Medicare Managed Care Manual (Pub. 100-16), Ch. 17a § 80.1
Deductibles and Coinsurance
80.1 - Deductibles and Coinsurance
(Rev. 4, 10-01-01)
In determining amounts due the HMO/CMP, an amount equal to the actuarial value of the
deductible and coinsurance for which the Medicare enrollee would otherwise be liable, if
not enrolled in the HMO/CMP, is deducted. Procedures for estimating this amount are
contained in Chapter 17, Subchapter B