Medicare Managed Care Manual (Pub. 100-16), Ch. 16a § 70.4.4
Cost Sharing Rules for Members
70.4.4 - Cost Sharing Rules for Members
(Rev. 99, Issued: 05-27-11, Effective: 05-27-11, Implementation: 05-27-11)
The member cost sharing rules that apply under full network PFFS plans also apply to
partial network plans. Refer to section 70.3.4 of this chapter.