S.D. Admin. R. 20:06:13:78

Current through Register Vol. 51, page 57, November 12, 2024

Section 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.

S.D. Admin. R. 20:06:13:78

25 SDR 44, effective 9/30/1998; 26 SDR 26, effective 9/1/1999; 31 SDR 214, effective 7/6/2005.

General Authority: SDCL 58-17A-2(9).

Law Implemented: SDCL 58-17A-2(9).