Medicare Part C

E23655

Medicare Advantage Medicare program health insurance program

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.

Aliases (4)

Medicare Advantage ×2
Medicare Advantage (Part C) ×1
Medicare Advantage plans ×1
Medicare Advantage prescription drug plans ×1

Statements (53)

Predicate	Object
instanceOf	Medicare Advantage → Medicare program → health insurance program →
administeredBy	Centers for Medicare & Medicaid Services → U.S. federal government →
alsoKnownAs	Medicare Advantage →
beneficiaryCostStructure	coinsurance → copayments → deductibles → premiums →
country	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 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 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	United States Medicare program →
provides	Medicare Part A benefits → Medicare Part B benefits →
rebrandedAs	Medicare Advantage in 2003 →
rebrandedBy	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 →

Referenced by (7)

Subject (surface form when different)	Predicate
Medicare Part C ("Medicare Advantage") →	alsoKnownAs
Medicare Part B ("Medicare Advantage plans") →	canBeAccessedVia
Title XVIII of the Social Security Act ("Medicare Advantage (Part C)") →	containsProvisionOn
Medicare →	hasPart
Medicare Part D ("Medicare Advantage prescription drug plans") →	implementedThrough
Title XVIII of the Social Security Act →	legalBasisFor
Centers for Medicare & Medicaid Services ("Medicare Advantage") →	overseesProgram