Page:United States Statutes at Large Volume 111 Part 1.djvu/333

 PUBLIC LAW 105-33—AUG. 5, 1997 111 STAT. 309 "(A) BASIC (AND ADDITIONAL) BENEFITS.— For benefits described in 1852(a)(1)(A)— "(i) the adjusted community rate (as defined in subsection (f)(3)); "(ii) the amount of the Medicare+Choice monthly basic beneficiary premium; "(iii) a description of the deductibles, coinsurance, and copayments applicable under the plan, and the actuarial value of such deductibles, coinsurance, and copayments, as described in subsection (e)(4)(A); and "(iv) if required under subsection (f)(1), a description of the additional benefits to be provided pursuant to such subsection and the value determined for such proposed benefits under such subsection. "(B) SUPPLEMENTAL BENEFITS.— For benefits described in 1852(a)(3), the amount of the Medicare+Choice monthly supplemental beneficiary premium (as defined in subsection (b)(2)(B)). "(5) REVIEW. — "(A) IN GENERAL.— Subject to subparagraph (B), the Secretary shall review the adjusted community rates, the amounts of the basic and supplemental premiums, and values filed under this subsection and shall approve or disapprove such rates, amounts, and value so submitted. "(B) EXCEPTION.— The Secretary shall not review, approve, or disapprove the amounts submitted under paragraph (3) or subparagraphs (A)(ii) and (B) of paragraph (4). "(b) MONTHLY PREMIUM CHARGED.— " (1) IN GENERAL.— "(A) RULE FOR OTHER THAN MSA PLANS.— The monthly amount of the premium charged to an individual enrolled in a Medicare+Choice plan (other than an MSA plan) offered by a Medicare+Choice organization shall be equal to the sum of the Medicare+Choice monthly basic beneficiary premium and the Medicare+Choice monthly supplementary beneficiary premium (if any). "(B) MSA PLANS.— The monthly amount of the premium charged to an individual enrolled in an MSA plan offered by a Medicare+Choice organization shall be equal to the Medicare+Choice monthly supplemental beneficiary premium (if any). "(2) PREMIUM TERMINOLOGY DEFINED. —For purposes of this part: "(A) THE MEDICARE+CHOICE MONTHLY BASIC BENE- FICIARY PREMIUM.— The term 'Medicare+Choice monthly basic beneficiary premium' means, with respect to a Medicare+Choice plan, the amount authorized to be charged under subsection (e)(1) for the plan, or, in the case of a Medicare+Choice private fee-for-service plan, the amount filed under subsection (a)(4)(A)(ii). "(B) MEDICARE+CHOICE MONTHLY SUPPLEMENTAL BENE- FICIARY PREMIUM.— The term 'Medicare+Choice monthly supplemental beneficiary premium' means, with respect to a Medicare+Choice plan, the amount authorized to be charged under subsection (e)(2) for the plan or, in the case of a MSA plan or Medicare+Choice private fee-for-

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