Information comparing plan options
Information under this paragraph, with respect to a Medicare+Choice plan for a year, shall include the following:
(A) Benefits
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Information under this paragraph, with respect to a Medicare+Choice plan for a year, shall include the following:
(A) 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.
Covered items and services beyond those provided under the original medicare fee-for-service program.
Any beneficiary cost sharing, including information on the single deductible (if applicable) under section 1395w–27a(b)(1) of this title .
Any maximum limitations on out-of-pocket expenses.
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.
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.
The extent to which an enrollee may obtain benefits through out-of-network health care providers.
The extent to which an enrollee may select among in-network providers and the types of providers participating in the plan’s network.
The organization’s coverage of emergency and urgently needed care.
(i) In general The monthly amount of the premium charged to an individual.
(ii) Reductions The reduction in part B premiums, if any.
The monthly amount of the premium charged to an individual.
The reduction in part B premiums, if any.
To the extent available, plan quality and performance indicators for the benefits under the plan (and how they compare to such indicators under the original medicare fee-for-service program under parts A and B in the area involved), including—
(i) disenrollment rates for medicare enrollees electing to receive benefits through the plan for the previous 2 years (excluding disenrollment due to death or moving outside the plan’s service area),
(ii) information on medicare enrollee satisfaction,
(iii) information on health outcomes, and
(iv) the recent record regarding compliance of the plan with requirements of this part (as determined by the Secretary).
disenrollment rates for medicare enrollees electing to receive benefits through the plan for the previous 2 years (excluding disenrollment due to death or moving outside the plan’s service area),
information on medicare enrollee satisfaction,
information on health outcomes, and
the recent record regarding compliance of the plan with requirements of this part (as determined by the Secretary).
Supplemental health care benefits, including any reductions in cost-sharing under section 1395w–22(a)(3) of this title and the terms and conditions (including premiums) for such benefits.
Beginning with plan years beginning on or after January 1, 2029 , in the case of a specified MA plan (as defined in section 1395w–22(c)(3)(C) of this title ), the accuracy score of the plan’s provider directory (as reported under section 1395w–27(e)(6)(A)(ii) of this title ) listed prominently on the plan’s provider directory.