Medicare Managed Care Manual (Pub. 100-16), Ch. 17f § 20.1

General Guidelines for Benefits

Last amended: 2005Year: 2005Length: 91 wordsOfficial source
20.1 - General Guidelines for Benefits (Rev. 77, Issued: 10-28-05, Effective Date: 10-28-05) All benefits that are part of the Medicare Cost Plan must satisfy the following guidelines: • All benefits must be directly health-related, that is, health care services or items whose primary purpose is to prevent or cure, actual or imminent, illness or injury for which the MA plan incurs a cost that is not solely administrative; • All benefits must be offered uniformly to all enrollees; • All benefits must be explicitly mentioned in the appropriate marketing vehicles.
Medicare Managed Care Manual (Pub. 100-16), Ch. 17f § 20.1: General Guidelines for Benefits | Justis AI