Other health coverage definition

Other health coverage means health coverage providing the same full or partial benefits as the Medi-Cal program, health coverage under another state or federal medical care program, or health coverage under contractual or legal entitlement, including, but not limited to, a private group or indemnification insurance program.
Other health coverage means health coverage providing the same full or partial benefits as the Medi-Cal program, health coverage under another state or federal medical care program except for the Medicare Program (Title XVIII of the federal Social Security Act (42 U.S.C. Sec. 1395 et seq.)), or health coverage under a contractual or legal entitlement, including, but not limited to, a private group or indemnification insurance program.
Other health coverage means health coverage providing

Examples of Other health coverage in a sentence

  • Other health coverage includes:• Group Health Plans or Individual Health Plans;• Enrolled in the patient enrollment system of the Department of Veterans Affairs (VA) or otherwise eligible to receive immunosuppressive drugs from the VA;• TRICARE for Life;• Health Insurance Marketplace qualified health plans; and• Medicaid or State Children’s Health Insurance Program (CHIP) coverage that includes immunosuppressive drugs.

  • Third Party Health Insurance – Other health coverage, including private insurance and non-Medicare/Medicaid public insurance, such as insurance through the Veterans Administration, retiree Insurance and Medigap (Medicare Supplemental Insurance) Insurance.

  • For details on transfer pricing adjustments, see question 21 and the DRG Pricing Calculator on the Department of Health Care Services’ (DHCS) DRG webpage (http://www.dhcs.ca.gov/provgovpart/pages/drg.aspx), “DRG Information/Pricing Resources”.‌‌◾ “Lesser Of.” If the allowed amount exceeds charges, payment is reduced to charges.◾ Other health coverage (OHC) and patient cost-sharing.

  • Other health coverage, insurance policies or benefits include, but are not limited to, benefits from other health coverage, Worker’s Compensation and/or claims against liability or casualty insurance companies arising from an injury, illness, impairment or medical condition You receive, subject to limitations noted in RSA 415:6, II (4).

  • Other health coverage, insurance policies or benefits include, but are not limited to, benefits from other health coverage, Worker’s Compensation, and/or claims against liability or casualty insurance companies arising from any injury, illness, impairment or medical condition you receive.

  • Third-Party Liability (cont’d)– Other health coverage includes Medicare, Tricare, and private insurance confirmed by the recipient and the Web Tool• All claims must be filed to other insurance companies before filing to Medicaid– If other insurance payment is greater than Medicaid’s allowable, no Medicaid payment will be made• Medicaid will not make a payment greater than the amount that the provider has agree to accept as payment in full from the third party payer.

  • Visit www.irs.gov/ formspubs to download forms and publications, call• You have no other health coverage except what ispermitted under Other health coverage, later.1-800-829-3676, or write to the National Distribution • You are not enrolled in Medicare.Center at the address shown under How To Get Tax Help • You cannot be claimed as a dependent on someone in the back of this publication.

  • Other health coverage alternatives may be available to you through the Health Insurance Marketplace.


More Definitions of Other health coverage

Other health coverage means coverage for dental related services or entitlements for which an Eligible Beneficiary is eligible under any private dental plan, any insurance program, any other State or federal dental care program, or under other contractual or legal entitlement.
Other health coverage means health coverage providing the same full or partial benefits as the Medi-Cal program, health
Other health coverage. (OHC) means coverage for health related services or entitlements for which an Eligible Beneficiary is eligible under any private health plan, any indemnification insurance program, any other State or federal medical care program, or under other contractual or legal entitlement.

Related to Other health coverage

  • Health Coverage means that if Key Employee elects to continue coverage for himself or his eligible dependents under the Company’s group health plans pursuant to the Consolidated Omnibus Budget Reconciliation Act of 1985, as amended (“COBRA”), during the twelve-month period commencing on the date of Key Employee’s termination of employment from the Company (the “Severance Period”), then throughout the Severance Period the Company shall promptly reimburse Key Employee on a monthly basis for the difference between the amount Key Employee pays to effect and continue such coverage and the employee contribution amount that active senior employees pay for the same or similar coverage under Company’s group health plans. Further, if after the Severance Period Key Employee continues his COBRA coverage and Key Employee’s COBRA coverage terminates at any time during the eighteen-month period commencing on the day immediately following the last day of the Severance Period (the “Extended Coverage Period”), then the Company shall provide Key Employee (and his eligible dependents) with health benefits substantially similar to those provided under its group health plans for active employees for the remainder of the Extended Coverage Period at a cost to Key Employee that is no greater than the cost of COBRA coverage; provided, however, that the Company shall use its reasonable efforts so that such health benefits are provided to Key Employee under one or more insurance policies (or such other manner) so that reimbursement or payment of benefits to Key Employee thereunder shall not result in taxable income to Key Employee. Notwithstanding the preceding provisions of this paragraph, the Company’s obligation to reimburse Key Employee during the Severance Period and to provide health benefits to Key Employee during the Extended Coverage Period shall immediately end if and to the extent Key Employee becomes eligible to receive health plan coverage from a subsequent employer (with Key Employee being obligated hereunder to promptly report such eligibility to the Company).

