Core Insights - The Medicare open enrollment period is ongoing until December 7, 2025, allowing beneficiaries to choose between Medicare Advantage and Original Medicare with Medigap for 2026 [2][6] - Recent changes in the Medicare Advantage market, including fewer plans and reduced benefits, may prompt beneficiaries to consider switching to Original Medicare with a Medicare Supplement [2][6] Group 1: Medicare Options - Original Medicare (Part A and Part B) offers flexibility by allowing access to nearly all U.S. hospitals and doctors without a specific provider network [3] - Medicare Supplement (Medigap) plans cover out-of-pocket costs such as deductibles and copays not included in Original Medicare, providing a predictable monthly premium structure [6][8] - Medigap plans do not include prescription drug coverage, necessitating a separate Part D policy if switching from an MA plan that includes medication coverage [10][13] Group 2: Trade-Offs and Considerations - Medigap premiums are generally higher than those of Medicare Advantage plans, and switching may require medical underwriting, which could affect coverage for individuals with pre-existing conditions [10][11] - Beneficiaries who frequently travel or prefer not to be restricted by network regulations may find Medigap more suitable for their needs [9][10] - The average Medigap premiums range from $32 to $550 per month, with various discounts available based on factors like gender and marital status [13] Group 3: Enrollment and Eligibility - The guaranteed-issue period for Medigap allows individuals who are not typically healthy enough to qualify for a plan to obtain coverage during this enrollment period [12] - Eligibility for guaranteed-issue Medigap is available under specific conditions, such as being new to Medicare Advantage or having an MA plan canceled [11][12] - It is crucial for beneficiaries to review their Medicare Annual Notice of Change (ANOC) to understand any significant changes to their current plan before making a switch [15]