Medicare Part C

E23655

Medicare Part C, also known as Medicare Advantage, is a program through which private insurance plans provide Medicare-covered benefits and often additional services to eligible beneficiaries.

All labels observed (7)

How this entity was disambiguated

Statements (53)

Predicate Object
instanceOf Medicare Advantage
Medicare program
health insurance program
administeredBy Centers for Medicare & Medicaid Services
U.S. federal government
alsoKnownAs Medicare Advantage
linked to: Medicare Part C
beneficiaryCostStructure coinsurance
copayments
deductibles
premiums
country United States
coverageType managed care
private health plan
eligibilityRequirement Medicare entitlement
enrollment in Medicare Part A
enrollment in Medicare Part B
residence in plan service area
enrollmentPeriod Annual Enrollment Period
Initial Coverage Election Period
Special Enrollment Periods
excludes hospice care from plan responsibility for Part A services
fundingMechanism capitated payments to private plans
fundingSource Medicare trust funds
hasFeature annual out-of-pocket maximum for Part A and B services
network of contracted providers
prior authorization requirements in many plans
includesPlanType Health Maintenance Organization plan
Medical Savings Account plan
Preferred Provider Organization plan
Private Fee-for-Service plan
Special Needs Plan
legalBasis Balanced Budget Act of 1997
mayInclude Medicare Part D prescription drug coverage
linked to: Medicare Part D

dental benefits
fitness or wellness benefits
hearing benefits
transportation benefits
vision benefits
mayRequire additional plan premium
objective offer additional benefits beyond Original Medicare
provide Medicare benefits through private plans
partOf United States Medicare program
linked to: Medicare
provides Medicare Part A benefits
Medicare Part B benefits
rebrandedAs Medicare Advantage in 2003
rebrandedBy Medicare Prescription Drug, Improvement, and Modernization Act of 2003
linked to: Medicare Part D
regulatedBy Centers for Medicare & Medicaid Services
requires annual plan contract with CMS
beneficiaries to continue paying Part B premium
plan to provide at least same benefits as Original Medicare
targetPopulation Medicare beneficiaries
certain disabled individuals
older adults

How these facts were elicited

Referenced by (17)

Full triples — surface form annotated when it differs from this entity's canonical label.

Medicare hasPart Medicare Part C
Centers for Medicare & Medicaid Services overseesProgram Medicare Advantage
linked to: Medicare Part C
Medicare Part D implementedThrough Medicare Advantage prescription drug plans
linked to: Medicare Part C
Medicare Part B canBeAccessedVia Medicare Advantage plans
linked to: Medicare Part C
Medicare Part C alsoKnownAs Medicare Advantage
linked to: Medicare Part C
Title XVIII of the Social Security Act containsProvisionOn Medicare Advantage (Part C)
linked to: Medicare Part C
Medigap policies cannotBeCombinedWith Medicare Advantage plans
linked to: Medicare Part C
Balanced Budget Act of 1997 createsProgram Medicare+Choice
linked to: Medicare Part C
Balanced Budget Act of 1997 laterNameOfCreatedProgram Medicare Advantage
linked to: Medicare Part C
Balanced Budget Act of 1997 regulates Medicare managed care plans
linked to: Medicare Part C
Annual Enrollment Period appliesTo Medicare Advantage plans
linked to: Medicare Part C
Annual Enrollment Period relatedTo Medicare Advantage
linked to: Medicare Part C
Medicare Part A relatedTo Medicare Part C
Subcommittee on Health hasJurisdictionOver Medicare Advantage
linked to: Medicare Part C
Humana Inc. services Medicare Advantage plans
subject linked to: HUM
linked to: Medicare Part C
Humana Inc. offersProgram Medicare Advantage
subject linked to: HUM
linked to: Medicare Part C