US · guidance
CMS Pub. 100-16, ch. mc86c16a, § 70.2.4
Cost Sharing Rules for Members
The plan cannot vary a member’s actual out-of-pocket costs (regardless of whether
copayment or coinsurance applies) with respect to a particular category of Part A or Part
B service, regardless of whether the provider is a deemed or direct-contracting provider.
History
(Rev. 99, Issued: 05-27-11, Effective: 05-27-11, Implementation: 05-27-11)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
dc2ed59e856ee6f0c14ffd1d05cf1e2ec690958987b5fa812d7968be799700e1
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