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.

  • At the time of initial purchase, a Medicare Select issuer shall make available to each applicant for a Medicare Select policy or certificate the opportunity to purchase any Medicare supplement policy or certificate otherwise offered by the issuer.

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

  • 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.

  • 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.

  • 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.

  • A Medicare Select issuer shall file a proposed plan of operation with the commissioner in a format prescribed by the commissioner.

  • 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.


More Definitions of Medicare Select issuer

Medicare Select issuer means an issuer offering, or seeking to offer, a Medicare Select contract.
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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 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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Related to Medicare Select issuer

  • Health care service means that service offered or provided

  • 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.

  • Health care provider or "provider" means:

  • Family child care provider means a person who: (a) Provides

  • Child care services means the range of activities and programs provided by a certificate holder to an enrolled child, including personal care, supervision, education, guidance, and transportation.

  • Health care organization ’ means any person or en-

  • Health care practitioner means an individual licensed

  • 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 operated by the Indian Health Service (IHS) or by an Indian Tribe, Tribal Organization, or Urban Indian Organization (otherwise known as an I/T/U) as those terms are defined in § 4 of the Indian Health Care Improvement Act (25 USC § 1603). Indian Health Care Provider includes a 638 Facility and provision of Indian Health Service Contract Health Services (IHS CHS).

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

  • Federal Health Care Program has the meaning set forth in 42 U.S.C. 1320a-7b(f).

  • Medicare Provider Agreement means an agreement entered into between CMS or other such entity administering the Medicare program on behalf of CMS, and a health care provider or supplier under which the health care provider or supplier agrees to provide services for Medicare patients in accordance with the terms of the agreement and Medicare Regulations.

  • Health plan issuer means an entity subject to the insurance laws and rules of this state, or subject to the jurisdiction of the superintendent of insurance, that contracts, or offers to contract to provide, deliver, arrange for, pay for, or reimburse any of the costs of health care services under a health benefit plan, including a sickness and accident insurance company, a health insuring corporation, a fraternal benefit society, a self-funded multiple employer welfare arrangement, or a nonfederal, government health plan. “Health plan issuer” includes a third party administrator to the extent that the benefits that such an entity is contracted to administer under a health benefit plan are subject to the insurance laws and rules of this state or subject to the jurisdiction of the superintendent. The “Health plan issuer” is also called the Administrator in this Benefit Booklet.