Medicare Part C

E23655

Medicare Part C, also known as Medicare Advantage, is a program through which private insurance plans provide Medicare-covered benefits and often additional services to eligible beneficiaries.

All labels observed (7)

How this entity was disambiguated

Statements (53)

Predicate Object
instanceOf Medicare Advantage
Medicare program
health insurance program
administeredBy Centers for Medicare & Medicaid Services
United States government
surface form: U.S. federal government
alsoKnownAs Medicare Part C
surface form: Medicare Advantage
beneficiaryCostStructure coinsurance
copayments
deductibles
premiums
country United States of America
surface form: United States
coverageType managed care
private health plan
eligibilityRequirement Medicare entitlement
enrollment in Medicare Part A
enrollment in Medicare Part B
residence in plan service area
enrollmentPeriod Annual Enrollment Period
Initial Coverage Election Period
Special Enrollment Period
surface form: Special Enrollment Periods
excludes hospice care from plan responsibility for Part A services
fundingMechanism capitated payments to private plans
fundingSource Medicare trust funds
hasFeature annual out-of-pocket maximum for Part A and B services
network of contracted providers
prior authorization requirements in many plans
includesPlanType Health Maintenance Organization plan
Medical Savings Account plan
Preferred Provider Organization plan
Private Fee-for-Service plan
Special Needs Plan
legalBasis Balanced Budget Act of 1997
mayInclude Medicare Part D
surface form: Medicare Part D prescription drug coverage

dental benefits
fitness or wellness benefits
hearing benefits
transportation benefits
vision benefits
mayRequire additional plan premium
objective offer additional benefits beyond Original Medicare
provide Medicare benefits through private plans
partOf Medicare
surface form: United States Medicare program
provides Medicare Part A benefits
Medicare Part B benefits
rebrandedAs Medicare Advantage in 2003
rebrandedBy Medicare Part D
surface form: Medicare Prescription Drug, Improvement, and Modernization Act of 2003
regulatedBy Centers for Medicare & Medicaid Services
requires annual plan contract with CMS
beneficiaries to continue paying Part B premium
plan to provide at least same benefits as Original Medicare
targetPopulation Medicare beneficiaries
certain disabled individuals
older adults

How these facts were elicited

Referenced by (17)

Full triples — surface form annotated when it differs from this entity's canonical label.

Medicare hasPart Medicare Part C
Centers for Medicare & Medicaid Services overseesProgram Medicare Part C
this entity surface form: Medicare Advantage
Medicare Part D implementedThrough Medicare Part C
this entity surface form: Medicare Advantage prescription drug plans
Medicare Part B canBeAccessedVia Medicare Part C
this entity surface form: Medicare Advantage plans
Medicare Part C alsoKnownAs Medicare Part C
this entity surface form: Medicare Advantage
Title XVIII of the Social Security Act containsProvisionOn Medicare Part C
this entity surface form: Medicare Advantage (Part C)
Medigap policies cannotBeCombinedWith Medicare Part C
this entity surface form: Medicare Advantage plans
Balanced Budget Act of 1997 createsProgram Medicare Part C
this entity surface form: Medicare+Choice
Balanced Budget Act of 1997 laterNameOfCreatedProgram Medicare Part C
this entity surface form: Medicare Advantage
Balanced Budget Act of 1997 regulates Medicare Part C
this entity surface form: Medicare managed care plans
Annual Enrollment Period appliesTo Medicare Part C
this entity surface form: Medicare Advantage plans
Annual Enrollment Period relatedTo Medicare Part C
this entity surface form: Medicare Advantage
Medicare Part A relatedTo Medicare Part C
Subcommittee on Health hasJurisdictionOver Medicare Part C
this entity surface form: Medicare Advantage
HUM services Medicare Part C
subject surface form: Humana Inc.
this entity surface form: Medicare Advantage plans
HUM offersProgram Medicare Part C
subject surface form: Humana Inc.
this entity surface form: Medicare Advantage