Common use of Cost-Sharing Reductions Clause in Contracts

Cost-Sharing Reductions. Carrier shall reduce an eligible enrollee’s cost-sharing according to the standard Cost-Sharing Reductions created for the standard silver QHP as described in Appendix 2: Marketplace Guidelines for Standard Plan Cost-Sharing Reductions. Carrier shall file Cost-Sharing variations for each of the following: 3.6.1 Silver QHP variations as described in 45 CFR 156.420; 3.6.2 Zero Cost-Sharing for American Indians/Alaska Natives with household incomes at or below 300% of the federal poverty level; and 3.6.3 Zero Cost-Sharing for items or services furnished directly by the Indian Health Service, an Indian Tribe, a Tribal organization, or an Urban Indian organization or through referral by an Indian Health Service health care provider to an in-network or out-of-network provider for American Indians/Alaska Natives with household incomes above 300% of the federal poverty level.

Appears in 2 contracts

Samples: Qualified Health Plan Carrier Contract, Medical Carrier Contract

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Cost-Sharing Reductions. Carrier shall reduce an eligible enrolleeEnrollee’s cost-sharing according to the standard Cost-Sharing Reductions created for the standard silver QHP as described in Appendix 2: Marketplace Guidelines for Standard Plan Cost-Sharing Reductions. Carrier shall file Cost-Sharing variations for each of the following: 3.6.1 : Silver QHP variations as described in 45 CFR 156.420; 3.6.2 ; Zero Cost-Sharing for American Indians/Alaska Natives with household incomes at or below 300% of the federal poverty level; and 3.6.3 and Zero Cost-Sharing for items or services furnished directly by the Indian Health Service, an Indian Tribe, a Tribal organization, or an Urban Indian organization or through referral by an Indian Health Service health care provider to an in-network or out-of-network provider for American Indians/Alaska Natives with household incomes above 300% of the federal poverty level.

Appears in 1 contract

Samples: Qualified Health Plan Carrier Contract

Cost-Sharing Reductions. Carrier shall reduce an eligible enrollee’s cost-cost- sharing according to the standard Cost-Sharing Reductions created for the standard silver QHP as described in Appendix 21: Marketplace Guidelines for Standard Plan Cost-Cost Sharing Reductions. Carrier shall file Cost-Sharing variations for each of the following: 3.6.1 3.7.1 Silver QHP variations as described in 45 CFR 156.420; 3.6.2 3.7.2 Zero Cost-Sharing for American Indians/Alaska Natives with household incomes at or below 300% of the federal poverty level; and 3.6.3 3.7.3 Zero Cost-Sharing for items or services furnished directly by the Indian Health Service, an Indian Tribe, a Tribal organization, or an Urban Indian organization or through referral by an Indian Health Service under contract health care provider to an in-network or out-of-network provider services for American Indians/Alaska Natives with household incomes above 300% of the federal poverty level.

Appears in 1 contract

Samples: Medical Carrier Contract

Cost-Sharing Reductions. Carrier shall reduce an eligible enrolleeEnrollee’s cost-sharing according to the standard Cost-Sharing Reductions created for the standard silver QHP as described in Appendix 2: Marketplace Guidelines for Standard Plan Cost-Sharing Reductions. Carrier shall file Cost-Sharing variations for each of the following: 3.6.1 Silver QHP variations as described in 45 CFR 156.420; 3.6.2 Zero Cost-Sharing for American Indians/Alaska Natives with household incomes at or below 300% of the federal poverty level; and 3.6.3 Zero Cost-Sharing for items or services furnished directly by the Indian Health Service, an Indian Tribe, a Tribal organization, or an Urban Indian organization or through referral by an Indian Health Service health care provider to an in-network or out-of-network provider for American Indians/Alaska Natives with household incomes above 300% of the federal poverty level.

Appears in 1 contract

Samples: Qualified Health Plan Carrier Contract

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Cost-Sharing Reductions. Carrier shall reduce an eligible enrollee’s cost-sharing according to the standard Cost-Sharing Reductions created for the standard silver QHP as described in Appendix 2: Marketplace Guidelines for Standard Plan Cost-Sharing Reductions. Carrier shall file Cost-Sharing variations for each of the following: 3.6.1 Silver QHP variations as described in 45 CFR 156.420; 3.6.2 Zero Cost-Sharing for American Indians/Alaska Natives with household incomes at or below 300% of the federal poverty level; and 3.6.3 Zero Cost-Sharing for items or services furnished directly by the Indian Health Service, an Indian Tribe, a Tribal organization, or an Urban Indian organization or through referral by an Indian Health Service health care provider to an in-network or out-of-network provider for American Indians/Alaska Natives with household incomes above 300% of the federal poverty level.American

Appears in 1 contract

Samples: Medical Carrier Contract

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