Properties (56)
| Predicate | Object |
|---|---|
| gptkbp:instanceOf |
health insurance plan
|
| gptkbp:amends |
from year to year
|
| gptkbp:associated_with |
care coordination
|
| gptkbp:can_be |
emergency services
PPO urgent care services HMO SNP dual eligible PFFS |
| gptkbp:has |
network of providers
annual out-of-pocket maximum |
| https://www.w3.org/2000/01/rdf-schema#label |
Medicare Advantage Plan
|
| gptkbp:includes |
gptkb:Medicare_Part_B
gptkb:Medicare_Part_A gptkb:Medicare_Part_D telehealth services dental coverage vision coverage hearing coverage |
| gptkbp:influenced |
market competition
|
| gptkbp:is_a_route_for |
cover_all_Medicare_services.
|
| gptkbp:is_a_subject_of |
state regulations
federal guidelines open enrollment period annual enrollment period special enrollment period |
| gptkbp:is_available_in |
employers
various regions private insurance companies union plans Medicare_beneficiaries Medicare_brokers |
| gptkbp:is_designed_to |
reduce healthcare costs
improve health outcomes older adults enhance access to care |
| gptkbp:is_evaluated_by |
member satisfaction
star ratings |
| gptkbp:is_funded_by |
federal government
|
| gptkbp:is_governed_by |
gptkb:Centers_for_Medicare_&_Medicaid_Services
|
| gptkbp:is_part_of |
gptkb:Medicare_program
managed care system |
| gptkbp:is_popular_among |
seniors
|
| gptkbp:is_recognized_for |
comprehensive coverage
|
| gptkbp:mayHave |
higher costs for out-of-network services
|
| gptkbp:previousName |
Part C
|
| gptkbp:provides |
wellness programs
preventive services additional benefits health coverage |
| gptkbp:relatedTo |
gptkb:Original_Medicare
|
| gptkbp:requires |
referrals for specialists
monthly premium prior authorization Medicare_eligibility |