Medicare Part C, or a Medicare Advantage Plan, allows many Americans to receive healthcare coverage and enjoy expanded services that they may not have had access to previously. Unfortunately, many unethical providers may still attempt to take advantage of Medicare Part C plans. Because these plans involve government contracts and taxpayer funding, indicators of fraud can be reported under qui tam law. Whistleblowers who speak up about defrauded Medicare Part C healthcare funds are eligible to receive significant financial awards.
Medicare Part C differs from “Original Medicare” in that recipients of the former use a private health insurance plan through which they receive their Medicare benefits. These managed care private plans are provided through health insurers that contract with the federal government. The health insurance companies receive taxpayer-funded contracts in order to provide services to those who qualify for Medicare and who choose to enroll in Medicare Advantage plans.
Medicare Part C plans may involve some limitations in which offices or doctors patients may visit, as well as a different set of rules, costs, restrictions, and billing structures on the back end. However, many Americans find that enrolling in Medicare Part C also offers certain advantages. For instance, enrolling in Medicare Part C may allow patients to receive routine dental and vision benefits in addition to all Medicare Part A...
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