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US · guidance

CMS Pub. 100-16, ch. mc86c17f, § 10.8

Cap On Beneficiary Monetary Responsibility

activein force · 2026-08-25 – presentas-observed

(Rev. 77, Issued: 10-28-05, Effective Date: 10-28-05)

(Chapter 4, §10.4 of the Medicare Managed Care Manual): A Medicare cost plan

enrollee should never pay more than the plan required cost sharing – coinsurance,

deductibles and copays. This cap on beneficiary liability holds even:

• If a provider or delegated provider declares insolvency resulting in a plan loss;

• If a non-contracted provider which provided services to the enrollee, for emergent

or urgent care is entitled to balanced billing; and

• This cap on beneficiary liability prohibits a plan from requiring a beneficiary to

first pay a contracted provider, except for copayments, and then receive

reimbursement from the Medicare cost organization.

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
c78a8993a6ce8e294f894313467553ad58639667edba417a343abc049d36e189
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