Medicare Part C (Medicare Advantage)
Private plans (HMO, PPO, PFFS) replacing Parts A and B, offering all Medicare-covered services plus possible extras, paid a capitation by CMS, with network rules varying by plan type.
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Practice This Concept
Which of the following is NOT a type of Medicare Advantage (Part C) plan?
Original Medicare — Medicare Advantage, also called Medicare Part C, offers private plan alternatives to Original Medicare, including HMO plans, PPO plans, Private Fee-for-Service (PFFS) plans, and Special Needs Plans (SNPs). SNPs include plans that serve dual-eligible beneficiaries, institutionalized individuals, and people with chronic conditions. Original Medicare itself is not a Medicare Advantage product; it is the government-run fee-for-service program consisting of Part A and Part B that beneficiaries may choose instead of an MA plan. The distinction between Original Medicare and the private MA plans that replace it is a foundational senior product concept.
National insurance concept
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