Which program is not regulated by CMS according to the source?

Which program is not regulated by CMS according to the source?

• A. Medicare Supplement plans
• B. Medicare Advantage
• C. Part D Prescription Drug
• D. Private Fee-for-Service Medicare

Answer: (A)

Medicare Supplement plans are not regulated by CMS. These Medigap policies are private plans sold by insurers to complement Original Medicare, and regulation happens at the state level through state insurance departments, covering things like consumer protections, plan standards, and premium rules. By contrast, Medicare Advantage and Part D prescription drug plans operate under CMS, with federal oversight that includes plan contracts, benefit design rules, formulary approval, and subsidies. Private Fee-for-Service Medicare is a type of Medicare Advantage plan and also falls under CMS regulation. So, the program not regulated by CMS is Medicare Supplement plans.

Medicare Supplement plans are not regulated by CMS. These Medigap policies are private plans sold by insurers to complement Original Medicare, and regulation happens at the state level through state insurance departments, covering things like consumer protections, plan standards, and premium rules. By contrast, Medicare Advantage and Part D prescription drug plans operate under CMS, with federal oversight that includes plan contracts, benefit design rules, formulary approval, and subsidies. Private Fee-for-Service Medicare is a type of Medicare Advantage plan and also falls under CMS regulation. So, the program not regulated by CMS is Medicare Supplement plans.