Medicare Advantage (Part C)

URI: https://gptkb.org/entity/Medicare_Advantage_(Part_C)
GPTKB entity
Statements (49)
Predicate Object
gptkbp:instanceOf gptkb:insurance
gptkbp:administeredBy private insurance companies
gptkbp:alternativeTo gptkb:Original_Medicare
gptkbp:covers gptkb:United_States
prescription drugs
medical services
hospital services
gptkbp:eligibility gptkb:Annual_Election_Period
Medicare beneficiaries
gptkbp:enrollment over 30 million beneficiaries (2023)
gptkbp:established 1997
gptkbp:establishedBy gptkb:Balanced_Budget_Act_of_1997
gptkbp:formerName gptkb:Medicare+Choice
gptkbp:fundedBy federal government payments to private insurers
https://www.w3.org/2000/01/rdf-schema#label Medicare Advantage (Part C)
gptkbp:includes gptkb:Medicare_Part_B
Medicare Part D
gptkbp:limitation gptkb:region
gptkbp:mayInclude Medicare Part D
coinsurance
copayments
deductibles
out-of-pocket maximum
gptkbp:offers dental coverage
fitness benefits
hearing coverage
transportation benefits
vision coverage
wellness programs
over-the-counter allowances
gptkbp:partOf gptkb:Medicare
gptkbp:planTypesInclude gptkb:SNP
gptkb:MSA
gptkb:PFFS
HMO
PPO
gptkbp:provides monthly premium
gptkbp:regulates gptkb:Centers_for_Medicare_&_Medicaid_Services
gptkbp:requires gptkb:Medicare_Part_A_enrollment
gptkb:Medicare_Part_B_enrollment
network restrictions
referrals for specialists
primary care physician selection
prior authorization
gptkbp:subject gptkb:CMS_star_ratings
annual plan changes
network provider rules
gptkbp:bfsParent gptkb:Part_B_(Medical_Insurance)
gptkbp:bfsLayer 6