Effect of Medicare. Medicare primary/secondary payer guidelines and regulations will determine primary/secondary payer status, and will be adjudicated by KFHPWA as set forth in this section. KFHPWA will pay primary to Medicare when required by federal law. When Medicare, Part A and Part B or Part C are primary, Medicare's allowable amount is the highest allowable expense. When a Network Provider renders care to a Member who is eligible for Medicare benefits, and Medicare is deemed to be the primary xxxx xxxxx under Medicare secondary payer guidelines and regulations, KFHPWA will seek Medicare reimbursement for all Medicare covered services.
Appears in 33 contracts
Samples: Group Medical Coverage Agreement, Group Medical Coverage Agreement, Group Medical Coverage Agreement
Effect of Medicare. β Medicare primary/secondary payer guidelines and regulations will determine primary/secondary payer status, and will be adjudicated by KFHPWA as set forth in this section. KFHPWA will pay primary to Medicare when required by federal law. When Medicare, Part A and Part B or Part C are primary, Medicare's allowable amount is the highest allowable expense. When a Network Provider renders care to a Member who is eligible for Medicare benefits, and Medicare is deemed to be the primary xxxx xxxxx under Medicare secondary payer guidelines and regulations, KFHPWA will seek Medicare reimbursement for all Medicare covered services.
Appears in 6 contracts
Samples: Individual & Family Medical Coverage Agreement, Individual & Family Medical Coverage Agreement, Individual & Family Medical Coverage Agreement
Effect of Medicare. Medicare primary/secondary payer guidelines and regulations will determine primary/secondary payer status, status and will be adjudicated by KFHPWA as set forth in this section. KFHPWA will pay primary to Medicare when required by federal law. When Medicare, Part A and Part B or Part C are primary, Medicare's allowable amount is the highest allowable expense. When a Network Provider renders care to a Member who is eligible for Medicare benefits, and Medicare is deemed to be the primary xxxx xxxxx under Medicare secondary payer guidelines and regulations, KFHPWA will seek Medicare reimbursement for all Medicare covered services.
Appears in 2 contracts
Samples: Group Medical Coverage Agreement, Group Medical Coverage Agreement
Effect of Medicare. β Medicare primary/secondary payer guidelines and regulations will determine primary/secondary payer status, and will be adjudicated by KFHPWA as set forth in this section. KFHPWA will pay primary to Medicare when required by federal law. When Medicare, Part A and Part B or Part C are primary, Medicare's allowable amount is the highest allowable expense. When a Network Provider renders care to a Member who is eligible for Medicare benefits, and Medicare is deemed to be the primary xxxx xxxxx under Medicare secondary payer guidelines and regulations, KFHPWA will seek Medicare reimbursement for all Medicare covered services.. DRAFT
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