US · guidance
CMS Pub. 100-16, ch. 1, § 30.2
Part B only Plans
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.
History
(Rev. 124, Issued: 11-10-16; Effective: 11-10-16; Implementation: 11-10-16)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
716b52758eb23725835e620370112736c43edbdd92d3cd53017474422b2f13b0
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