Which Medicare part is known as a Medicare managed care plan?

Prepare for the AMCA Medical Coder and Biller Certification exam. Engage with flashcards and multiple choice questions, each crafted with hints and detailed explanations. Ensure your success!

Medicare Part C, also known as Medicare Advantage, is referred to as a Medicare managed care plan. This part allows beneficiaries to receive their Medicare benefits through private insurance plans that are approved by Medicare. These plans often combine Medicare Part A (hospital insurance) and Part B (medical insurance) and can offer additional services not typically covered by original Medicare.

The key distinction of Medicare Part C is that it provides a more coordinated care experience, often involving network providers and managing patient care more effectively compared to traditional Medicare, which can empower enrollees to engage with a specific set of providers or hospitals.

In contrast, Medicare Part A deals with hospital insurance, primarily covering inpatient stays. Medicare Part B is focused on outpatient services, like physician visits and preventive care. Medicare Part D is specifically designed for prescription drug coverage. Each of the other parts serves distinct roles within the Medicare system, but only Part C is directly associated with the concept of managed care, integrating benefits and care management under one umbrella.

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