Medicare Managed Care Manual (Pub. 100-16), Ch. 18b § 180.3
Additional Special Rules Applicable to EGHPs
180.3 - Additional Special Rules Applicable to EGHPs
(Rev. 30, 09-05-03)
There are additional rules that the Medicare cost-based HMO/CMP must follow in
making EGHP coverage decisions. These rules are outlined in the following sections.