ARSD 20:06:13:78

ARSD 20:06:13:78. Medicare Advantage plan

Last amended: 2005Year: 2026Length: 89 wordsOfficial source

Cite as S.D. Admin. R. 20:06:13:78

For purposes of this chapter, Medicare Advantage plan means a plan of coverage for health benefits under Medicare Part C as defined in 42 U.S.C. 1395w-28(b)(1), as in effect on January 1, 2004, and includes: (1) Coordinated care plans which provide health care services, including health maintenance organization plans, with or without a point-of-service option, plans offered by provider-sponsored organizations, and preferred provider organization plans; (2) Medicare medical savings account plans coupled with a contribution into a Medicare Advantage medical savings account; and (3) Medicare Advantage private fee-for-service plans.
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