An expansion of the traditional Medicare program that will augment the fee-for-service and HMO health plans currently available to participants to include a variety of new managed care and fee-for-service options.
A health plan, such as a Medicare managed care plan or Private Fee-for-Service plan offered by a private company and approved by Medicare. An alternative to the Original Medicare Plan.
A federal program providing Medicare coverage through the private insurance market. These plans have a special arrangement between the federal Centers for Medicare & Medicaid (CMS) and certain HMOs. The federal government pays the HMO a set amount for each Medicare enrollee. The HMO agrees to provide all Medicare benefits. The HMO will also provide some additional benefits that may be at an additional cost.
The Medicare component that addresses how covered services are delivered to enrollees and increases the numbers and types of healthcare organizations allowed to participate in Medicare.
A major initiative in the Balanced Budget Act of 1997 (also called Medicare Part C), under which Medicare beneficiaries may select from among several managed care options or a Medical Savings Account.
A new Medicare program that provides more choices among health plans. Everyone who has Medicare Parts A and B is eligible, except those who have End-Stage Renal Disease (ESRD).
A Medicare HMO program that gives you more choices among health plans. Everyone who has Medicare Parts A and B is eligible, except those who have End-Stage Renal Disease.
Sometimes referred to as Medicare Part C, this portion of Medicare was established by the Balanced Budget Act of 1997. Beneficiaries can choose from an expanded list of insurance options if they are available in their area, including health maintenance organizations, preferred provider organizations, provider-sponsored organizations, and other insurance options such as private-fee-for-service plans and medical savings accounts. If beneficiaries do not actively select one of these options, they are enrolled in the traditional fee-for-service plan.
