The demographics of the Medicare Advantage (MA) program are very different from Fee For Service (FFS) Medicare, with greater enrollment of retired working class and middle class beneficiaries and greater Hispanic and African-American beneficiaries. With a holistic health benefits package constructed from FFS Medicare costing the beneficiary twice as much as Medicare Advantage, it is no surprise that the population enrolled in FFS Medicare who has purchased a separate Medigap plan are far wealthier and more likely to be Caucasian. Of the estimated 29.7 million enrolled in FFS Medicare in CY2022, 12.5 million purchased a Medigap plan with 91% being Caucasian.
Source: Brian Miller, House W & M Committee hearings