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Rule CG-CMS-110

Offers and pricing: what rule CG-CMS-110 checks

Rule CG-CMS-110 is one of the checker's offers and pricing rules. It cites 42 CFR 422.2263, 42 CFR 422.2263(b)(10). The reason, source and safer wording are below.

  1. CG-CMS-110 · Warns · Citation checked against stored text

    Medicare Advantage marketing may not state savings based on a comparison with the typical costs of uninsured people, the unpaid costs of dual-eligible beneficiaries, or other costs the beneficiary never actually bears.

    Source: 42 CFR 422.2263(b)(10)

    Safer wording: Show savings only against what the person would really pay under another actual option, such as Original Medicare cost sharing, and state the assumptions.

    42 CFR 422.2263, 42 CFR 422.2263(b)(10) · Needs counsel review

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