U.S Code last checked for updates: Nov 22, 2024
All TitlesTitle 42Chapter 7Subchapter XVIIIPart DSubpart 5
§ 1395w–151.
Definitions; treatment of references to provisions in part C
(a)
Definitions
For purposes of this part:
(1)
Basic prescription drug coverage
(2)
Covered part D drug
(3)
Creditable prescription drug coverage
(4)
Part D eligible individual
(5)
Fallback prescription drug plan
(6)
Initial coverage limit
(7)
Insurance risk
(8)
MA plan
(9)
MA–PD plan
(10)
Medicare Prescription Drug Account
(11)
PDP approved bid
(12)
PDP region
(13)
PDP sponsor
(14)
Prescription drug plan
The term “prescription drug plan” means prescription drug coverage that is offered—
(A)
under a policy, contract, or plan that has been approved under section 1395w–111(e) of this title; and
(B)
by a PDP sponsor pursuant to, and in accordance with, a contract between the Secretary and the sponsor under section 1395w–112(b) of this title.
(15)
Qualified prescription drug coverage
(16)
Standard prescription drug coverage
(17)
State Pharmaceutical Assistance Program
(18)
Subsidy eligible individual
(b)
Application of part C provisions under this part
For purposes of applying provisions of part C under this part with respect to a prescription drug plan and a PDP sponsor, unless otherwise provided in this part such provisions shall be applied as if—
(1)
any reference to an MA plan included a reference to a prescription drug plan;
(2)
any reference to an MA organization or a provider-sponsored organization included a reference to a PDP sponsor;
(3)
any reference to a contract under section 1395w–27 of this title included a reference to a contract under section 1395w–112(b) of this title;
(4)
any reference to part C included a reference to this part; and
(5)
any reference to an election period under section 1395w–21 of this title were a reference to an enrollment period under section 1395w–101 of this title.
(Aug. 14, 1935, ch. 531, title XVIII, § 1860D–41, as added Pub. L. 108–173, title I, § 101(a)(2), Dec. 8, 2003, 117 Stat. 2148; amended Pub. L. 117–169, title I, § 11201(e)(6), Aug. 16, 2022, 136 Stat. 1892.)
cite as: 42 USC 1395w-151
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