Medicare program; recognition of NAIC model standards for regulation of Medicare supplemental insurance--HCFA. Notice.
This notice describes changes made by the Balanced Budget Act of 1997 to section 1882 of the Social Security Act, which governs Medicare supplemental insurance. It also recognizes that the Model Regulation adopted by the National Association of Insurance Commissioners (NAIC) on April 29, 1998, as corrected and clarified by HCFA, is considered to be the applicable NAIC Model Regulation for purposes of section 1882 of the Social Security Act. The changes made by HCFA (1) correct a drafting error in section 12.B(2) of the Model that is inconsistent with Federal law, and (2) add a clarification that copayments for hospital outpatient department services under Part B of Medicare must be covered under the "core benefits" of a Medicare supplemental insurance policy in the same manner as coinsurance for those services. Finally, this notice prints as an addendum the full text of the NAIC Model Regulation, as corrected and clarified by HCFA.
D000368:Aged; D017047:Cost Sharing / Q000331:legislation & jurisprudence*; D003669:Deductibles and Coinsurance / Q000331:legislation & jurisprudence*; D006801:Humans; D016345:Medicare Part B / Q000331:legislation & jurisprudence* / Q000592:standards; D020398:Medicare Part C / Q000331:legislation & jurisprudence; D010044:Outpatient Clinics, Hospital / Q000191:economics*; D014481:United States