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MLN8659122 - Original Medicare vs. Medicare Advantage

This new Product comprises Subregulatory Guidance for Original Medicare vs Medicare Advantage, and its content is based on publicly available content within,,,,,, and CMS policy or operation subject matter experts also reviewed/cleared this product. This product educates providers on how original Medicare differs from Medicare Advantage, basic types of Medicare Advantage plans, claims processing, grievances, and appeals.

Download the Guidance Document


Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: December 21, 2021

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.