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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 102 – Non-Financial Requirements Page |126 Effective Month: September 2018 ABD application is for any/all coverage that the individual may be entitled to receive, not just Medicare cost-sharing coverage. 102.13.07 MEDICARE PART C – MEDICARE ADVANTAGE PLANS Medicare Advantage plans (MA) are health plans approved by Medicare and run by private companies. These plans must provide all Medicare Part A and Part B services and may offer additional services including Part D coverage. MA plans include: • Medicare Preferred Provider Organizations (PPO) • Medicare Health Maintenance Organizations (HMO) • Medicare Private Fee-for-Service (PFFS) • Medicare Medical Savings Accounts (MSA) • Medicare Special Needs Plans (SNP) DOM pays the Medicare Part C deductible, coinsurance and co-payment charges for a recipient with Medicaid/Medicare who is fully dual or a QMB-only who enrolls in a MA plan. DOM does not pay the Part C premium, if a premium is charged by the MA plan. NOTE: Buy-In for Medicare Part A and Part B operates the same regardless of the presence of Part C.