42 U.S.C. § 1395ss–1 — Clarification
submitted 18 years ago by Pub. L. 110-275 to r/title-42-THE-PUBLIC-HEALTH-AND-WELFARE · 98 words · no verdicts yet
A health insurance policy must follow section 1882(o) of the Social Security Act if it reimburses expenses for items or services that Medicare may pay for, but Medicare Advantage limits such payment through deductibles, coinsurance, copayments, or other limits. This rule applies to Medicare Advantage plans, including private fee-for-service plans.
Any health insurance policy that provides reimbursement for expenses incurred for items and services for which payment may be made under title XVIII of the Social Security Act [42 U.S.C. 1395 et seq.] but which are not reimbursable by reason of the applicability of deductibles, coinsurance, copayments or other limitations imposed by a Medicare Advantage plan (including a Medicare Advantage private fee-for-service plan) under part C of such title [42 U.S.C. 1395w–21 et seq.] shall comply with the requirements of section 1882(o) of the such 1 Act (42 U.S.C. 1395ss(o)).
Source credit: (Pub. L. 110–275, title I, § 104(c), July 15, 2008, 122 Stat. 2502.)
- 2008Enacted · Pub. L. 110-275 · 122 Stat. 2502
A history note hasn’t been published yet. The record shows enactment by Pub. L. 110-275 on 2008-07-15.
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