Which of the following is NOT a type of Medicare Advantage (Part C) plan?
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Answer & full 3-part explanation (select an option above, or peek)
Why A is correct
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.
Why the other options are wrong
- B) MA HMO plans use networks and typically require a primary care physician and referrals, so they are a valid MA plan type.
- C) MA PPO plans offer network and out-of-network options at different cost-sharing, making them a valid MA plan type.
- D) SNPs are MA plans designed for special populations such as dual-eligible beneficiaries, so they are a valid MA plan type.
Memory hook
Part C comes as HMO, PPO, PFFS, or SNP; Original Medicare is the rival, not a plan type.