Medicare Coordinated Care Plan
A Medicare coordinated care plan is a collective term for network-based Medicare Advantage options such as HMOs, PPOs, and provider-sponsored plans, generally excluding private fee-for-service and medical savings account plans. These plans coordinate care through a defined provider network.
Definition
A Medicare coordinated care plan is a collective term for network-based Medicare Advantage options such as HMOs, PPOs, and provider-sponsored plans, generally excluding private fee-for-service and medical savings account plans. These plans coordinate care through a defined provider network.
Why it matters
Care coordination and network rules in these plans affect referrals, authorizations, and which agencies can serve the patient.
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