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What could a year of ongoing care actually cost?

A "$0 premium" is only part of the picture. What a Medicare path really costs depends on how heavy a health year you have — and the paths trade off in opposite directions. Here's the same three paths in a light year and a serious year, so you can see the trade for yourself.

There's no path that's cheapest in every year. In a light year, Medicare Advantage usually costs the least. In a serious year, a Supplement caps what you owe — while Original Medicare alone has no limit at all. So the real question isn't "which is cheapest?" It's which kind of year are you planning for — and we keep two things separate below: what you pay every month (premium), and what you'd owe only if you needed care (out-of-pocket).

Which kind of year are you planning for?

Tap each one — the cards update, and watch the cheapest path shift as the year gets heavier.

Use your own numbers →Have a quote in hand? Drop in your real premiums and see this same comparison in your own dollars.

The out-of-pocket figures above use illustrative care costs. Premiums are personal — enter the monthly premiums you've actually been quoted and we'll fill the premium row with your numbers, alongside the out-of-pocket for whichever scenario you've picked above. Leave any blank to skip it; this is optional.

Part B premium is the shared floor on all three paths and is shown on each card. Premium and out-of-pocket stay on separate rows — we never blend them into one number.

You can see the trade. Now what?

The numbers show the shape of it — but which risk you'd rather carry depends on your health, your savings, your doctors, and your medications. That's a conversation, not a calculation.

A few things these numbers don't capture: drug costs are simplified to the annual cap; Medicare Advantage networks and prior-authorization rules aren't modeled; premiums change every year; and your real costs depend on your specific plan, state, providers, and health. Whether any of these tips the balance for you is exactly what Fern can weigh.
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Common questions about Medicare costs

Is a $0-premium Medicare Advantage plan actually free?

No. You still pay your standard Part B premium, and you pay as you use care — copays and coinsurance up to the plan's yearly out-of-pocket maximum. In a healthy year that can cost very little; in a heavy year it can run into the thousands.

Which costs more, Medicare Advantage or a Medigap plan?

It depends on the kind of year you have. Advantage usually costs less in a light year; a Medigap plan costs more each month but caps what you owe in an expensive year. The choice is less about which is “cheaper” and more about which risk you'd rather carry.

Why keep Part B premiums and care costs separate?

Because blending them hides the trade. Everyone pays the Part B premium on all three paths, so it's the shared floor; what actually differs is the monthly plan cost versus what you'd owe only if you needed care.

For the build team — verification & maintenance notes (remove before ship)

Built from the Tool 3 spec (no prototype). The most even-handedness-sensitive tool in the suite — rebuild in Astro with real Brevo + analytics + server validation; this file is the behavior + design spec.

Even-handedness — the hard constraint (preserved)

ANNUAL figures — VERIFY against the Fact Log before publishing

Integration points (stubbed — wire for real)

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