MEDICARE REGULATORY REQUIREMENTSMedicare Regulatory Requirements • February 20th, 2018
supplement and are made part of the underlying Agent/Agency agreements among Medica Health Plans and Medica Insurance Company (collectively, “Medica”) and each Agent or Agency (the “Agreement”). These Requirements set forth the terms and conditions of the parties’ agreement regarding the provision of Medicare-related services to Medica Members in accordance with the Medicare program under Title XVIII of the Social Security Act (the “Medicare Program”). The terms of the Agreement and these Requirements are to be read consistently to the extent feasible. In the event any provision in these Requirements conflicts with the terms of the Agreement, the terms contained in these Requirements will govern with respect to services related to Medica’s participation in the Medicare Program. Unless otherwise defined herein, capitalized terms used in these Requirements will have the same meaning as those terms in the Agreement.
