Discrimination Against Beneficiaries Prohibited

Except as provided in the following paragraph, an MA organization may not deny, limit or condition the coverage or furnishing of benefits to individuals eligible to enroll in an MA plan offered by the organization on the basis of any factor that is related to health status, including, but not limited to the following:

  • Medical condition, including mental as well as physical illness
  • Claims experience
  • Receipt of health care
  • Medical history
  • Genetic information
  • Evidence of insurability, including conditions arising out of acts of domestic violence
  • Disability