 One such change ended the out-of-balance PFFS plan program except for grandfathered beneficiaries.The out-of-balance Employer Group plan program was cut back beginning in 2017.On an absolute basis and even still including these out of balance Part C programs, in 2018 the Medicare Trustees spent 0.1% less on Medicare Advantage and other Part C beneficiaries per person than it did per person on Medicare beneficiaries under FFS Medicare

Public Part C health plans, including Medicare Advantage plans, cover the same medical services as "Original" Medicare Parts A and B but also typically include an annual physical exam and vision and/or dental coverage of some sort, none of which are covered under Parts A and B. Medicare Part A provides FFS payments for admitted in-patient hospital care, hospice, and skilled nursing services if a person is first admitted inpatient for three days.