Medicare Select issuer definition

Medicare Select issuer means an issuer offering, or seeking to offer, a Medicare Select policy or certificate.
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Medicare Select issuer means an issuer offering, or seek- ing to offer, a Medicare select policy or certificate.
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Medicare Select issuer means an issuer offering, or seeking to offer, a MedicareSelect policy or certificate.
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Examples of Medicare Select issuer in a sentence

  • A Medicare Select issuer shall have and use procedures for hearing complaints and resolving written grievances from the subscribers.

  • A Medicare Select issuer shall make full and fair disclosure in writing of the provisions, restrictions, and limitations of the Medicare Select policy or certificate to each applicant.

  • A Medicare Select issuer shall make full and fair disclosure in writing of the provisions, restrictions and limitations of the Medicare Select policy or certificate to each applicant.

  • A Medicare Select issuer shall file any proposed changes to the plan of operation, except for changes to the list of network providers, with the Commissioner prior to implementing the changes.

  • A Medicare Select issuer shall comply with reasonable requests for data made by state or federal agencies, including the United States Department of Health and Human Services, for the purpose of evaluating the Medicare Select Program.

  • At the request of an individual insured under a Medicare Select policy or certificate, a Medicare Select issuer shall make available to the individual insured the opportunity to purchase a Medicare supplement policy or certificate offered by the issuer which has comparable or lesser benefits and which does not contain a restricted network provision.

  • Prior to the sale of a Medicare Select policy or certificate, a Medicare Select issuer shall obtain from the applicant a signed and dated form stating that the applicant has received the information provided pursuant to Subsection (i) of this Section and that the applicant understands the restrictions of the Medicare Select policy or certificate.

  • A Medicare Select issuer shall not issue a Medicare Select policy or certificate in this state until its plan of operation has been approved by the commissioner, and the commissioner has authorized the issuer to offer Medicare Select policies or certificates, pursuant to subrule 37.20(3).37.20(5) Medicare Select issuer shall file a proposed plan of operation.

  • The report shall be in a format prescribed by the commissioner and shall contain the num- ber of grievances filed in the past year and a summary of the subject, nature and resolution of such grievances.37.9(12) At the time of initial purchase, a Medicare Select issuer shall make available to each appli- cant for a Medicare Select policy or certificate the opportunity to purchase any Medicare supplement policy or certificate otherwise offered by the issuer.37.9(13) a.

  • At the request of an individual insured under a Medicare Select policy or certificate, a Medicare Select issuer shall make available to the individual insured the opportunity to purchase a Medicare supplement policy or certificate offered by the issuer which has comparable or lesser bene- fits and which does not contain a restricted network provision.


More Definitions of Medicare Select issuer

Medicare Select issuer means an issuer offering, or seeking to offer, a Medicare Select policy or certificate. “Medicare Select policy” or “Medicare Select certificate” mean respectively a Medicare supplement policy orcertificate that contains restricted network provisions.
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Medicare Select issuer means an issuer offering, or seeking to offer, a Medi- care Select policy or certificate;
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Medicare Select issuer means an issuer offering, or seeking to offer, a Medicare Select contract.
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Related to Medicare Select issuer

  • Health care service means that service offered or provided by health care facilities and health care providers relating to the prevention, cure, or treatment of illness, injury, or disease.

  • Health care plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under:

  • Managed care plan means a health benefit plan that either requires a covered person to use, or

  • Health care services means services for the diagnosis, prevention, treatment, cure, or relief of a health condition, illness, injury, or disease.

  • Home health care services means medical and nonmedical services, provided to ill, disabled or infirm persons in their residences. Such services may include homemaker services, assistance with activities of daily living and respite care services.

  • Child Care Program means a person or business that offers child care.

  • Health care provider or "provider" means:

  • Managed Care Program means the process that determines Medical Necessity and directs care to the most appropriate setting to provide quality care in a cost-effective manner, including Prior Authorization of certain services.

  • Health care system means any public or private entity whose function or purpose is the management of, processing of, enrollment of individuals for or payment for, in full or in part, health care services or health care data or health care information for its participants;

  • Child care provider means a provider who receives compensation for providing child care services on a regular basis, including an ‘eligible child care provider’ (as defined in section 658P of the Child Care and Development Block Grant Act of 1990 (42 U.S.C. 9858n)).

  • Health care organization ’ means any person or en-

  • Qualified health care provider means a health care provider who:

  • Licensed health care practitioner means a physician, as defined in Section 1861(r)(1) of the Social Security Act, a registered professional nurse, licensed social worker or other individual who meets requirements prescribed by the Secretary of the Treasury.

  • Indian Health Care Provider means a health care program

  • Home Health Care Agency means an agency or organization which provides a program of home health care and which:

  • Federal Health Care Program means the Medicare program, the Medicaid program, TRICARE, any health care program of the Department of Veterans Affairs, the Maternal and Child Health Services Block Grant program, any state social services block grant program, any state children’s health insurance program, or any similar program.

  • COVERED HEALTHCARE SERVICES means any service, treatment, procedure, facility, equipment, drug, device, or supply that we have reviewed and determined is eligible for reimbursement under this plan.