Medicare Part C definition

Medicare Part C. The part of the Medicare program that permits Medicare recipients to select coverage among various private insurance plans.
Medicare Part C means the government-sponsored entitlement program under Title XVIII, Part C of the Social Security Act.
Medicare Part C means the Medicare Advantage program administered according to 42 CFR 422, et seq., as amended, and CMS regulatory guidance issued in the form of manuals, letters, notices, or other means of written communication with respect to Medicare Advantage Plans.

Examples of Medicare Part C in a sentence

  • Medicare Part C provides Medicare beneficiaries with the option of receiving Part A and Part B services through a private health plan.

  • As applicable, areas of specialized training include compliance program administration, prevention of fraud, waste and abuse (FWA), FWA laws and regulations, recognizing and reporting FWA, consequences and penalties of FWA, available FWA resources, and areas requiring specialized knowledge of applicable Medicare Part C and Part D procedures and requirements in order for Dentist to perform or provide services under this Agreement.

  • MA Plan’s monitoring activities include assessing Dentist and Downstream Entities’ compliance with applicable Medicare Part C and Part D provisions.

  • Dentist shall adopt and follow and Dentist shall require its Downstream Entities to adopt and follow a code of conduct that reflects a commitment to detecting, preventing, and correcting fraud, waste, and abuse in administration of both the Medicare Part C and Part D programs as applicable.

  • Dentist shall provide Medicare Part C and Part D compliance training for all persons involved in administration or delivery of Medicare Part C and Part D benefits, as applicable.

  • Dentist shall collect from those of its managers, officers, and directors who are responsible for the administration or delivery of Medicare Part C and Part D benefits as applicable, a signed statement, attestation, or certification stating that the person is free of any conflict of interest in administering or delivering such benefits.

  • The SOC has appointed the Lien Resolution Administrator to resolve all Federal Health Care Program Liens obligations and any Lien obligations under Medicare Part C, also known as Medicare Advantage; and as otherwise specified in this Agreement.

  • Current Medicare Part C Plan Contractor Number ▇ ▇▇▇-▇▇▇ Contractor Number of the current Part C Plan in which the beneficiary is enrolled.

  • Current Medicare Part C Plan Enrollment Date ▇ ▇▇▇-▇▇▇ Effective Date of coverage provided by the Beneficiary’s current Medicare Part C Plan.

  • Settlement Program Claimants shall provide at least three (3) written separate Payor Notices, separated by a minimum of thirty (30) days between each written notice, to Medicare Advantage/Part C Plans within ninety (90) to one hundred (100) days following a Settlement Program Claimant's enrollment in the Settlement Program or upon a Settlement Program Claimant's knowledge that a Medicare Part C plan may have a reimbursement claim against it, whichever is later.


More Definitions of Medicare Part C

Medicare Part C or "Medicare Advantage" means a plan that (i) provides all of an enrollee's Medicare Part A and Medicare Part B coverage; (ii) may offer extra coverage, such as vision, hearing, dental, or health and wellness programs; and (iii) may include Medicare prescription drug coverage (Part D).