Medicare Part C is also referred to as what kind of plan?

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Medicare Part C is known as the Medicare Advantage Plan. This designation is important because Medicare Advantage plans are offered by private insurance companies as an alternative to Original Medicare (Parts A and B). These plans often provide additional benefits and may include coverage for services like vision, dental, and wellness programs, which are not part of Original Medicare.

One of the key features of Medicare Advantage Plans is that they combine the coverage of Medicare Part A (hospital insurance) and Part B (medical insurance) into one plan, often with an added network of providers that may require members to seek care from within that network. This structure allows for a more integrated healthcare approach, typically resulting in coordinated care for members.

Understanding this designation helps clarify the overall structure of Medicare and the options available for beneficiaries, which is critical for medical billing and coding professionals who must navigate these plans in the context of insurance claims and reimbursements.

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