Medicare Advantage / Private Plans - Kaiser Family Foundation

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Medicare Advantage / Private Plans

Medicare Advantage Fact Sheet
This fact sheet provides an overview of the Medicare Advantage program, describes program changes made by the new drug law in plan participation and beneficiary enrollment, presents data on benefits and premiums and explains changes in Medicare payments to participating plans.

Summary 2010 Medicare Advantage and Drug Plan Call Letter
The policy brief examines key provisions and proposed changes in plan requirements for Medicare Advantage and Medicare Prescription Drug Plans as outlined in the Obama Administration's call letter for 2010 issued this spring.

Recent Documents: (89 results)

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The Obama Administration's 2010 Call Letter for Medicare Advantage and Prescription Drug Plans: Implications for Beneficiaries -- May 2009
The policy brief examines key provisions and proposed changes in plan requirements for Medicare Advantage and Medicare Prescription Drug Plans as outlined in the Obama Administration's call letter for 2010 issued this spring.

Medicare Advantage Fact Sheet -- May 2009
This updated fact sheet provides an overview of the Medicare Advantage program, describes program changes made by the new drug law in plan participation and beneficiary enrollment, presents data on benefits and premiums, and explains changes in Medicare payments to participating plans.

Medicare Health and Prescription Drug Plans Monthly Tracking Report -- March 2009 -- March 2009
This brief presents current monthly data on Medicare Advantage plan participation, enrollment and penetration.

The Medicare Prescription Drug Benefit - An Updated Fact Sheet -- March 2009
This updated fact sheet includes the latest information and data about the Medicare Drug Benefit, including a breakdown of the standard benefit, enrollment data and an update on additional low-income assistance.

The Emerging Role of Group Medicare Private Fee-for-Service Plans -- December 2008
This brief examines the recent boom in Medicare Advantage enrollment attributable to employers contracting with private fee-for-service plans to serve their retirees.

Medicare: A Primer -- December 2008
This primer provides an overview of the Medicare program, how it is structured, who it serves, and how it works.

Medicare Health & Prescription Drug Plan Tracker -- November 2008
The interactive resource provides local, regional and national information about Medicare Advantage plans, as well as current information on stand-alone Part D prescription drug plans. The tool allows users to graph or map comparative and trend data about enrollment, plan participation and other key information.

Medicare Part D Prescription Drug Plan (PDP) Availability in 2009 -- November 2008
This fact sheet contains 2009 state-specific summary data about available Medicare drug benefit options, including the number of stand-alone plans with gap coverage in the "doughnut hole," and the number of plans available at no cost to qualifying beneficiaries.

Medicare Part D 2009 Data Spotlight: Premiums -- November 2008
This spotlight analyzes the premiums charged by the 1,689 stand-alone Medicare Part D plans that will be offered in markets across the country in 2009. It is one in a series analyzing key aspects of the Medicare Part D drug plans that will be available to beneficiaries in 2009.

Medicare Part D 2009 Data Spotlight: The Coverage Gap -- November 2008
This data spotlight examines the coverage gap, or "doughnut hole," in Medicare drug plans available in 2009. While in the gap in coverage, Part D enrollees (other than those receiving low-income subsidies) are required to pay 100 percent of total drug costs until they reach the catastrophic coverage level. The spotlight is one in a series analyzing key aspects of the Medicare Part D drug plans that will be available to beneficiaries in 2009.

The policy brief examines key provisions and proposed changes in plan requirements for Medicare Advantage and Medicare Prescription Drug Plans as outlined in the Obama Administration's call letter for 2010 issued this spring.

This updated fact sheet provides an overview of the Medicare Advantage program, describes program changes made by the new drug law in plan participation and beneficiary enrollment, presents data on benefits and premiums, and explains changes in Medicare payments to participating plans.

This brief presents current monthly data on Medicare Advantage plan participation, enrollment and penetration.

This updated fact sheet includes the latest information and data about the Medicare Drug Benefit, including a breakdown of the standard benefit, enrollment data and an update on additional low-income assistance.

This brief examines the recent boom in Medicare Advantage enrollment attributable to employers contracting with private fee-for-service plans to serve their retirees.

This primer provides an overview of the Medicare program, how it is structured, who it serves, and how it works.

The interactive resource provides local, regional and national information about Medicare Advantage plans, as well as current information on stand-alone Part D prescription drug plans. The tool allows users to graph or map comparative and trend data about enrollment, plan participation and other key information.

This fact sheet contains 2009 state-specific summary data about available Medicare drug benefit options, including the number of stand-alone plans with gap coverage in the "doughnut hole," and the number of plans available at no cost to qualifying beneficiaries.

This spotlight analyzes the premiums charged by the 1,689 stand-alone Medicare Part D plans that will be offered in markets across the country in 2009. It is one in a series analyzing key aspects of the Medicare Part D drug plans that will be available to beneficiaries in 2009.

This data spotlight examines the coverage gap, or "doughnut hole," in Medicare drug plans available in 2009. While in the gap in coverage, Part D enrollees (other than those receiving low-income subsidies) are required to pay 100 percent of total drug costs until they reach the catastrophic coverage level. The spotlight is one in a series analyzing key aspects of the Medicare Part D drug plans that will be available to beneficiaries in 2009.

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Medicare Advantage / Private Plans

Medicare provides health benefits to 45 million elderly and disabled Americans. Currently, most beneficiaries (78%) have their health bills paid directly by the traditional fee-for-service program. The remaining 22% are covered by Medicare Advantage (formerly called Medicare+Choice (M+C)). Medicare Advantage, also known as Medicare Part C, is a program that allows beneficiaries to enroll in private health plans to receive Medicare-covered benefits. Beneficiaries have the option of enrolling in a variety of private plans including 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. In recent years, the number of Medicare Advantage plans and beneficiaries enrolled in these plans has increased rapidly.