Medicare Advantage definition

Medicare Advantage. The Medicare managed care options that are authorized under Title XVIII as specified at Part C and 42 C.F.R. § 422.

AI-Powered Contracts

Draft, Review & Redline at the Speed of AI

Medicare Advantage means an organization approved by CMS to offer Medicare health benefits plans to Medicare beneficiaries.

Medicare Advantage plan means a plan of coverage for health benefits under medicare "Part C" as defined in 42 U.S.C. 1395w-28(b)(1), and includes:

Examples of Medicare Advantage in a sentence

When you elect to offer to your Medicare-eligible Members a Blue Cross and Blue Shield Medicare Advantage plan and/or Blue MedicareRx, a regional Medicare Prescription Drug Plan, an evidence of coverage (including any applicable riders to the evidence of coverage) will be provided to your enrolled eligible Members in accordance with the requirements of the Centers for Medicare and Medicaid Services (CMS).
However, for any Medicare Advantage plan that you offer, this provision may apply only to optional coverage you have elected to offer.
Blue Cross and Blue Shield will not provide Summaries of Benefits and Coverage for senior plans (such as Managed Blue for Seniors, Medex, and Medicare Advantage plans) or for any standalone dental and/or vision plans.
The Inter-Plan Medicare Advantage Program available to Members under this Agreement is described generally as follows.
Blue Cross and Blue Shield also participates in the Inter-Plan Medicare Advantage Program, the Inter-Plan Program for Members enrolled in a Medicare Advantage plan.

More Definitions of Medicare Advantage

Medicare Advantage. (“MA”): an alternative to the traditional Medicare program in which private plans run by health insurance companies provide health care benefits that eligible beneficiaries would otherwise receive directly from the Medicare program.

Medicare Advantage or “MA” means an alternative to the traditional Medicare program in which private plans run by health insurance companies provide health care benefits that eligible beneficiaries would otherwise receive directly from the Medicare program.

Medicare Advantage means a plan of coverage for health benefits under Medicare part C as described in 42 USC 1395w-28, and includes any of the following:

Medicare Advantage means Medicare benefits provided under a Medicare Part C plan, approved under Title XVIII of the Social Security Act, whereby a private insurer receives compensation from the Centers for Medicare and Medicaid Services to administer the plan.

Medicare Advantage means a plan of coverage for health benefits under medicare part C as defined in section 12-2859 of part C of medicare, 42 USC 1395w-28, and includes any of the following:

Medicare Advantage means Title XVIII of the Social Security Act, Part C.

Medicare Advantage means an insurance policy offered by a private insurance carrier that has contracted with Medicare to provide coverage with respect to certain Medicare services, which may also be commonly referred to in the industry as a “Part C” plan or “MA Plus” Plan.