Long-Term Care

CMS issues new guidance for Medicare Advantage and Part D plans

Contemporary Long-Term Care Weekly, April 2, 2009


CMS will require Medicare Advantage and Medicare Part D prescription drug plan organizations to give beneficiaries more information about what their plans cover, according to a CMS press release issued Monday.

The agency asked Medicare Advantage organizations to eliminate multiple plans with few distinguishing characteristics to avoid confusing consumers. Part D plan sponsors will be required to give beneficiaries information about the gap or “doughnut hole” in prescription drug coverage at www.medicare.gov later this fall.

 The requirements were described in a CMS call letter issued to organizations that intend to offer Medicare Advantage and Part D plans in 2010. CMS also plans to take steps to protect sicker Medicare Advantage enrollees from discriminatory out-of-pocket charges, according to the press release.

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