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Benefits and Beneficiary Protections
Law
CFR 42
Public Health
Centers for Medicare & Medicaid Services, Department of Health and Human Services
Medicare Program
Medicare Advantage Program
Benefits and Beneficiary Protections
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Section
422.100
General requirements.
Section
422.101
Requirements relating to basic benefits.
Section
422.102
Supplemental benefits.
Section
422.103
Benefits under an MA MSA plan.
Section
422.104
Special rules on supplemental benefits for MA MSA plans.
Section
422.105
Special rules for self-referral and point of service option.
Section
422.106
Coordination of benefits with employer or union group health plans and Medicaid.
Section
422.107
Special needs plans and dual eligibles: Contract with State Medicaid Agency.
Section
422.108
Medicare secondary payer (MSP) procedures.
Section
422.109
Effect of national coverage determinations (NCDs) and legislative changes in benefits.
Section
422.110
Discrimination against beneficiaries prohibited.
Section
422.111
Disclosure requirements.
Section
422.112
Access to services.
Section
422.113
Special rules for ambulance services, emergency and urgently needed services, and maintenance and post-stabilization care services.
Section
422.114
Access to services under an MA private fee-for-service plan.
Section
422.116
Network adequacy.
Section
422.118
Confidentiality and accuracy of enrollee records.
Section
422.119
Access to and exchange of health data and plan information.
Section
422.120
Access to published provider directory information.
Section
422.128
Information on advance directives.
Section
422.132
Protection against liability and loss of benefits.
Section
422.133
Return to home skilled nursing facility.
Section
422.134
Reward and incentive programs.
Section
422.135
Additional telehealth benefits.
Section
422.136
Medicare Advantage (MA) and step therapy for Part B drugs.