Choice of medicare benefits through Medicare+Choice plans
(1) In general
(1)In general#
Subject to the provisions of this section, each Medicare+Choice eligible individual (as defined in paragraph (3)) is entitled to elect to receive benefits (other than qualified prescription drug benefits) under this subchapter—
(A) through the original medicare fee-for-service program under parts A and B, or
(B) through enrollment in a Medicare+Choice plan under this part,
and may elect qualified prescription drug coverage in accordance with section 1395w–101 of this title .
(1)(A)#
through the original medicare fee-for-service program under parts A and B, or
(1)(B)#
through enrollment in a Medicare+Choice plan under this part,
(2)Types of Medicare+Choice plans that may be available#
A Medicare+Choice plan may be any of the following types of plans of health insurance:
(A) Coordinated care plans (including regional plans) (i) In general Coordinated care plans which provide health care services, including but not limited to health maintenance organization plans (with or without point of service options), plans offered by provider-sponsored organizations (as defined in section 1395w–25(d) of this title ), and regional or local preferred provider organization plans (including MA regional plans). (ii) Specialized MA plans for special needs individuals Specialized MA plans for special needs individuals (as defined in section 1395w–28(b)(6) of this title ) may be any type of coordinated care plan.
(B) Combination of MSA plan and contributions to Medicare+Choice MSA An MSA plan, as defined in section 1395w–28(b)(3) of this title , and a contribution into a Medicare+Choice medical savings account (MSA).
(C) Private fee-for-service plans A Medicare+Choice private fee-for-service plan, as defined in section 1395w–28(b)(2) of this title .
(2)(A)Coordinated care plans (including regional plans)#
(i) In general Coordinated care plans which provide health care services, including but not limited to health maintenance organization plans (with or without point of service options), plans offered by provider-sponsored organizations (as defined in section 1395w–25(d) of this title ), and regional or local preferred provider organization plans (including MA regional plans).
(ii) Specialized MA plans for special needs individuals Specialized MA plans for special needs individuals (as defined in section 1395w–28(b)(6) of this title ) may be any type of coordinated care plan.
(3)Medicare+Choice eligible individual#
In this subchapter, the term “Medicare+Choice eligible individual” means an individual who is entitled to benefits under part A and enrolled under part B.