Medicare+Choice Plan Law and Legal Definition
Medicare+Choice plan is a type of medicare plan in which medicare beneficiaries are given the choice to receive their medicare benefits by way of private health insurance plans, rather than original medicare plan such as part A and part B. Medicare+Choice plan is also called part C plans. The plan was established by the Balanced Budget Act of 1997 to give beneficiaries the advantage of enrolling in health maintenance organizations (HMOs), preferred provider organizations (PPOs), provider-sponsored organizations (PSOs), private fee-for-service (PFFS) plans, and medical savings accounts (MSAs) coupled with high deductible insurance plans.
According to 42 USCS § 1395w-28 (b)(1), the term "Medicare + Choice plan" means health benefits coverage offered under a policy, contract, or plan by a Medicare + Choice organization pursuant to and in accordance with a contract under section 1857 [42 USCS § 1395w-27].
