Which plans are considered federally regulated insurance plans?

Which plans are considered federally regulated insurance plans?

• A. Private employer plans and state-run plans
• B. Federal Employee benefit plans, TRICARE, Medicare
• C. Only Medicaid
• D. Plans available under federally-run exchanges

Answer: (B)

Federally regulated plans are those overseen and funded directly by the federal government. Medicare, TRICARE, and the Federal Employees Health Benefits Program fit this because they are administered by federal agencies or under federal rules: Medicare is run nationwide by the federal government through CMS; TRICARE serves military members and their families under the Department of Defense; and FEHB covers federal employees and retirees under federal oversight with contracts to private carriers. Private employer plans are arranged by employers and mostly regulated at the state or market level, Medicaid is a federal-state program with administration primarily by the states under federal guidelines, and plans on federally run exchanges are private plans offered through those exchanges under federal law but are not themselves directly run as federal programs.

Federally regulated plans are those overseen and funded directly by the federal government. Medicare, TRICARE, and the Federal Employees Health Benefits Program fit this because they are administered by federal agencies or under federal rules: Medicare is run nationwide by the federal government through CMS; TRICARE serves military members and their families under the Department of Defense; and FEHB covers federal employees and retirees under federal oversight with contracts to private carriers. Private employer plans are arranged by employers and mostly regulated at the state or market level, Medicaid is a federal-state program with administration primarily by the states under federal guidelines, and plans on federally run exchanges are private plans offered through those exchanges under federal law but are not themselves directly run as federal programs.