Medicare Part C Definition
Medicare Eligible Requirements
Permanent residents and US citizens over the age of 65 are eligible to receive Medicare cover if they are eligible for Social Security benefits, are civil servants or the spouse of an employee government that pays enough in Medicare to receive benefits or a railway pension . In addition, parents of deceased children previously received benefits eligible for Medicare coverage. Those under 65 are eligible if they receive Social Security disability for at least two years or qualify for other Medicare coverage rules for disabled individuals.
Medicare cover Parts A By D
Medicare Part A remains hospital insurance for inpatient. Part A also covers limited accommodation in nursing homes, following inpatient hospital admission or hospice care. Part A is typically provided at no extra cost for eligible entries. Medicare Part B covers fees for doctors and supplies or other services covered by Part A. Part C, provider-specific healthcare, and part D, prescription drug benefits, are optional parts of the Medicare program. Parts B, C and D are usually partially funded by the Medicare patient.
Part C: Medicare Advantage Plans
Patients receiving Medicare Part A and Part B may apply for the Medicare Advantage plan. There are several plans offered by Part C Part C covers benefits by Preferred Provider organizations (OPEs) and managed healthcare organization (HMO) plans. It also offers optional fee-for-service coverage and special programs. Patients enrolled in Part C receive a Medicare health card when they receive services. Entry periods for Part C are limited. Patients should enroll during initial Medicare enrollment or open enrollment between November 15 and December 31 of each calendar year. The plan covers emergency care visits as well as additional medical services such as dental and vision services. Medicare subsidizes a portion of the C premium portion, but depending on the chosen plan, individuals cover the remaining premium.
Part C: Private Companies
Part C is received by Medicare from private healthcare organizations or companies that have the government’s approval for healthcare management. Each service provider determines the appropriate monthly premium amount, copayment fees or minimum co-payments to be met. In addition, some plans require patients to pre-approve a specific doctor and allow doctors to receive pre-qualified services.
Apply for cover
Those individuals who already receive retirement or disability benefits by the Social Security Administration can automatically enroll for Medicare coverage when they turn 65. The Social Security Administration contacts these individuals directly and enrolls them in Medicare Part A. The other parts of Medicare are optional because there are monthly premiums for cover.