Services Covered by Medicare Sample Clauses

Services Covered by Medicare. The Facility will consult with the Resident and Designated Representative regarding Medicare’s eligibility requirements and services included as basic services under Medicare. The Facility will work with the Resident and/or the Designated Representative to obtain reimbursement for its services under Medicare for any resident who is covered for services by Medicare and receives services eligible for reimbursement under Medicare. The Facility will not require, request, or accept a deposit or other payment for services covered by Medicare. The Facility will not request or accept any advance deposits or other payment for Medicare deductibles and co-insurance amounts. Such payments may be requested by the Facility on or after the day to which it applies.
Sample 1
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Services Covered by Medicare. For services provided to the Blue Plan65 Select Member that are covered by Medicare, for which the Blue Plan65 Select Member has Medicare benefits, Hospital will accept as total reimbursement the Medicare allowable reimbursement less the Blue Plan65 Select Member's copayment, coinsurance and deductible amounts, but not less than ninety percent (90%) of the total Medicare allowable reimbursement for each Blue Plan65 Select Member admission. If Medicare pays an amount that is less than ninety percent (90%) of the Medicare allowable, then The Plan agrees to pay an amount necessary to bring the total reimbursement up to ninety percent (90%) of the Medicare allowable.
Sample 1
Services Covered by Medicare. For services provided to the Blue Plan65 Select Member that are covered by Medicare, for which the Blue Plan65 Select Member has Medicare benefits, Hospital will accept Medicare’s allowed reimbursement as full reimbursement. Amounts allowed by Medicare for services that are ordinarily the responsibility of the Blue Plan65 Select Member will be paid by The Plan, up to the limits of the Member’s Blue Plan65 Select Benefit Agreement.
Sample 1

Related to Services Covered by Medicare

  • Services Covered 58.1 To the extent required by Applicable Law and subject to the terms and conditions of this Agreement, CLEC will interconnect its network with CenturyLink’s network for the transmission, routing and termination of Local Traffic, ISP-Bound Traffic, IntraLATA LEC Toll Traffic, Local and Toll VoIP- PSTN Traffic, Transit Traffic and Jointly Provided Switched Access Service Traffic. This Agreement is intended only for traffic consisting of wireline to wireline communications, not for Mobile Wireless Service traffic, and neither Party will route Mobile Wireless Service traffic to the other Party (other than Transit Traffic) without first executing a separate written agreement to govern such traffic. 58.1.1 This Article governs the Interconnection of network facilities of the Parties, and the transport, termination and billing of Local Traffic, ISP-Bound Traffic, IntraLATA LEC Toll Traffic, VoIP- PSTN Traffic and Transit Traffic between CenturyLink and CLEC. 58.1.2 The Parties shall use separate two-way Feature Group D trunks for the exchange of equal-access InterLATA Toll Traffic or IntraLATA Toll Traffic, (other than IntraLATA LEC Toll Traffic, Toll VoIP-PSTN or Jointly Provided Switched Access Traffic), and such trunks shall be ordered out of and subject to the applicable access Tariffs. As required by the applicable Tariff, any Local Traffic routed over Feature Group D trunks is subject to the applicable access Tariff and rates. 58.1.3 In the event CLEC routes any traffic to CenturyLink in violation of this Agreement, CenturyLink shall be entitled to seek injunctive relief and to recover damages, including without limitation, compensation for such traffic at access rates. 58.1.4 Each Party is solely responsible for the services it provides to its End Users and to other providers.

  • Hospice Care If you have a terminal illness and you agree with your physician not to continue with a curative treatment program, this plan covers hospice care services received in your home, in a skilled nursing facility, or in an inpatient facility.

  • Compensation and Employers Liability Insurance a. Statutory California Workers' Compensation coverage including broad form all-states coverage. b. Employer's Liability coverage for not less than one million dollars ($1,000,000) per occurrence.

  • ’ Compensation and Employer’s Liability Coverage The Grantee shall provide workers’ compensation, in accordance with Chapter 440, F.S. and employer liability coverage with minimum limits of $100,000 per accident, $100,000 per person, and $500,000 policy aggregate. Such policies shall cover all employees engaged in any work under the Grant.

  • Workers’ Compensation and Employer’s Liability (i) Workers’ Compensation insurance indicating compliance with any applicable labor codes, acts, Laws or statutes, state or federal, where Seller performs Work. (ii) Employers’ Liability insurance shall not be less than one million dollars ($1,000,000.00) for injury or death occurring as a result of each accident.

  • ’ Compensation and Employer’s Liability Workers’ Compensation limits as required by the Labor Code of the State of California. Employer’s Liability limits of $1,000,000 per accident for bodily injury or disease.

  • Workers’ Compensation and Employer’s Liability Coverage The insurer shall agree to waive all rights of subrogation against the City, its directors, officials, officers, employees, agents and volunteers for losses paid under the terms of the insurance policy which arise from work performed by the Consultant.

  • PROGRAMS COVERED 4.1 The State's threshold and its major Federal assistance programs shall be determined based on State Single Audit Report for fiscal year ending 06/30/2020. All major Federal assistance programs shall be covered by this Agreement, unless otherwise specified in section 4.4 of this Agreement. 4.2 The State's threshold for major Federal assistance programs is $60,000,000. The following programs meet or exceed the threshold and are not excluded in Section 4.4: CFDA Program Name 10.551 Supplemental Nutrition Assistance Program 10.553 School Breakfast Program 10.555 National School Lunch Program 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children

  • Hospice Services Services are available for a Member whose Attending Physician has determined the Member's illness will result in a remaining life span of six months or less.

  • Worker's Compensation and Employer's Liability Insurance The Contractor shall have in effect during the entire life of this Agreement Workers' Compensation and Employer's Liability Insurance providing full statutory coverage. In signing this Agreement, the Contractor certifies, as required by Section 1861 of the California Labor Code, that it is aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liability for Worker's Compensation or to undertake self-insurance in accordance with the provisions of the Code, and I will comply with such provisions before commencing the performance of the work of this Agreement.

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