Medicare Advantage vs MedicareSupplement in Orlando: A Real CostComparison
Option 1: Medicare Advantage in Orlando
HMO Medicare Advantage Plans
HMO plans generally:
• Require in-network providers for most non emergency care
• Require referrals for many specialists
• Have structured copays and coinsurance
• May have low or $0 additional monthly premiums
PPO Medicare Advantage Plans
PPO plans generally:
• Provide both in-network and out-of-network medical coverage
• Do not require referrals
• Provide additional provider flexibility
• Usually cost more when you receive out-of-network care
D-SNP Plans
D-SNPs may operate as HMOs or PPOs, so network rules vary.
What Does Medicare Advantage Cost?
You may also pay:
• Primary care copays
• Specialist copays
• Hospital copays
• Emergency room costs
• Outpatient surgery costs
• Imaging costs
• Prescription drug expenses
Option 2: Medicare Supplement in Orlando
Medicare Supplement, also called Medigap, works alongside Original Medicare.
With this option, you generally have:
• Original Medicare Part A and Part B
• A Medicare Supplement policy
• A separate Part D prescription drug plan
Why Hospital and Doctor Access Matters in Orlando
Many Orlando residents receive care through:
• Orlando Health Orlando Regional Medical Center
• AdventHealth
• HCA Florida Healthcare
How Location Can Affect Your Decision
Downtown Orlando and College Park
Winter Park, Maitland and Altamonte Springs
Lake Nona
Dr. Phillips, Windermere and Winter Garden
Kissimmee and Celebration
A Real Cost Comparison
Medicare Advantage
You may have:
• Lower monthly premiums
• Copays when you receive care
• Hospital and specialist costs
• Network requirements
• An annual maximum out-of-pocket limit
• Prescription coverage included with many plans
Medicare Supplement
You may have:
• A higher monthly premium
• A separate Part D premium
• More predictable medical expenses, depending on the Medigap plan
• No Medicare Advantage-style provider network
• Nationwide access to providers who accept Medicare
The important question is not simply, “Which option has the lower premium?”
A more useful question is:
Prescription Drug Coverage Is Different
Before enrolling, compare:
• Your medications
• Drug tiers
• Formulary coverage
• Preferred pharmacies
• Prior authorization requirements
• Estimated annual prescription costs
Real FAQs from Orlando Medicare Beneficiaries
"I see doctors at both AdventHealth and Orlando Health. Which option gives me more flexibility?"
"Why would I pay more each month for Medicare Supplement?"
"Can I use Orlando Regional Medical Center with Medicare Advantage?"
"Does a PPO Medicare Advantage plan require referrals?"
"I spend several months outside Florida. Which option should I compare?"
"Can I switch from Medicare Advantage to Medicare Supplement later?"
"Is a $0 Medicare Advantage plan actually free?"
Which Option Fits Your Healthcare?
Neither option is automatically right for everyone.
The goal is to find coverage that fits your doctors, hospitals, prescriptions, budget, and
lifestyle.
Your Orlando Medicare Insurance Advocate
As your Orlando Medicare insurance advocate, The Popel Insurance Group can help you:
• Review your doctors and prescription medications
• Check provider access involving Orlando Health Orlando Regional Medical
Center, AdventHealth, and HCA Florida Healthcare
• Compare Medicare Advantage HMO, PPO, D-SNP, Medicare Supplement, and
Part D options
• Compare premiums, copays, hospital expenses, prescription costs, and provider
access
• Help you enroll based on your neighborhood, healthcare needs, travel habits and
budget
Call Nolan: (888) 412-2399
Schedule Your Free Medicare Review Today



