Enrollment, Entitlement, and Disenrollment under Medicare Contract

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medicare Program
  6. Health Maintenance Organizations, Competitive Medical Plans, and Health Care Prepayment Plans
  7. Enrollment, Entitlement, and Disenrollment under Medicare Contract

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Section
417.420

Basic rules on enrollment and entitlement.

Section
417.422

Eligibility to enroll in an HMO or CMP.

Section
417.423

Special rules: ESRD and hospice patients.

Section
417.424

Denial of enrollment.

Section
417.426

Open enrollment requirements.

Section
417.427

Extending MA and Part D program disclosure requirements to section 1876 cost contract plans.

Section
417.428

Marketing activities.

Section
417.430

Application procedures.

Section
417.432

Conversion of enrollment.

Section
417.434

Reenrollment.

Section
417.436

Rules for enrollees.

Section
417.440

Entitlement to health care services from an HMO or CMP.

Section
417.442

Risk HMO's and CMP's: Conditions for provision of additional benefits.

Section
417.444

Special rules for certain enrollees of risk HMOs and CMPs.

Section
417.446

§ 417.446 [Reserved]

Section
417.448

Restriction on payments for services received by Medicare enrollees of risk HMOs or CMPs.

Section
417.450

Effective date of coverage.

Section
417.452

Liability of Medicare enrollees.

Section
417.454

Charges to Medicare enrollees.

Section
417.456

Refunds to Medicare enrollees.

Section
417.458

Recoupment of uncollected deductible and coinsurance amounts.

Section
417.460

Disenrollment of beneficiaries by an HMO or CMP.

Section
417.461

Disenrollment by the enrollee.

Section
417.464

End of CMS's liability for payment: Disenrollment of beneficiaries and termination or default of contract.