Rule 20:06:13:78 Medicare Advantage plan.
20:06:13:78. Medicare Advantage plan.
For purposes of this chapter, Medicare Advantage plan means a plan of coverage
for health benefits under Medicare Part C as defined in 42 U.S.C.
1395w-28(b)(1), as in effect on January 1, 2004, and includes:
(1) Coordinated care plans
which provide health care services, including health maintenance organization
plans, with or without a point-of-service option, plans offered by
provider-sponsored organizations, and preferred provider organization plans;
(2) Medicare medical
savings account plans coupled with a contribution into a Medicare Advantage
medical savings account; and
(3) Medicare Advantage
private fee-for-service plans.
25 SDR 44, effective September 30, 1998; 26 SDR 26, effective September 1,
1999; 31 SDR 214, effective July 6, 2005.
Authority: SDCL 58-17A-2(9).
Implemented: SDCL 58-17A-2(9).
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