Free tool · no email required · 2026 figures

Arizona Medigap vs Medicare Advantage Cost Calculator

Medicare Advantage often costs less in premiums. Medigap often costs less when you use a lot of care. Enter the premiums you were quoted and a rough idea of your usage, and this compares the two paths across a typical year and a heavy-use year.

  • Built on published 2026 figures
  • Everything runs in your browser
  • Nothing you type is sent anywhere
  • Free, with no email or sign-up
The Medicare Advantage plan
The Medigap path

…enter all five figures

  • Typical year, Advantage…
  • Typical year, Medigap Plan G + Part D…
  • Heavy-use year, Advantage…
  • Heavy-use year, Medigap Plan G + Part D…

Plan G figures add the 2026 Part B deductible of $283.

Estimates only. Figures on this page use published plan-year values and the details you enter. They are not a quote, an offer of coverage, or a determination of eligibility. Your final premium and any tax credit are confirmed at enrollment with the carrier or HealthCare.gov. Everything is calculated in your browser; nothing you type is sent to us or anyone else.

What this assumes

  • A comparison of figures you enter. It is not a quote, and it is not a recommendation on its own.
  • The heavy-use Advantage year assumes you reach the plan’s in-network maximum out-of-pocket. Out-of-network care can cost more.
  • The Medigap side is modelled on Plan G: after premiums, the 2026 Part B deductible ($283) is normally the only bill for approved services.
  • The Medigap path adds a stand-alone Part D premium, which the comparison includes.
  • Both paths still pay the Part B premium, so it is left out of the comparison.
  • Dollars are only half the decision. Networks, referrals, travel and drug coverage differ too.

Where the figures come from

Talk it through with Viola

An estimate is a starting point. Viola Lucero, CLTC, and the team at Rise Up Benefits Group in Chandler can look up the real figures for your situation, check your doctors and prescriptions, and explain what the numbers mean for you. We speak insurance, so you don't have to.

Or see real 2027 Medicare plans for your ZIP code:

Rise Up Benefits Group is not connected with or endorsed by the United States government or the federal Medicare program. Medicare has neither endorsed nor reviewed this information.

We do not offer every plan available in your area. Currently we represent 34 organizations which offer 64 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

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Common questions

Is Medigap or Medicare Advantage cheaper in Arizona?

It depends on how much care you use. Advantage plans often have low premiums but you pay copays up to a yearly maximum. Medigap usually costs more each month but leaves few bills when you use a lot of care. This calculator compares both with your own figures.

What does Medigap Plan G leave me to pay?

For Medicare-approved services, usually just the Part B deductible: $283 in 2026. Plan G does not include drug coverage, so you add a Part D plan.

Can I switch from Medicare Advantage to Medigap later?

You can change your Medicare coverage in set periods, but outside your Medigap open enrollment a Medigap insurer can usually ask health questions and may decline you. That is why the first choice matters.

Is there a cap on drug costs in 2026?

Yes. In 2026, out-of-pocket costs for covered Part D drugs are capped at $2,100 a year, on both Part D plans and Advantage plans with drug coverage.

Do I still pay the Part B premium with Medicare Advantage?

Yes. You pay your Part B premium, $202.90 a month in 2026 for most people, on either path, plus any premium your Medicare Advantage or Medigap plan charges. That is why this calculator leaves Part B out: it is the same on both sides. Some Advantage plans reduce it through a Part B giveback.

What is the most I could pay in a year with Medicare Advantage?

Every Medicare Advantage plan caps what you pay for covered in-network care each year, called the out-of-pocket maximum. The cap is set plan by plan, and plan premiums and drug costs do not count toward it. This calculator uses the cap you enter for its heavy-use year, so check each plan’s figure.

Do I need referrals with Medicare Advantage?

Often, yes, on HMO plans: you usually choose a primary doctor, need referrals to see specialists, and stay in network except for emergencies. PPO plans let you see out-of-network providers at a higher cost. Medigap has no network at all, so you can see any provider who accepts Medicare.

Can I use Medigap if I spend part of the year outside Arizona?

Yes. Medigap works with any doctor or hospital in the country that accepts Medicare, which matters if you split the year between Arizona and another state. Most Medicare Advantage plans are built around a local network, so check how a plan handles care away from home before you choose.

When should I buy a Medigap policy?

During your six-month Medigap open enrollment, which starts the month you are 65 or older and your Part B begins. In that window an insurer cannot turn you down or charge you more because of your health. After it, Arizona insurers can usually ask health questions, so the timing matters as much as the price.

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