Subpart C—Benefits and Beneficiary Protections
- §422.100 General requirements.
- §422.101 Requirements relating to basic benefits.
- §422.102 Supplemental benefits.
- §422.103 Benefits under an MA MSA plan.
- §422.104 Special rules on supplemental benefits for MA MSA plans.
- §422.105 Special rules for self-referral and point of service option.
- §422.106 Coordination of benefits with employer or union group health plans and Medicaid.
- §422.107 Requirements for dual eligible special needs plans.
- §422.108 Medicare secondary payer (MSP) procedures.
- §422.109 Effect of national coverage determinations (NCDs) and legislative changes in benefits; coverage of clinical trials and A and B device trials.
- §422.110 Discrimination against beneficiaries prohibited.
- §422.111 Disclosure requirements.
- §422.112 Access to services.
- §422.113 Special rules for ambulance services, emergency and urgently needed services, and maintenance and post-stabilization care services.
- §422.114 Access to services under an MA private fee-for-service plan.
- §422.116 Network adequacy.
- §422.118 Confidentiality and accuracy of enrollee records.
- §422.119 Access to and exchange of health data and plan information.
- §422.120 Access to published provider directory information.
- §422.128 Information on advance directives.
- §422.132 Protection against liability and loss of benefits.
- §422.133 Return to home skilled nursing facility.
- §422.134 Reward and incentive programs.
- §422.135 Additional telehealth benefits.
- §422.136 Medicare Advantage (MA) and step therapy for Part B drugs.
- §422.137 Medicare Advantage Utilization Management Committee.
- §422.138 Prior authorization.