COST SHARE REDUCTIONS. If the HMO receives notice from the Marketplace that a Member is eligible for Cost Share Reductions and the Member is enrolled in a silver level QHP, the HMO will assign the Member to the applicable Silver Plan variation as directed by the Marketplace. The Agreement provided to the Member by the HMO will reflect the reduced Cost Sharing Amounts which are the responsibility of the Member. During the application process, the Marketplace will determine if an individual is an Indian who meets income criteria for government payment of all Cost Sharing. If the HMO receives notice from the Marketplace that a Member is eligible for elimination of all Cost Sharing, the HMO will assign the Member to a plan under which the Member has no responsibility for any Cost Sharing Amounts.
Appears in 5 contracts
Samples: Hmo Subscriber Agreement, Hmo Subscriber Agreement, Hmo Subscriber Agreement
