Medicare+ Choice

Medicare+ Choice

An expanded set of options for delivering healthcare under Medicare (US), which was established by the 1997 Balanced Budget Act, under which most Medicare beneficiaries can choose to receive benefits through the original fee-for-service program or through one of three M+C plans.

Medicare+ Choice
• Co-ordinated care plans—e.g., HMOs, provider sponsored organisations, PPOs;
• Medical Savings Account (MSA)/High Deductible plans—available to up to 400K beneficiaries;
• Private fee-for-service plans.
References in periodicals archive ?
BlueChoice Platinum with 26,000 members, is Georgia's largest Medicare+ Choice health plan.
She has lectured extensively on the Medicare+ Choice appeals process and currently practices with the Washington, DC office of Vinson & Elkins.
The study looked at the availability of Medicare+ Choice plans as companies are dropping coverage in areas where they say reimbursement rates are too low.
Under the 1997 legislation, however, Medicare beneficiaries will be able to avoid such rationing by picking the new Medicare+ Choice option of a "private fee-for-service plan.
Veit says that providers left on the outside of Medicare+ Choice opportunities will face decreasing revenues, resulting from the freezing of hospital payments for 1998 under the DRG-based hospital prospective payment system.
s Vice President for Corporate and Legal Affairs, stated, "TMG Health utilizes the Aptus application to create an electronic binder of compliance information for Medicare+ Choice health plan clients.
Schweiker announced the new publication, "Guide to Medicare+ Choice," while visiting the Butler Senior Center.
The new guide reviews important changes and additions to the Medicare+ Choice Program made by the federal Balanced Budget Act of 1997, including enhanced options that Medicare beneficiaries will have under managed care plans (Health Maintenance Organizations, Provider Sponsored Organizations and Preferred Provider Organizations); fee-for-service arrangements (private or religious/fraternal organization sponsored or traditional Medicare); or alternate plans (Medical Savings Accounts).
Also included is information about prescription drug coverage under current law; programs to help with Medicare expenses; and a work sheet to help individuals choose the Medicare+ Choice option right for them.