year of Medigap premiums plus a standalone drug plan. For a healthy 66-year-old, Advantage often wins on math. For someone managing a chronic condition with frequent specialist visits, Medigap frequently comes out cheaper over twelve months.

We run these numbers using your actual drug list and doctors. Start with the Medicare checklist, or read the mistakes to avoid before you sign anything.

Not sure which side you land on?

Bring your doctors and prescriptions, we'll price both paths for a full year and show you exactly where they differ.