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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.

          Source: 25 SDR 44, effective September 30, 1998; 26 SDR 26, effective September 1, 1999; 31 SDR 214, effective July 6, 2005.

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

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


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