Medicare Part C

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 Part C

A component of Medicare that gives beneficiaries the option of receiving health care from privately managed health plans.
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Its three parts are: (1) Medicare Part A, which pays for hospital costs, (2) Medicare Part B, which covers outpatient costs, and (3) the new Medicare Part C (Medicare Plus Choice), which expands the types of health entities that beneficiaries can use to receive their care.
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