Original Medicare vs. Medicare Advantage To expand on your knowledge of Medicare Part C (Advantage) plans, also known as replacement plans, this resource calls out various facts to be aware of as you develop your Medicare education. Remember, these plans replace Part B Medicare, and depending on the type of plan, the provider may need…

Medicare Advantage Plan Coverage According to www.Medicare.gov, a Medicare Advantage (MA) Plan (like an HMO or PPO) is a Medicare health plan that qualified beneficiaries may choose as part of their Medicare package. These plans are very similar to traditional Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs) and Private Fee for Service (PFFS) plans….

Medicare Coverage Options Here we reiterate what was covered in the previous module. To expand your training around Medicare Advantage plans, you must first begin by understanding Medicare coverage. There is a standing opinion that Medicare is so simple there is no need to verify or confirm coverage. Nothing could be further from the truth….

Download Reference Documents Medicare publishes helpful documents and alerts to keep providers in the know about important topics. On this page, we list three important tools to review, download, and save in your Medicare training documents. To properly determine Medicaid liability for Part C (Medicare Advantage) cost sharing for a dual-eligible (QMB) it is necessary…