Statements (51)
| Predicate | Object |
|---|---|
| gptkbp:instanceOf |
gptkb:insurance
|
| gptkbp:administeredBy |
private insurance companies
|
| gptkbp:alsoKnownAs |
gptkb:Medicare_Part_C
|
| gptkbp:covers |
prescription drugs
medical services vision care dental care hearing care hospital services |
| gptkbp:eligibility |
enrollment in Medicare Part A and Part B
|
| gptkbp:enrollment |
over 30 million people (2023)
|
| gptkbp:establishedBy |
gptkb:Balanced_Budget_Act_of_1997
|
| gptkbp:establishedIn |
1997
|
| gptkbp:fundedBy |
gptkb:government
|
| https://www.w3.org/2000/01/rdf-schema#label |
Medicare Advantage program
|
| gptkbp:mayInclude |
gptkb:Part_D_prescription_drug_coverage
out-of-pocket maximums additional benefits not covered by Original Medicare |
| gptkbp:offers |
gptkb:Private_Fee-for-Service_plans
gptkb:Special_Needs_Plans gptkb:HMO_plans gptkb:PPO_plans transportation benefits wellness programs over-the-counter allowances |
| gptkbp:partOf |
gptkb:Medicare
|
| gptkbp:provides |
monthly premiums
|
| gptkbp:regulates |
gptkb:United_States_federal_law
gptkb:Centers_for_Medicare_&_Medicaid_Services |
| gptkbp:replacedBy |
Original Medicare coverage for enrollees
|
| gptkbp:requires |
referrals for specialists
use of network providers (in most plans) |
| gptkbp:subject |
gptkb:Medicare_Advantage_open_enrollment_(January_1_-_March_31)
gptkb:Medicare_open_enrollment_(October_15_-_December_7) prior authorization requirements utilization management annual plan changes star ratings system grievance and appeals process annual notice of change marketing regulations network adequacy requirements network provider directories open enrollment periods plan formularies quality bonus payments risk adjustment payments special enrollment periods |
| gptkbp:targetAudience |
Medicare beneficiaries
|
| gptkbp:bfsParent |
gptkb:Medicare+Choice_program
|
| gptkbp:bfsLayer |
6
|