Which part of the Medicare insurance program is managed by private, third-party insurance providers approved by Medicare?

Prepare for the NHA Certified Billing and Coding Specialist (CBCS) Exam with engaging quizzes. Study with multiple choice questions, each offering hints and explanations, to enhance your understanding and readiness for the exam!

Multiple Choice

Which part of the Medicare insurance program is managed by private, third-party insurance providers approved by Medicare?

Explanation:
Medicare Part C, also known as Medicare Advantage, is arranged and managed through private insurance plans that Medicare approves. These private carriers contract with Medicare to provide at least the same basic benefits as Parts A and B, and they often add extra features or wrap in prescription drug coverage. Because the plan is offered by private insurers under contract with Medicare, they handle enrollment, premiums, provider networks, and benefit design for this option. Traditional Parts A and B are the government-run components of Medicare, while Part D is prescription drug coverage offered by private plans that operate separately from Medicare Advantage. So the part managed by private, third-party providers approved by Medicare is Medicare Part C.

Medicare Part C, also known as Medicare Advantage, is arranged and managed through private insurance plans that Medicare approves. These private carriers contract with Medicare to provide at least the same basic benefits as Parts A and B, and they often add extra features or wrap in prescription drug coverage. Because the plan is offered by private insurers under contract with Medicare, they handle enrollment, premiums, provider networks, and benefit design for this option. Traditional Parts A and B are the government-run components of Medicare, while Part D is prescription drug coverage offered by private plans that operate separately from Medicare Advantage. So the part managed by private, third-party providers approved by Medicare is Medicare Part C.

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