Common use of Medicare And Other Federal Or State Government Programs Clause in Contracts

Medicare And Other Federal Or State Government Programs. The provisions of this section will apply to the maximum extent permitted by federal or state law. HMO will not reduce the benefits due any Member due to that Member's eligibility for Medicare where federal law requires that HMO determine its benefits for that Member without regard to the benefits available under Medicare. The coverage under this Certificate is not intended to duplicate any benefits for which Members are, or could be, eligible for under Medicare or any other federal or state government programs (such as Workers' Compensation). All sums payable under such programs for services provided pursuant to this Certificate shall be payable to and retained by HMO. Each Member shall complete and submit to HMO such consents, releases, assignments and other documents as may be requested by HMO in order to obtain or assure reimbursement under Medicare or any other government programs for which Members are eligible. A Member is eligible for Medicare any time the Member is covered under it. Members are considered to be eligible for Medicare or other government programs if they:

Appears in 6 contracts

Samples: Aetna Health, Aetna Health, Group Agreement

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Medicare And Other Federal Or State Government Programs. The provisions of this section will apply to the maximum extent permitted by federal or state law. HMO will not reduce the benefits due any Member due to that Member's eligibility for Medicare where federal law requires that HMO determine its benefits for that Member without regard to the benefits available under Medicare. The coverage under this Certificate is not intended to duplicate any benefits for which Members are, or could be, eligible for under Medicare or any other federal or state government programs (such as Workers' Compensation). All sums payable under such programs for services provided pursuant to this Certificate shall be payable to and retained by HMO. Each Member shall complete and submit to HMO such consents, releases, assignments and other documents as may be requested by HMO in order to obtain or assure reimbursement under Medicare or any other government programs for which Members are eligible. A Member is eligible for Medicare any time the Member is covered under it. Members are considered to be eligible for Medicare or other government programs if they:

Appears in 2 contracts

Samples: Group Agreement, Group Agreement

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Medicare And Other Federal Or State Government Programs. The provisions of this section will apply to the maximum extent permitted by federal or state law. HMO will not reduce the benefits due any Member due to that Member's eligibility for Medicare where federal law requires that HMO determine determines its benefits for that Member without regard to the benefits available under Medicare. The coverage under this Certificate is not intended to duplicate any benefits for which Members are, or could be, eligible for under Medicare or any other federal or state government programs (such as Workers' Compensation). All sums payable under such programs for services provided pursuant to this Certificate shall be payable to and retained by HMO. Each Member shall complete and submit to HMO such consents, releases, assignments and other documents as may be requested by HMO in order to obtain or assure reimbursement under Medicare or any other government programs for which Members are eligible. A Member is eligible for Medicare any time the Member is covered under it. Members are considered to be eligible for Medicare or other government programs if they:

Appears in 1 contract

Samples: Group Agreement

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