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