Medicare was enacted in 1965 with the goal to provide medical coverage for elderly individuals. Medicare is a public insurance program mandated per state for adults 65 years or older. Medicare provides several insurance coverage options for older adults. The first option is Medicare Part A which covers hospital care, nursing facilities, home health and hospice; this is largely financed through social security taxes. Medicare Part B includes physician services this is paid through federal taxes and monthly premiums. The Medicare Modernization Act (MMA) of 2003 implemented Medicare Part C which is the Medicare Advantage program. This program allows individuals to enroll in a private health care plan contracted with Medicare. Medicare subsidizes the premium payment for the private insurance plan. Individuals who enroll in the Medicare Advantage program must utilize the physicians and hospitals covered under the chosen plan.