Medicare Managed Care Manual (Pub. 100-16), Ch. 4 § 10.5.1
Uniformity
10.5.1 – Uniformity
(Rev. 121, Issued: 04-22-16, Effective: 04-22-16, Implementation: 04-22-16)
The following rules apply to any MA plan, regardless of plan type, and to any category of
benefit – basic, mandatory supplemental, and optional supplemental.
• All plan benefits must be offered uniformly to all enrollees residing in the service
area of the plan;
• When an MA plan has an authorized service area with one or more approved
segments, as defined in 42 CFR §422.2, the MA plan may vary premiums and cost-
sharing by segment, but the premium and cost-sharing must be uniform within each
segment. Furthermore, plan benefits must be uniformly provided throughout the
authorized service area of the plan, including any segments in the service area;
• The uniform premium requirement prohibits plans from offering nominal discounts to
those enrollees electing to pay premiums electronically;
• All plans must offer to, but may not require of, their enrollees:
o The option of having their premiums deducted from their Social Security check or
benefit;
o The option of having their premiums paid by an electronic transfer mechanism
(such as automatic charges of an account at a financial institution or a credit or
debit card account); and
o The option of paying their premium by check.