Common use of Medicare Payments Clause in Contracts

Medicare Payments. Payments owed by Members or Employer Group under this Agreement are based on the assumption that Plan and Plan Providers, or their designees, will receive Medicare payments for Medicare- covered services provided to Members eligible for benefits under Part A of Medicare, Part B of Medicare, or both, as applicable. Members may become eligible for Medicare benefits due to age, disability or end-stage renal disease. Each such eligible Member must complete any document, and take any action, necessary: (a) to enroll in all Parts of Medicare for which he or she is eligible and continue that enrollment while a Member; and (b) to permit Plan and Plan Providers, or their designees, to obtain Medicare payments for Medicare-covered services provided to the Member. Any Member who fails to do either of the above within 30 days of written notice from Plan specifying the action to be taken shall lose eligibility for coverage under Plan, unless it was not reasonably possible for such Member to take the action specified by Plan within such 30 day period and the Member takes the specified action as soon as reasonably practicable after expiration of such 30 day period.

Medicare Payments. Payments owed by Members or Employer Group under this Agreement are based on the assumption that Plan and Plan Providers, or their designees, will receive Medicare payments for Medicare- Medicare-covered services provided to Members eligible for benefits under Part A of Medicare, Part B of Medicare, or both, as applicable. Members may become eligible for Medicare benefits due to age, disability or end-stage renal disease. Each such eligible Member must complete any document, and take any action, necessary: (a) to enroll in all Parts of Medicare for which he or she is eligible and continue that enrollment while a Member; and (b) to permit Plan and Plan Providers, or their designees, to obtain Medicare payments for Medicare-covered services provided to the Member. Any Member who fails to do either of the above within 30 days of written notice from Plan specifying the action to be taken shall lose eligibility for coverage under Plan, unless it was not reasonably possible for such Member to take the action specified by Plan within such 30 day period and the Member takes the specified action as soon as reasonably practicable after expiration of such 30 day period.