CMS-R-262 #19 VBID/MA Uniformity Flexibility/SSBCI

The Plan Benefit Package (PBP) and Formulary Submission for Advantage (MA) Plans and Prescription Drug Plans (PDPs) (CMS-R-262)

Appendix_C_PBP2021_Screenshots-SectionB-VBID-UF-SSBCI-2019-12-09

CY2021 Plan Benefit Package (PBP) Software and Formulary Submission (CMS-R-262)

OMB: 0938-0763

Document [pdf]
Download: pdf | pdf
#19 VBID/MA Uniformity Flexibility/SSBCI

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#19 VBID Wellness and Health Care Planning

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#19 VBID Part C Rewards and Incentives # 1

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#19a Reduction in Costs VBID/UF/SSBCI

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#19a Reduced Cost Sharing for VBID/UF/SSBCI – Base 15 (Reduced Specialist Coinsurance)

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#19a Reduced Cost Sharing for VBID/UF/SSBCI – Base 16 (Reduced Specialist Deductible)

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#19a Reduced Cost Sharing for VBID/UF/SSBCI – Base 18 (Retroactive Reimbursement)

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#19b Additional Benefits for VBID/UF/SSBCI – Package Type

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#19b Additional Benefits for VBID/UF/SSBCI – MMP Benefits

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#19c VBID Hospice- Base 1

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VBID/UF/SSBCI 19B #4c Worldwide Emergency/Urgent Coverage – Base 1

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VBID/UF/SSBCI 19B #7f Podiatry Services – Base 1

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VBID/UF/SSBCI 19B #9d Outpatient Blood Services – Base 1

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File Typeapplication/pdf
File TitleCY 2021 PBP Data Entry System Screens
AuthorSoftrams
File Modified2019-12-09
File Created2019-12-09

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