US · guidance
CMS Pub. 100-16, ch. mc86c17f, § 20.1
General Guidelines for Benefits
(Rev. 77, Issued: 10-28-05, Effective Date: 10-28-05)
All benefits that are part of the Medicare Cost Plan must satisfy the following guidelines:
• All benefits must be directly health-related, that is, health care services or items
whose primary purpose is to prevent or cure, actual or imminent, illness or injury
for which the MA plan incurs a cost that is not solely administrative;
• All benefits must be offered uniformly to all enrollees;
• All benefits must be explicitly mentioned in the appropriate marketing vehicles.
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
a27ccaf6eded08c4f93e6718a75b5aabeaec17cb770a516af407f6ccc281d979
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