Medicare Part C

(redirected from Medicare + Choice)

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).
Segen's Medical Dictionary. © 2012 Farlex, Inc. All rights reserved.

Medicare Part C

A component of Medicare that gives beneficiaries the option of receiving health care from privately managed health plans.
Medical Dictionary, © 2009 Farlex and Partners
References in periodicals archive ?
The point is that Congress let insurers get involved with Medicare + Choice a few years ago, and now Medicare Advantage, so that it would have bad guys on hand to blame for any breezes that ruffled the hair of the doctors and the hospitals and their big bruiser lobbying groups.
These generous payments promote a wide array of plan choices for Medicare beneficiaries (an important objective of the program, which prior to 2003 had been called Medicare + Choice).
Aetna is announcing the deal about 10 years after health insurers were rushing to flee from the predecessor to the Medicare Advantage private Medicare plan program, the Medicare + Choice program.
The Medicare + Choice expansion effort, which began in the late 1990s and continued through 2003, demonstrated that plans design less attractive benefit packages for high-cost enrollees, with increased costs for chronic conditions requiring hospital care, chemotherapy, and dialysis.
Balanced Budget Act proposed creating a new Medicare + Choice option
The proportion of patients adhering in Medicare + Choice plans was lower than for commercial plans.
The long-suffering Medicare + Choice program may be stabilizing to some degree, CMS Administrator Tom Scully says.
Other beneficiaries receive services under Medicare's managed care program, called Medicare + Choice. GAO was asked to determine (1) the extent to which beneficiaries received recommended preventive services through existing visits, (2) whether approaches used by Medicare + Choice plans provide insight for improving delivery of preventive care services for fee-for-service beneficiaries, and (3) what the Centers for Medicare & Medicaid Services (CMS) is doing to explore suggested options for delivering preventive care to fee-for-service beneficiaries.
BALTIMORE -- Consider these thoughts: "Neither fee-for-service nor Medicare + Choice is adequately configured to provide services for chronically ill beneficiaries," and "the Medicare data system is set up to pay bills, not to manage care.
The fund is intended to prevent the problems encountered by private insurers who provide drug benefits under the Medicare + Choice program.
Medicare + Choice, available in many states, provides reduced prices for prescription medicine or other benefits in exchange for enrollment of Medicare recipients in managed care.
It doesn't matter to the privatizers that Medicare + Choice plans, the government's pilot project on privatization, have been a disaster almost everywhere they've been tried.