Medicare Eligibility Sample Clauses
The Medicare Eligibility clause defines the criteria under which an individual qualifies for Medicare coverage. Typically, this clause outlines age requirements, such as eligibility beginning at age 65, and may also address eligibility for those with certain disabilities or medical conditions. By clearly specifying who is eligible and under what circumstances, the clause ensures that both parties understand when Medicare benefits can be accessed, thereby preventing confusion and disputes regarding coverage.
Medicare Eligibility. This provision applies to Members who are entitled to Part A and/or Part B of Medicare. A Member will not be terminated as a result of reaching the age of sixty-five (65) or becoming eligible for Medicare. Benefits not covered by Medicare will be provided as described in the Agreement. Benefits covered by Medicare are subject to the provisions in this section.
Medicare Eligibility. When active employees and/or their spouses turn 65 years of age, they must choose between Medicare and their current health care coverage as their primary health insurance.
Medicare Eligibility. The person receiving continuation coverage becomes eligible for Medicare.
Medicare Eligibility. If amounts you are receiving under this Agreement are for Medicare-paid medical expenses, the government may require you to reimburse Medicare, which you promise to do as required by law. Because of this, the Company must report all settlements with Medicare-eligible employees to the government, which you promise to assist the Company to do if it requests your assistance, e.g., by providing the Company with information needed for reporting. The Company may delay paying you the Settlement Payment under this Agreement until you provide the reporting assistance it reasonably requests. You hereby represent that (initial one): You are not Medicare-eligible. You are Medicare-eligible but have never enrolled in Medicare. You have enrolled in Medicare and your Medicare claim number is____________________________ (You can determine your Medicare eligibility status by going to the following website: ▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇.▇▇▇/eligibilitypremiumcalc/.) If you violate any promise in this provision or if any of your representations in it are false, you agree to hold the Company and all Released Parties harmless from any Medicare-related liability, reporting penalties, and defense costs.
Medicare Eligibility. For purposes of this Agreement, an individual is considered eligible for Medicare when he becomes eligible for Medicare Part A due to age; eligibility based upon disability or end stage renal disease will not be considered. An individual need not be enrolled in or covered by Medicare to be considered “eligible.”
A. Medical Insurance
Medicare Eligibility. Commencing on their 65th birthday, unit members who retire from the College (and covered spouses) are required to utilize Medicare Part B in conjunction with a Medicare Advantage Plan that provides a level of benefit as close as possible to the College’s plan for which they would be eligible if the retiree and/or spouse was not yet 65. Except as provided in Article 13.1(b)(4), if a member (and/or covered spouse) moves out of the coverage area of the Medicare Advantage Plan provided under this Section, the College will provide an out-of-area Medicare Advantage Plan which provides benefits that are comparable (meaning as close as possible) on an overall basis to the coverage that would otherwise be provided under this Article. In the event Medicare Advantage Plans are not available, the college will provide a replacement plan that provides a level of benefit that is comparable (meaning as close as possible) on an overall basis to the coverage that would otherwise be provided under this article.
Medicare Eligibility. Upon reaching the age of Medicare eligibility, the retiree must apply for Medicare as required by CalPERS.
1. Eligible for Medicare
Medicare Eligibility. Medicare eligible retirees continue to be responsible for any cost associated with enrollment in Medicare Parts A and/or B.
Medicare Eligibility. When the retiree reaches the age where he/she is eligible for Medicare, the District will pay the equivalent percentage, as based on years of service, of the premium for Supplemental Medicare Insurance [Medi-Gap] coverage. This benefit applies to the single or two person plans only.
25.3.4.1. In the event one or more covered persons on the retired member’s plan become eligible for Medicare, those persons will be switched to the Medicare and/or Medicare Supplemental insurance plan. The remaining covered persons shall continue to receive medical insurance benefits, at the same rate and contributory percentage as defined above, as long as they remain eligible for such coverage.
Medicare Eligibility. 7.1. Each Plaintiff or Claimant who elects to participate in the Settlement Program shall submit to Lead Defense Counsel full and complete responses to the questions set forth in Schedule C hereto within thirty (30) days of the Notification Date. No Settlement Funds may be distributed to any Plaintiff or Claimant who has not complied with this requirement.
