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

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.
Medical Dictionary, © 2009 Farlex and Partners
References in periodicals archive ?
Once you've hit this ceiling, your Medicare Advantage plan will cover all additional medical costs you incur during that year.
Humana CEO, Bruce Broussard, said that seniors who opt for a Medicare Advantage plan over traditional Medicare stand to receive higher levels of benefits, better quality and improved outcomes.
There are countless Medicare beneficiaries that have enrolled in a Medicare Advantage plan at some point; only to realize in January that their doctor didn't accept their new coverage, or to realize they had a network they needed to stay in.
"Keep in mind that older adults can't be enrolled in Medicare Part D and a Medicare Advantage Plan," said Vos Hansen.
Medicare beneficiaries in three Northern New Jersey counties Bergen, Hudson and Morris and in three Southern New Jersey counties Burlington, Camden and Gloucester will be able to enroll in a Humana Choice Preferred Provider Organization (PPO) Medicare Advantage plan, with coverage taking effect Jan.
7, which will give Medicare Advantage plan sponsors the "choice of implementing step therapy to manage Part B drugs, beginning Jan.
The typical Medicare Advantage plan uses a managed care network to help hold down the cost of care.
Medicare Advantage allows a private insurer to offer a single-source solution: a fully-insured Medicare Advantage plan. The insurer contracts with the federal government's Centers for Medicare and Medicaid Services (CMS) to provide the retiree with Medicare Part A and Part B benefits in return for a monthly stipend.
The Centers for Medicare & Medicaid Services tracks Medicare Advantage plan enrollment data for about 3,300 counties.
If you enroll in a Medicare Advantage Plan you will still be enrolled in Part A Medicare.
Medicare program payments to Medicare Advantage plan issuers could rise an average of about 1.35 percent in 2017, and underlying growth in costs per capita could increase about 2.92 percent, officials say.
A client was referred to me whose Medicare Advantage plan was leaving the county, thus creating a special election period for her to choose either another Medicare Advantage plan or get a guaranteed issue window into a Medigap plan.

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