A Medicare SELECT policy does all of the following EXCEPT
A Provide payment for full coverage
under the policy for covered services not available through network providers.
B Provide for continuation of
coverage in the event that Medicare SELECT policies are discontinued due to the
failure of the Medicare SELECT program.
Prohibit payment for regularly covered services if provided by non-network
D Make full and fair disclosure in
writing of the provisions, restrictions, and limitations of the Medicare select
policy to each applicant.
- Medicare SELECT policy issued in this state must not restrict payment for
- covered services provided by non-network providers if the services are for
- symptoms requiring emergency care and it is not reasonable to obtain such
- services through a network provider.