US · guidance
CMS Pub. 100-16, ch. mc86c17f, § 10.3
Optional Supplemental Benefits
(Rev. 77, Issued: 10-28-05, Effective Date: 10-28-05)
In addition to offering a basic benefit package (that is, Medicare-covered benefits), each
Medicare cost plan may offer (for election by the enrollee and without regard to health
status) optional supplemental services or benefits - that is, services or benefits that are in
addition to those included in the basic benefits. All optional supplemental benefits must
be offered for a period of at least 30 consecutive days to both new plan enrollees and to
all current enrollees of a plan at least once a year.
Although a Medicare cost plan may limit the availability of optional supplemental
benefits to current enrollees as described above, enrollees may voluntarily drop or
discontinue optional supplemental benefits any time during the contract year upon proper
advance notice to the Medicare cost plan.
The Medicare cost plan may not set health status standards for those enrollees whom it
will accept for these optional supplemental services.
States may mandate that non-Medicare benefits be offered to Medicare cost plan
enrollees as optional supplemental benefits.
History
(Rev. 77, Issued: 10-28-05, Effective Date: 10-28-05)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
e8cabe7e4c67ddf5cecaecc25a9ddec6fc9693c27cd615d18c0f69f05e53efd8
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