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The truth is that both of them are quite different from each other. A Medicare Supplemental Insurance policy is a private health insurance policy especially intended to fill in the gaps where Original Medicare falls short. Herein, the Medicare is the primary or the first payer. A Medigap insurance policy pays for the costs that are not covered in Medicare because of the limits or the insurance deductible amounts under the Medicare plan.
If you have a Medicare Advantage plan, you donât have to pay Original Medicare deductibles. But your plan might have its own deductible. How copays, coinsurance and deductible work together. With a Medicare Advantage plan, weâll track all the costs you pay â deductible, copays and coinsurance. When you reach a certain amount, we pay for most covered services. This is called the out-of-pocket maximum. Original Medicare doesnât have an out-of-pocket maximum.