Medicare Managed Care Manual (Pub. 100-16), Ch. 1 § 30.2

Part B only Plans

Last amended: 2016Year: 2016Length: 156 wordsOfficial source
30.2 – Part B only Plans (Rev. 124, Issued: 11-10-16; Effective: 11-10-16; Implementation: 11-10-16) An MA Part B only plan is a plan offered to individuals eligible for Part B who do not have Part A coverage. Part B only plans are required to cover the Medicare benefits that are coved under Part B and any supplemental benefits the plan may offer. Regulations at 42 CFR 422.50 prohibit creating new Part B only plans except for EGWPs that are granted a waiver. Non-EGWP Part B only plans created before the MMA may continue operating as long as they have membership and provided they do not enroll new Part B only members. For a complete discussion of Part B only plans offered by Employer Group Waiver Plans (EGWPs), see chapter 9 of this manual. For information on Part B only beneficiaries enrolling in Medicare cost plans under section 1876 of the Social Security Act, see Section 40.
Medicare Managed Care Manual (Pub. 100-16), Ch. 1 § 30.2: Part B only Plans | Justis AI