Benefits
The benefits covered under the plan, including the following:
(i)#
Covered items and services beyond those provided under the original medicare fee-for-service program.
(ii)#
Any beneficiary cost sharing, including information on the single deductible (if applicable) under section 1395w–27a(b)(1) of this title .
(iii)#
Any maximum limitations on out-of-pocket expenses.
(iv)#
In the case of an MSA plan, differences in cost sharing, premiums, and balance billing under such a plan compared to under other Medicare+Choice plans.
(v)#
In the case of a Medicare+Choice private fee-for-service plan, differences in cost sharing, premiums, and balance billing under such a plan compared to under other Medicare+Choice plans.
(vi)#
The extent to which an enrollee may obtain benefits through out-of-network health care providers.
(vii)#
The extent to which an enrollee may select among in-network providers and the types of providers participating in the plan’s network.
(viii)#
The organization’s coverage of emergency and urgently needed care.