Medicare Advantage plan

Medicare Part C

An optional Medicare program (US) created under the Balanced Budget Act of 1997, which gives Medicare beneficiaries the option to receive their Medicare benefits through private health insurance plans, instead of through the original Medicare plan (Parts A and B). Medicare Advantage plans are offered through private companies known as Medicare Advantage Organizations (MAOs); each company under contract with the Centers for Medicare and Medicaid Services (CMS) is required to provide an effective compliance program to prevent Fraud, Waste and Abuse issues in healthcare settings. For individuals who choose to enroll in a Part C plan, Medicare pays the private plan a fixed amount every month; members also pay a monthly premium over and above the Medicare Part B premium to cover items not covered by Medicare Parts A & B (e.g., prescription drugs, dental care, vision care and health club memberships).

Medicare Advantage plan

Enrollment in Medicare mediated by a private health insurer, which manages a person's Medicare Part A and Part B benefits on behalf of the federal government.
References in periodicals archive ?
The typical Medicare Advantage plan uses a managed care network to help hold down the cost of care.
The CMS contract allows the Medicare Advantage plan to offer additional health-care benefits to improve retiree health and reduce costs.
The Centers for Medicare & Medicaid Services tracks Medicare Advantage plan enrollment data for about 3,300 counties.
You can choose either original Medicare or a Medicare Advantage Plan.
Beneficiaries who remain in the same Medicare Advantage plan in 2013 and 2014 are likely to see modest increases in premiums, on average, but could avoid higher premiums by changing plans, although there are other trade-offs to consider when switching plans.
They opt out of original Medicare and enroll in a Medicare Advantage plan.
Newly eligible enrollees who do not choose a Medicare Advantage plan are deemed to have chosen the original Medicare fee-for-service option, except that the Centers for Medicare & Medicaid Services may (but has not done so) establish procedures under which "age-ins" enrolled in a plan with a Medicare Advantage contract are deemed to have elected that plan for their Medicare coverage.
McAneny, a cancer specialist in Albuquerque, remarked that many of her patients "suddenly found they had huge new co-payments--$1,250 every three weeks for a combination of five intravenous chemotherapy drugs" after enrolling in a Medicare Advantage plan (Pear, 2007, p.
Medicare beneficiaries can choose to supplement their Medicare benefits in two ways: a Medigap insurance policy or a Medicare Advantage plan.
Overall, 13% of non-institutionalized Medicare beneficiaries opted to enroll in a Medicare Advantage plan in 2004, the most recent year for which data is publicly available, according to AHIP.
This review helps assure our customers that they've chosen a Medicare Advantage plan that provides a quality health plan experience and meets the highest standards for access, service and satisfaction," said Denise Smith, regional vice president, UnitedHealthcare Medicare & Retirement.
Medicare Advantage plan business is so attractive that insurers "invested in this segment have been preparing to diligently market their products in anticipation of rolling more members," according to Mark Farrah Associates.

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