Medicare Advantage Member definition

Medicare Advantage Member means a Member who is enrolled in and covered under a Medicare Advantage Program.

Medicare Advantage Member or “Medicare Advantage Subscriber” means an individual who is enrolled in and covered under a Medicare Advantage Program or any successor program(s) thereto regardless of the name(s) thereof. Dually eligible Medicare Advantage Subscribers are those individuals who are (i) eligible for Medicaid; and (ii) for whom the state is responsible for paying Medicare Part A and B cost sharing.

Medicare Advantage Member is a Member enrolled in and eligible for a Medicare Advantage Benefit Program.

Examples of Medicare Advantage Member in a sentence

• The Medicare Advantage Member may also initiate a coverage determination by calling the customer service number on the back of the Member ID card.Insulin self-administered without a pump:Medicare Advantage Members who do not use a pump to administer their insulin do not need to a request a coverage determination.

• For assistance with claims, billing, or membership card questions, please call or write to Kaiser Permanente Medicare Advantage Member Services.

• Timber is to be cut to the requisite length as soon as practical after the works have begun and is to be stored dry and stacked under-cover so that the air can circulate freely around it.

• Without limiting the generality of the foregoing, in the event the Member is a Medicare Advantage Member and submits an appeal to Company, Company shall, upon request of Provider, furnish Provider with copies of the Medicare Advantage Member’s appeal.

• Dentist agrees that in no event, including, but not limited to non-payment by PPP Arkansas, insolvency of PPP Arkansas, or breach of the Agreement shall Dentist bill, charge, collect a deposit from, impose surcharges or have any recourse against an Arkansas Blue Medicare and Health Advantage Medicare Advantage Member or a person acting on behalf of an Arkansas Blue Medicare and Health Advantage Medicare Advantage Member for Covered Services provided pursuant to this Agreement.

• When applicable, Provider agrees to comply with Company’s procedures for Medicare Advantage Member grievances, organization determinations and Medicare Advantage Member appeals as required by the Medicare Advantage Program.

• Blue Medicare Advantage Member Responsibility and LiabilityThe member or representative is responsible for acknowledging receipt of the NOMNC by signing the document.

• This Agreement does not prohibit Dentist from collecting Arkansas Blue Medicare and Health Advantage Medicare Advantage Member Cost Sharing, as specifically provided in the Plan Description, or fees for non-covered services as long as Arkansas Blue Medicare and Health Advantage Medicare Advantage Member has been informed in advance that services are not covered and that Arkansas Blue Medicare and Health Advantage Medicare Advantage Member is financially responsible for any non-covered services.

• When submitting an insulin Claim for a Medicare Advantage Member, you will receive the following message: “Part B if pump, call 1-800-711-4555.” To ensure Claims are paid under the correct benefit, please notify the Prescriber and Medicare Advantage Member the review is required to determine coverage when insulin is administered in a pump.

• Kaiser Permanente Medicare Advantage contacts (how to contact us, including how to reach Member Services at our plan)How to contact our plan's Member ServicesFor assistance with claims, billing, or membership card questions, please call or write to Kaiser Permanente Medicare Advantage Member Services.

More Definitions of Medicare Advantage Member

Medicare Advantage Member. MA Member")" means, for purposes of this Attachment, a Member who is covered under a Medicare agreement between CMS and Plan under Part C of Title XVIII of the Social Security Act ("Medicare Advantage Program") and for Plan's DSNP Medicare Program, the beneficiary is also entitled to Medicaid under Title XIX of the Social Security Act, see 42 USC §1396 et seq..

Medicare Advantage Member means a Member who is enrolled in or who has entered into contract with or on whose behalf a contract has been entered into with Plan(s), for the provision of Covered Services under a Medicare Advantage Program.

Medicare Advantage Member or “MA Member” - A MA eligible individual who has enrolled in or elected coverage through a Plan, a MA Organization. “Provider” - (1) Any individual who is engaged in the delivery of health care services in a state and is licensed or certified by the state to engage in that activity in the state; and (2) any entity that is engaged in the delivery of health care services in a state and is licensed or certified to deliver those services if such licensing or certification is required by state law or regulation.