ORIGINAL MEDICARE definition

ORIGINAL MEDICARE is the Medicare traditional fee-for-service federal health insurance. It has two parts, Medicare Part A (hospital insurance) and Medicare Part B (medical insurance).
Sample 1Sample 2Sample 3
ORIGINAL MEDICARE means the health insurance available under Medicare Part A and Part B through traditional fee-for-service coverage.
Sample 1

Examples of ORIGINAL MEDICARE in a sentence

  • Hearing aids or routine hearing tests, except as specifically stated under the section entitled BENEFITS FOR SERVICES NOT COVERED BY ORIGINAL MEDICARE.

  • Eyeglasses or contact lenses, except as specifically stated in Vision Care Benefits under BENEFITS FOR SERVICES NOT COVERED BY ORIGINAL MEDICARE.

  • Optometric services, eye exercises including orthoptics, routine eye exams and routine eye refractions, except as specifically stated in Vision Care Benefits under BENEFITS FOR SERVICES NOT COVERED BY ORIGINAL MEDICARE.

  • MEDICAL BENEFITS (ORIGINAL MEDICARE PART B BENEFITS)First, the provider of services will submit all medical claims to the Social Security Medicare fiscal intermediary for Medicare benefits.When Medicare has processed your claim, you will receive an "Explanation of Medicare Benefits" notice.Submit a copy of this Explanation of Medicare Benefits along with a copy of your medical bill and a completed Member Claim Form.

  • Members who wish to enroll in or have questions about the Claims-Free system may call Anthem Blue Cross at 1-800-288-6928.HOSPITAL BENEFITS (ORIGINAL MEDICARE PART A BENEFITS)Always consult your Physician first.

  • See the Member Services Department section for in- formation on the expedited decision process.SUPPLEMENT TO ORIGINAL MEDICARE PLAN Department of Managed Health Care ReviewThe California Department of Managed Health Care is responsible for regulating health care service plans.

  • Exception for Other CoverageA Plan provider may seek reimbursement from other third party payors for the balance of itsSUPPLEMENT TO ORIGINAL MEDICARE PLAN reasonable charges for services rendered under this Plan.

  • The Medicare Explanation of Benefits (EOMB) will include a statement that your secondary claim has been automatical- ly sent to Blue Shield for processing.SUPPLEMENT TO ORIGINAL MEDICARE PLAN If you have not authorized Medicare to auto- matically crossover the balance, the Participating Pharmacy will need to submit a claim for this amount to Blue Shield.

  • COVER WHAT ORIGINAL MEDICARE DOESN’TOriginal Medicare is a federal health insurance program for people age 65 and older and people with certain disabilities.

  • Prescription orders or refills which exceed the amount specified in the prescription, or prescription orders or refills dispensed more than a year from the date of the original prescription.SUPPLEMENT TO ORIGINAL MEDICARE PLAN Prescription orders or refills in quantities exceeding a 30-day supply, except for mail order.

Related to ORIGINAL MEDICARE

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

  • Independent educational evaluation means an evaluation conducted by a qualified examiner who is not employed by the public agency responsible for the education of the child in question.

  • Health carrier or "carrier" means a disability insurer

  • Broad-Based Black Economic Empowerment Act means the Broad-Based Black Economic Empowerment Act, 2003 (Act No. 53 of 2003);

  • North American Numbering Plan (NANP) means the numbering architecture in which every station in the NANP Area is identified by a unique ten (10)-digit address consisting of a three (3)-digit NPA code, a three (3)-digit central office code of the form NXX, and a four (4)-digit line number of the form XXXX.

  • Qualified health plan means a health benefit plan that has in effect a certification that the plan