Chapter 4

Medicare Advantage Plans

Medicare Advantage (also known as Medicare Part C) is the private insurance option for Medicare beneficiaries. A Medicare Advantage plan provides all of the hospital and related services covered by Medicare Part A as well as the physician and outpatient services covered by Medicare Part B. The plan may charge an additional premium beyond that charged for Part B services for Part A and Part B benefits (see discussion following) or additional benefits that are offered. Medicare Part D covers prescription drug benefits.

General Forms of Coverage Included in Part A and Part B1
Part A
img Inpatient care in hospitals (such as critical access hospitals, inpatient rehabilitation facilities, and long-term care hospitals).
img Inpatient care in a skilled nursing facility (not custodial or long-term care).
img Hospice care services.
img Home healthcare services.
img Inpatient care in a religious nonmedical healthcare institution.
Medicare Part A benefits are paid from the so-called ...

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