Medicare coinsurance and deductible definition

Medicare coinsurance and deductible means the Medicare cost-sharing costs described in 42 U.S.C. 1396d(p)(3)(B) through 42 U.S.C. 1396d(p)(3)(D).
Sample 1Sample 2Sample 3

Examples of Medicare coinsurance and deductible in a sentence

  • The Medicare coinsurance and deductible would apply to these services.

  • After filing a claim to Medicare, Providers have the option of filing a claim to Managed Care Organizations for consideration of any additional payment toward any applicable Medicare coinsurance and deductible.

  • In addition, neither Group nor Group Providers may charge or collect from such Members the Member’s Medicare coinsurance and deductible.

  • The Medicare co-insurance and deductible up to Contractor’s allowed amount.

  • In the event that Medicaid does not have a price for codes included on a crossover claim then the entire Medicare coinsurance and deductible shall be paid by the Contractor.

  • ALCOHOL REHABILITATION SERVICES The Plan provides coverage for Medicare coinsurance and deductible amounts for mental health and drug and alcohol abuse rehabilitation services covered by Medicare.

  • The Plan will pay the Medicare coinsurance and deductible amounts for Medicare covered kidney dialysis.

  • The Plan will pay the Medicare coinsurance and deductible amounts for Medicare covered services provided at a hospital emergency room or other emergency facility.

  • The Plan will pay the Medicare coinsurance and deductible amounts for Medicare covered services provided by physicians and other health professionals entitled to coverage by the Medicare program.

  • Please refer to Part I, Policies and Procedures for Medicaid/Peachcare for Kids for more details regarding reimbursement for Medicare co-insurance and deductible crossover claims.

Related to Medicare coinsurance and deductible

  • Coinsurance means that you pay a percent of the total cost of the drug each time you fill a prescription.

  • Individual health insurance coverage means health insurance coverage offered to individuals in the

  • Group health insurance coverage means in connection with a group health plan, health insurance

  • Health care coverage means any plan providing hospital, medical or surgical care coverage for

  • Health insurance coverage means benefits consisting of medical care (provided directly, through

  • Credit unemployment insurance means insurance:

  • Health insurance carrier or "carrier" means any entity subject to the insurance

  • Unemployment Insurance means the contribution required of Vendor, as an employer, in respect of, and measured by, the wages of its employees (or subcontractors) as required by any applicable federal, state or local unemployment insurance law or regulation.

  • Medical malpractice insurance means insurance against legal liability incident to the practice and provision of a medical service other than the practice and provision of a dental service.

  • Deductible has the meaning set forth in Section 11.1(e).

  • Insurance Costs means the sums described in paragraph 1.1 of Part 5 of the Schedule;

  • High Deductible Health Plan means a Health Plan as defined by 26 USC § 223(c)(2)(A) that also is a Qualified Health Plan.

  • Health insurance means protection which provides payment of benefits for covered sickness or injury.

  • 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.

  • Insurance Add-On Amount means the premium charged to the Obligor in the event that the Servicer obtains Force-Placed Insurance pursuant to Section 4.4.

  • Insurance carrier means every insurance carrier duly

  • Medicare means the “Health Insurance for the Aged Act,” Title XVIII of the Social Security Amendments of 1965, as then constituted or later amended.

  • Medicare cost report means CMS-2552-10, the cost report for electronic filing of

  • Insurance Contracts means all contracts and policies of insurance and re-insurance maintained or required to be maintained by or on behalf of any Grantor under the Loan Documents.

  • Insurance Coverage Contractor shall, at Contractor’s sole expense, procure, maintain and keep in force for the duration of this Contract the following insurance conforming to the minimum requirements specified below. Unless specified herein or otherwise agreed to by the City, the required insurance shall be in effect prior to the commencement of work by Contractor and shall continue in force as appropriate until the latter of:

  • FHA Insurance means the Federal mortgage insurance authorized pursuant to Section 220, 221(d)(3), 221 (d)(4) or 223(f) of Title II of the National Housing Act of 1934, as amended.

  • Medicare Levy Surcharge means an extra charge payable by high income earners beyond the standard Medicare Levy if they do not have qualifying private hospital insurance coverage. This charge is assessed as part of an individual or family’s annual tax return.

  • Health insurance policy means a policy that provides specified benefits for hospital and/or general treatment and meets all requirements under section 63-10 of the Private Health Insurance Act 2007.

  • Insurance Laws means all Laws applicable to the business of insurance or the regulation of insurance companies.

  • Reinsurance means the activity consisting in accepting risks ceded by an insurance undertaking or by another reinsurance undertaking or, in the case of the association of underwriters known as Lloyd's, the activity consisting in accepting risks, ceded by any member of Lloyd's, by an insurance or reinsurance undertaking other than the association of underwriters known as Lloyd's;

  • Insurance Contract means a contract (other than an Annuity Contract) under which the issuer agrees to pay an amount upon the occurrence of a specified contingency involving mortality, morbidity, accident, liability, or property risk.