Category Archives: Medicare Advantage Part C

Blog, Medicare Advantage Part C, Medicare Conditional Payments

Congress authorized Medicare to allow private health insurance to participate and provide coverage for Medicare beneficiaries starting in 1997.  Part C, also known as Medicare Advantage Plans, replaces traditional Medicare coverage provided under Part A (Hospital) and Part B (Health Care).  Each year, a Medicare beneficiary may elect to opt in or out of Medicare Advantage during an enrollment period …
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Blog, Medicare Advantage Part C, Medicare Conditional Payments, Medicare Jurisdiction

Before today, it was unclear what rights, if any, a Medicare Advantage Plan had under the Medicare Secondary Payer Act. Most felt that recovery rights of a Medicare Advantage Plan were the same as traditional Medicare under Parts A & B. That’s because 42 C.F.R. §422.108 granted Medicare Advantage Plans the same rights as the Secretary which was thought to …
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