Which statement about Medicare Part C is true?

Prepare for the ACMA Case Management Certification with flashcards and multiple-choice questions, all with hints and explanations. Ensure your readiness for the exam!

Multiple Choice

Which statement about Medicare Part C is true?

Explanation:
Medicare Part C is Medicare Advantage, a private-insurer option that bundles Parts A and B into one plan and is paid on a capitated basis. This means the plan receives a fixed amount per enrollee to provide those benefits, often with network rules and sometimes extra features. Many Part C plans also include prescription drug coverage within the same plan, though that isn’t guaranteed for every plan. This makes the statement true because Part C is specifically the Medicare Advantage pathway that covers A and B through a managed, private-plan arrangement (and may include drug coverage). It is not a drug-only plan, nor is it the Original Medicare fee-for-service setup, and you don’t enroll in fee-for-service for hospital services through a Part C plan.

Medicare Part C is Medicare Advantage, a private-insurer option that bundles Parts A and B into one plan and is paid on a capitated basis. This means the plan receives a fixed amount per enrollee to provide those benefits, often with network rules and sometimes extra features. Many Part C plans also include prescription drug coverage within the same plan, though that isn’t guaranteed for every plan.

This makes the statement true because Part C is specifically the Medicare Advantage pathway that covers A and B through a managed, private-plan arrangement (and may include drug coverage). It is not a drug-only plan, nor is it the Original Medicare fee-for-service setup, and you don’t enroll in fee-for-service for hospital services through a Part C plan.

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