Eligibility for Medicare. Note: Eligibility for Medicare may affect the tax deductibility of Health Savings Account contributions. Please contact the Health Savings Account trustee or administrator regarding questions about requirements for Health Savings Accounts. An individual shall be deemed eligible for Medicare when they have the option to receive Part A Medicare benefits. Medicare secondary payer regulations and guidelines will determine primary/secondary payer status for individuals covered by Medicare. A Member who is enrolled in Medicare has the option of continuing coverage under this EOC while on Medicare coverage. Coverage between this EOC and Medicare will be coordinated as outlined in Section IX. The Group is also responsible for providing KFHPWA with a prospective timely notice of Members’ ineligibility for Medicare Advantage coverage under the Group, as well as providing a prospective notice to its Members alerting them of the termination event. In the event the Group does not obtain Medicare Advantage coverage, the loss of Medicare drug coverage, other coverage options that may be available to the Member, and the possibility of late enrollment penalties if the Member does not apply for Medicare coverage within the required timeframe will also need to be provided.
Eligibility for Medicare. An individual shall be deemed eligible for Medicare when they have the option to receive Part A Medicare benefits. Medicare secondary payer regulations and guidelines will determine primary/secondary payer status for individuals covered by Medicare. A Member who is enrolled in Medicare has the option of continuing coverage under this EOC while on Medicare coverage. Coverage between this EOC and Medicare will be coordinated as outlined in Section IX. The Group is also responsible for providing KFHPWA with a prospective timely notice of Members’ ineligibility for Medicare Advantage coverage under the Group, as well as providing a prospective notice to its Members alerting them of the termination event. In the event the Group does not obtain Medicare Advantage coverage, the loss of Medicare drug coverage, other coverage options that may be available to the Member, and the possibility of late enrollment penalties if the Member does not apply for Medicare coverage within the required timeframe will also need to be provided.
Eligibility for Medicare. Individuals eligible for Medicare are not required to enroll in Medicare Parts A and B. An individual shall be deemed eligible for Medicare when he or she has the option to receive Part A Medicare benefits. Members who become eligible for Medicare benefits may continue coverage under the Agreement or may enroll in coverage with the KFHPWA Medicare Advantage Plan as follows:
Eligibility for Medicare. 6 Actual application for Medicare shall not be required for a finding that a 7 retiree is "eligible for Medicare" under “Subsection E" of this section.
Eligibility for Medicare. 18 Actual application for Medicare shall not be required for a finding that a retiree is 19 "eligible for Medicare" under “Subsection E" of this section.
Eligibility for Medicare. An individual shall be deemed eligible for Medicare when they have the option to receive Part A Medicare benefits. Medicare secondary payer regulations and guidelines will determine primary/secondary payer status for individuals covered by Medicare. A Member who is enrolled in Medicare has the option of continuing coverage under this EOC while on Medicare coverage. Coverage between this EOC and Medicare will be coordinated as outlined in Section IX.
Eligibility for Medicare. Under the Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA), actively employed Members and their spouses who are eligible for Medicare benefits must decide whether to choose the benefits of the Agreement or the Medicare program as their primary source of health care coverage. The Group is responsible for providing the Member with necessary information regarding TEFRA eligibility and the selection process. Members Residing Outside the GHC Medicare Advantage Service Area. Except as defined by federal regulations (i.e., TEFRA), if a Member or their spouse is or becomes eligible for Medicare, they must, effective the date that Medicare becomes the primary payer, enroll in and maintain both Medicare Parts A and B coverage. Failure to enroll in both Medicare Parts A and B, upon the effective date of eligibility, will result in termination of coverage under the Agreement. An individual shall be deemed eligible for Medicare when he/she has the option to receive Part A Medicare benefits. Medicare primary/secondary payer guidelines and regulations will determine primary/secondary payer status. Members Residing Inside the GHC Medicare Advantage Service Area. Except as defined by federal regulations, (i.e., TEFRA), if a Member or their spouse is or becomes eligible for Medicare, they must, effective the date that Medicare becomes the primary payer, enroll in and maintain both Medicare Parts A and B coverage and enroll in the GHC Medicare Advantage Plan. Failure to do so upon the effective date of Medicare eligibility will result in termination of coverage under the Agreement. An individual shall be deemed eligible for Medicare when he/she has the option to receive Part A Medicare benefits. All applicable provisions of the GHC Medicare Advantage Plan are fully set forth in the Medicare Endorsement(s) attached to the Agreement (if applicable).
Eligibility for Medicare. 15 Actual application for Medicare shall not be required for a finding that a 16 retiree is "eligible for Medicare" under subsection e of this section.
Eligibility for Medicare. An individual shall be deemed eligible for Medicare when he/she has the option to receive Part A Medicare benefits. Medicare Secondary Payer regulations and guidelines will determine primary/secondary payer status for individuals covered by Medicare.
Eligibility for Medicare. Note: Eligibility for Medicare may affect the tax deductibility of Health Savings Account contributions. Individuals eligible for Medicare are not required to enroll in Medicare Parts A and B. For purposes of this section, an individual shall be deemed eligible for Medicare when he or she has the option to receive Part A Medicare benefits. Members who become eligible for Medicare benefits may continue coverage under the Agreement or may enroll in coverage with the KFHPWA Medicare Advantage Plan as follows: