Medicare benefit definition

Medicare benefit means the Medicare benefit payable within the meaning of Part II of the Health Insurance Act 1973 with respect to a professional service.

Medicare benefit means a Medicare benefit under Part II of the Health Insurance Act 1973 (Cth).

Medicare benefit means a benefit payable by the Commonwealth in relation to a professional service to which Medicare item applies;

Examples of Medicare benefit in a sentence

• This includes services billed with the GY modifier (Medicare statutory exclusion or does not meet the definition of any Medicare benefit) and services provided to a beneficiary participating in Cancer Clinical Trials that are not a Medicare benefit.

• Medicare will pay for E/M services for specific non-physician practitioners (i.e., nurse practitioner (NP), clinical nurse specialist (CNS) and certified nurse midwife (CNM)) whose Medicare benefit permits them to bill these services.

• The extension of benefits will end upon the earliest of the following events: • you are no longer totally disabled; • the Medicare benefit period ends; or • maximum benefit payments have been paid.

• Services without a Medicare benefit may be billed to Medicare with a GY modifier for the purpose of obtaining a denial that can be used with other insurers.

• Subsequent to an inpatient hospital stay, this plan covers the Medicare Part A copayment for Medicare eligible expenses for a SNF from the 21st day through the 100th day in a Medicare benefit period.

More Definitions of Medicare benefit

Medicare benefit means the benefit payable by Medicare for a particular service or Treatment as set out in the Medicare Benefits Schedule.

Medicare benefit. Plan shall mean the benefit plan that establishes Payor’s obligation to the Medicare Member to arrange for the provision of and payment for Medicare Covered Services for a Medicare member and contains the terms and conditions of the Medicare Member’s coverage.

Medicare benefit means a Medicare Benefit under Part II of the Health Insurance Act 1973. "Member" means a person who is:

Medicare benefit means a medicare benefit payable under Part II of the Health Insurance Act 1973, and includes a provisional payment made in accordance with a direction under subsection 18(4) of that Act (other than such a payment in respect of which the Commonwealth has recovered an amount under subsection 18(6) of that Act); "notifiable person", in relation to a claim for compensation, means:

Medicare benefit means a medicare benefit under Part II of theHealth Insurance Act 1973 .

Medicare benefit means a medicare benefit under Part II;”;

Medicare benefit means amedicare benefit payable under Part II of the Health Insurance Act 1973 , and includes a provisional payment made in accordance with a direction under subsection 18(4) of that Act (other than such a payment in respect of which the Commonwealth has recovered an amount under subsection 18(6) of that Act).