by Thomas D. Begley, Jr., CELA<\/p>\n
Medicare Part C, commonly known as Medicare Advantage, is a Medicare substitute program operated by private health insurance companies as a managed care plan. Medicare Part D similarly provides prescription coverage to eligible beneficiaries through private insurance plans. To the extent a reimbursement right may be created under a specific MAO plan, the Part C statute itself limits any recovery from a beneficiary to the amount actually received from a third party as payment for plan-covered expenses.[1]<\/a><\/p>\n The Veterans\u2019 Benefits Act<\/em>[2]<\/a> and the Armed Forces Act<\/em>[3]<\/a> establish the Veterans Administration and TRICARE\/CHAMPUS healthcare programs, respectively. Neither the VA nor TRICARE\/CHAMPUS statutes allow for a lien or reimbursement claim against a beneficiary\u2019s personal injury recovery. The government does have a subrogation right if it chooses to pursue its own claim against a third party; however, the statutes specifically governing (more…)<\/span><\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":" by Thomas D. Begley, Jr., CELA Medicare Advantage and Prescription Drug Plans Medicare Part C, commonly known as Medicare Advantage, is a Medicare substitute program operated by private health insurance companies as a managed care plan. Medicare Part D similarly…<\/span><\/p>\nVeterans Administration and TRICARE Claims<\/em><\/h3>\n