Common use of Medicare Primary Clause in Contracts

Medicare Primary. For those Members for whom Medicare is primary, Group or Group Providers shall bxxx Medicare as the primary payor for Medicare covered benefits. For such Members, Blue Shield shall pay a reduced Capitation as set forth in Exhibit C., and Group shall be financially responsible for all Capitated Professional Services (including those which are not Medicare benefits) which are Covered Services for said Members. In addition, neither Group nor Group Providers may charge or collect from such Members the Member’s Medicare coinsurance and deductible. The Medicare Primary Member, however, shall be responsible for his/her applicable Copayment set forth in the applicable Health Services Contract and Evidence of Coverage.

Medicare Primary. For those Members for whom Medicare is primary, Group or Group Providers shall bxxx xxxx Medicare as the primary payor payer for Medicare covered benefits. For such Members, Blue Shield shall pay a reduced Capitation as set forth in Exhibit C., and Group shall be financially responsible for all Capitated Professional Services (including those which are not Medicare benefits) which are Covered Services for said Members. In addition, neither Group nor Group Providers may charge or collect from such Members the Member’s Medicare coinsurance and deductible. The Medicare Primary Member, however, shall be responsible for his/her applicable Copayment Co-payment set forth in the applicable Health Services Contract and Evidence of Coverage.

Medicare Primary. For those Members for whom Medicare is primary, Group or Group Providers shall bxxx xxxx Medicare as the primary payor for Medicare covered benefits. For such Members, Blue Shield shall pay a reduced Capitation as set forth in Exhibit C., and Group shall be financially responsible for all Capitated Professional Services (including those which are not Medicare benefits) which are Covered Services for said Members. In addition, neither Group nor Group Providers may charge or collect from such Members the Member’s Medicare coinsurance and deductible. The Medicare Primary Member, however, shall be responsible for his/her applicable Copayment Co-payment set forth in the applicable Health Services Contract and Evidence of Coverage.

Medicare Primary. For those Members for whom Medicare is primary, Group or Group Providers shall bxxx xxxx Medicare as the primary payor for Medicare covered benefits. For such Members, Blue Shield shall pay a reduced Capitation as set forth in Exhibit C., and Group shall be financially responsible for all Capitated Professional Services (including those which are not Medicare benefits) which are Covered Services for said Members. In addition, neither Group nor Group Providers may charge or collect from such Members the Member’s Medicare coinsurance and deductible. The Medicare Primary Member, however, shall be responsible for his/her applicable Copayment set forth in the applicable Health Services Contract and Evidence of Coverage.

Medicare Primary. For those Members for whom Medicare is primary, Group or Group Providers shall bxxx xxxx Medicare as the primary payor for Medicare covered benefits. For such Members, Blue Shield shall pay pay. a reduced Capitation as set forth in Exhibit C., and Group shall be financially responsible for all Capitated Professional Services (including those which are not Medicare benefits) which are Covered Services for said Members. In addition, neither Group nor Group Providers may charge or collect from such Members the Member’s Medicare coinsurance and deductible. The Medicare Primary Member, however, shall be responsible for his/her applicable Copayment set forth in the applicable Health Services Contract and Evidence of Coverage.