It can be a challenge to find relevant resources about regulation and oversight of health plans for Medicare beneficiaries. Here’s a place to start.
Medicare Part C – Medicare Advantage
REGULATIONS
- 2025 MA and Part D Final Rule – Initial Unpublished Release
- Medicare Advantage Program Regulations 42 C.F.R. Part 422 on e-CFR
CMS MANUAL
Medicare Part D Prescription Drug Plans
REGULATIONS
CMS MANUAL
Medicare Part C and D Audits and Enforcements
AUDITS
ENFORCEMENT
Medicare Supplement (Medigap)
- NAIC Model Rule for Regulation of Medicare Supplemental Plans in April 24, 2009 Federal Register Notice
- NAIC Senior Issues Task Force (See link on right of page for 2010 Medigap Changes and Implementation)
- North Carolina’s 2005 Incorporation by Reference of NAIC Model Rule for Medicare Supplemental Plans