Actuarial Swapping of Part C Benefits Not Covered By Original

20.2 - Actuarial Swapping of Part C Benefits Not Covered By Original Medicare (Rev. 111, 05-03-13, Effective: 05-03-13, Implementation: 05-03-13) MAOs may swap different types of Part C supplemental benefits not covered under Original Medicare that are of equal actuarial value for employer/union group plan sponsors. The swaps may be used if an employer/union prefers to offer a different benefit package to its members than the MAO offers to individual beneficiaries under the MA plan. Example: An employer may prefer to offer a vision benefit to its employees rather than the dental benefit the MAO offers to individual beneficiaries. The MAO may design a vision benefit for the employer that has equal actuarial value to the dental benefit and swap these benefits in the plan it offers to the employer. MAOs do not need to obtain specific, advance approval from CMS in order to take advantage of actuarial swapping for particular employer/union group plan sponsors.