Common use of Medicare Election (Partnership and PACE Only Clause in Contracts

Medicare Election (Partnership and PACE Only. a. To enroll in Partnership, a prospective member who is eligible for Medicare must: i. Enroll in and remain enrolled in all parts of Medicare for which the prospective member is eligible (Medicare Part A, Part B and/or Part D); ii. Enroll in the MCO’s Special Needs Plan if the member is eligible; and iii. Obtain all Medicare Part A, Part B and Part D benefits, if eligible, from the MCO’s Special Needs Plan. b. To enroll in PACE, a prospective member must: i. Enroll in and remain enrolled in all parts of Medicare for which the prospective member is eligible (Medicare Part A, Part B and/or Part D); ii. Enroll in the MCO’s PACE Plan; and iii. Obtain all Medicare Part A, Part B and Part D benefits, if eligible, from the MCO’s PACE Plan. c. If a PACE or Partnership member becomes Medicare-eligible after enrollment, the member must enroll in all parts of Medicare for which the member is eligible and must enroll in the MCO’s Special Needs or PACE Plan.

Appears in 10 contracts

Samples: Contract, Contract, Contract

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