Medicare cost sharing definition

Medicare cost sharing means the Medicare member’s responsibility to pay for a Medicare-covered service. “Medicare cost sharing” includes coinsurance, copayments, and deductibles.

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Medicare cost sharing means payment under the medical assistance program of a premium, a coinsurance amount, or a deductible amount for federal Medicare as provided by Tit. XIX of the federal Social Security Act, section 1905(p)(3), as codified in 42 U.S.C.

Medicare cost sharing means medical assistance funds used to pay Medicare premiums, coinsurance, copayments and deductibles.

Examples of Medicare cost sharing in a sentence

Payment of enrolled Full Benefit Dual Eligible Member Medicare cost sharing effective CY2023 as described per the CY2023 Medicare Advantage Final Rule published in the Federal Register of May 9, 2022, and as may be amended in the future.
Pursuant to 42 CFR Part 422, subpart E, the MCO shall comply with all applicable Provider requirements for MSHO in that section, including, but not limited to: Provider certification requirements; anti-discrimination requirements; Provider participation and consultation requirements; the prohibition on interference with Provider advice; limits on Provider indemnification; rules governing payments to Providers; Medicare cost sharing; and limits on Physician Incentive Plans.
Section 1902(n)(3)(B) of the Social Security Act prohibits a Medicare provider from balance billing a QMB Plus Dual Eligible Member for Medicare cost sharing amounts, including deductibles, coinsurance, and copayments.
D-SNP Contractor shall not bill a Dual Eligible Member with QMB benefits for Medicare cost sharing amounts, including deductibles, coinsurance, and copayments, in accordance with Section 1902(n)(3)(B) of the Social Security Act.
The MCO is responsible for payment of Medicaid covered Medicare cost sharing where applicable.

More Definitions of Medicare cost sharing

Medicare cost sharing means out-of-pocket medical expenses related to services provided by medicare. For med- ical assistance clients who are enrolled in medicare, cost- sharing may include Part A and Part B premiums, co-insur- ance, deductibles, and copayments for medicare services. See chapter 182-517 WAC for more information.

Medicare cost sharing means the following costs:

Medicare cost sharing means out-of-pocket medical expenses re- lated to services provided by medicare. For clients enrolled in medi-

Medicare cost sharing means out-of-pocket medical expenses related to services provided by medicare. For cli- ents enrolled in medicare, cost-sharing may include Part A and Part B premiums, co-insurance, deductibles, and copay- ments for medicare services. See chapter 182-517 WAC.

Medicare cost sharing means out-of-pocket medical expenses re lated to services provided by medicare. For clients enrolled in medi care, cost-sharing may include Part A and Part B premiums, co-insur ance, deductibles, and copayments for medicare services. See chapter 182-517 WAC.

Medicare cost sharing means out-of-pocket medical expenses related to services provided by medicare. For med- ical assistance clients who are enrolled in medicare, cost-

Medicare cost sharing means out-of-pocket medical expenses related to services provided by medicare. For med-