Medicare enrollee definition

Medicare enrollee means a Medicare beneficiary who is enrolled in a PACE program.
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Medicare enrollee means an Enrollee in any of Plan’s Medicare Advantage products.
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Medicare enrollee means an Individual who is enrolled in Company’s Medicare Product on either a Group or Individual enrollment basis according to CMS’s records and for whom CMS has paid Company the applicable monthly payment amount.
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Examples of Medicare enrollee in a sentence

  • Covered by Medicare as primary, at the request of the Medicare enrollee - 6.

  • Contractor agrees under no circumstance will a KHS Medicare enrollee be liable for payment of any fees to Contractor that are the legal obligation of KHS.

  • To comply with the confidentiality requirements of 42 C.F.R. Section 482.24 of Chapter IV for medical records and for all other information on Medicare enrollee Members, not covered by 42 C.F.R. Section 417.486 (C), that is contained in its records or obtained from HCFA or others.

  • Supplement Program Members who are covered by Medicare or Physicians Care, as applicable, Physicians Care shall reimburse the Hospital solely for the Medicare copayment and deductible that would be payable by the Medicare enrollee for such care (or the full contract rate, if lower).

  • Regular meetings of the Board may be held without notice at such time and place as shall from time to time be determined by the Board.

  • As used in this Contract, a Medicare enrollee who is also eligible for TennCare and for whom TennCare has a responsibility for payment of Medicare Cost Sharing Obligations under the State Plan.

  • Further, Representative agrees to abide by all Federal and State laws regarding confidentiality and disclosure of Medicare enrollee information.

  • So, if You are a Medicare enrollee you acknowledge and understand that Medicare will NOT cover the Services provided by ▇▇.

  • So, if You are a Medicare enrollee You acknowledge and understand that Medicare will NOT cover the Services provided by ▇▇.

  • However, as a Medicare enrollee, Employee shall not be eligible to participate in any group medical insurance plan offered by Employer to employees not otherwise enrolled in Medicare.

Related to Medicare enrollee

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

  • Medicaid means that government-sponsored entitlement program under Title XIX, P.L. 89-97 of the Social Security Act, which provides federal grants to states for medical assistance based on specific eligibility criteria, as set forth on Section 1396, et seq. of Title 42 of the United States Code.