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My understanding is the Medicare Advantage plans are generally cheaper than Medicare and don't require Gap Insurance plans to cover the 20% that Medicare doesn't. They are often better than Medicare when you are on the younger/healthier end of your life cycle. As you age and require more care, being for-profit businesses, they begin finding creative ways to deny coverage or delay it so long that you give up and do without the procedure.

As to re-enrollment in traditional Medicare, I have zero experience there, but I've been told you can do it. The problem is Medicare and the gap plans to cover your 20% is often more expensive. Plus, by that time people often have difficulty getting gap insurance because of pre existing conditions.

I hope someone else can add or or correct this.