Medicare Rebates definition

Medicare Rebates means retrospective rebates that are paid to Senior Care, or otherwise retained by Senior Care, pursuant to the terms of a rebate contract negotiated independently by Senior Care or an affiliate with a manufacturer, and directly attributable to the utilization of certain pharmaceuticals by Medicare Members. Rebates do not include Medicare Manufacturer Administrative Fees, or product discounts or similar remuneration received by subsidiary pharmacies of ESI or Senior Care.
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Examples of Medicare Rebates in a sentence

  • Senior Care hereby assumes all responsibility and obligation for the preparation of Subsidy Reports, and the contracting, administration, allocation and collection of Medicare Rebates under the Agreement as relates solely to the eligible utilization of Medicare Members.

Related to Medicare Rebates

  • 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.

  • Medicare Regulations means, collectively, (a) all Federal statues (whether set forth in Title XVIII of the Social Security Act or elsewhere) affecting the health insurance program for the aged and disabled established by Title XVIII of the Social Security Act and any statues succeeding thereto and (b) all applicable provisions of all rules, regulations, manuals and orders and administrative, reimbursement and other guidelines having the force of law of all Governmental Authorities (including CMS, the OIG, HHS or any person succeeding to the functions of any of the foregoing) promulgated pursuant to or in connection with any of the foregoing having the force of law, as each may be amended, supplemented or otherwise modified from time to time.

  • 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 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.