Los Angeles, CA asked in Health Care Law for California

Q: California Medicare Advantage plans are considered California State funds?

California Medicare Advantage plans are considered California State funds?

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James L. Arrasmith
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Answered

A: No, Medicare Advantage plans in California are not considered California state funds. Here's why:

1. Medicare is a federal program: Medicare, including Medicare Advantage plans, is a federal health insurance program administered by the Centers for Medicare & Medicaid Services (CMS), which is a part of the U.S. Department of Health and Human Services.

2. Private insurance companies offer Medicare Advantage plans: Medicare Advantage plans, also known as Medicare Part C, are offered by private insurance companies that contract with Medicare to provide benefits.

3. Federal government funds Medicare Advantage: The federal government, not the state of California, provides funds to the private insurance companies offering Medicare Advantage plans.

4. States do not directly fund Medicare Advantage: While states, including California, may regulate certain aspects of health insurance within their borders, they do not directly fund Medicare Advantage plans.

It's important to note that Medicaid, which is a joint federal and state program that provides health coverage to low-income individuals, is partially funded by the states. However, Medicare and Medicare Advantage plans are separate from Medicaid and are primarily federally funded.

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