General information
General information under this paragraph, with respect to coverage under this part during a year, shall include the following:
(A) Benefits under original medicare fee-for-service program option
(A)Benefits under original medicare fee-for-service program option#
A general description of the benefits covered under the original medicare fee-for-service program under parts A and B, including—
(i) covered items and services,
(ii) beneficiary cost sharing, such as deductibles, coinsurance, and copayment amounts, and
(iii) any beneficiary liability for balance billing.
(A)(i)#
covered items and services,
(A)(ii)#
beneficiary cost sharing, such as deductibles, coinsurance, and copayment amounts, and
(A)(iii)#
any beneficiary liability for balance billing.
(B)Election procedures#
Information and instructions on how to exercise election options under this section.
(C)Rights#
A general description of procedural rights (including grievance and appeals procedures) of beneficiaries under the original medicare fee-for-service program and the Medicare+Choice program and the right to be protected against discrimination based on health status-related factors under section 1395w–22(b) of this title .
(D)Information on medigap and medicare select#
A general description of the benefits, enrollment rights, and other requirements applicable to medicare supplemental policies under section 1395ss of this title and provisions relating to medicare select policies described in section 1395ss(t) of this title .
(E)Potential for contract termination#
The fact that a Medicare+Choice organization may terminate its contract, refuse to renew its contract, or reduce the service area included in its contract, under this part, and the effect of such a termination, nonrenewal, or service area reduction may have on individuals enrolled with the Medicare+Choice plan under this part.
(F)Catastrophic coverage and single deductible#
In the case of an MA regional plan, a description of the catastrophic coverage and single deductible applicable under the plan.