  • Lifetime health cover loading means the increased premiums payable by an insured person who does not take out an appropriate hospital cover prior to 1 July following their 31st birthday.

  • Continuation Coverage means the temporary continuation of PEBB benefits available to enrollees under the Consolidated Omnibus Budget Reconciliation Act (COBRA), 42 U.S.C. Secs. 300bb-1 through 300bb-8, the Uniformed Services Employment and Reemployment Rights Act (USERRA), 38 U.S.C. Secs. 4301 through 4335, or the public employees benefits board's policies.

  • Workers’ Compensation As required by any applicable law or regulation. Employer's Liability Insurance: must be provided in amounts not less than listed below: Minimum limits: $500,000 each accident for bodily injury by accident $500,000 policy limit for bodily injury by disease $500,000 each employee for bodily injury by disease

  • Group health insurance coverage means in connection with a group health plan, health insurance

  • Coverage or “Covering”) shall mean that the developing, making, using, offering for sale, promoting, selling or importing of a given compound, formulation or product would infringe a Valid Claim of an issued patent in the absence of a license under such Valid Claim. The determination of whether a compound, formulation or product is Covered by a particular Valid Claim shall be made on a country-by-country basis.

  • Health care coverage means any plan providing hospital, medical or surgical care coverage for

  • Claims-made coverage means an insurance contract or provision limiting

  • Fraud Coverage During the period prior to the first anniversary of the Cut-Off Date, 2.00% of the aggregate principal balance of the Mortgage Loans as of the Cut-Off Date (the "Initial Fraud Coverage"), reduced by Fraud Losses allocated to the Certificates since the Cut-Off Date; during the period from the first anniversary of the Cut-Off Date to (but not including) the fifth anniversary of the Cut-Off Date, the amount of the Fraud Coverage on the most recent previous anniversary of the Cut-Off Date (calculated in accordance with the second sentence of this paragraph) reduced by Fraud Losses allocated to the Certificates since such anniversary; and during the period on and after the fifth anniversary of the Cut-Off Date, zero. On each anniversary of the Cut-Off Date, the Fraud Coverage shall be reduced to the lesser of (i) on the first, second, third and fourth anniversaries of the Cut-Off Date, 1.00% of the aggregate principal balance of the Mortgage Loans as of the Due Date in the preceding month and (ii) the excess of the Initial Fraud Coverage over cumulative Fraud Losses allocated to the Certificates since the Cut-Off Date. The Fraud Coverage may be reduced upon written confirmation from the Rating Agencies that such reduction will not adversely affect the then current ratings assigned to the Certificates by the Rating Agencies.

  • Insurance means (i) all insurance policies covering any or all of the Collateral (regardless of whether the Collateral Agent is the loss payee thereof) and (ii) any key man life insurance policies.

  • Professional liability insurance means insurance against legal liability incident to the practice of a profession and provision of a professional service.

  • Self-insured employer means an employer or group of employers certified under ORS

  • Medical malpractice insurance means insurance against legal liability incident to the practice and provision of a medical service other than the practice and provision of a dental service.

  • Other Insurance means insurance available to any covered person that covers a loss to which this policy applies, other than either primary insurance or insurance specifically purchased by you to be excess of the insurance afforded by this policy.

  • Individual health insurance coverage means health insurance coverage offered to individuals in the

  • Accident and health insurance means contracts that incorporate morbidity risk and provide protection against economic loss resulting from accident, sickness, or medical conditions and as may be specified in the valuation manual.

  • Insurance Coverage Contractor shall, at Contractor’s sole expense, procure, maintain and keep in force for the duration of this Contract the following insurance conforming to the minimum requirements specified below. Unless specified herein or otherwise agreed to by the City, the required insurance shall be in effect prior to the commencement of work by Contractor and shall continue in force as appropriate until the latter of:

  • COBRA Continuation Coverage means the health care benefit continuation coverage mandated by the Consolidated Omnibus Budget Reconciliation Act and similar provisions of state law.

  • COBRA Coverage means continuation coverage required under Section 4980B of the Code and Part 6 of Title I of ERISA.

  • Health insurance coverage means benefits consisting of medical care (provided directly, through

  • Credit accident and health insurance means insurance on a debtor to provide

  • Retiree means any person who has begun accruing a retirement

  • Health means physical or mental health; and

  • Unemployment Insurance means the contribution required of Vendor, as an employer, in respect of, and measured by, the wages of its employees (or subcontractors) as required by any applicable federal, state or local unemployment insurance law or regulation.

  • General Liability Insurance Subcontractor shall carry minimum primary General Liability Insurance for the following amounts:

  • group insurance means blanket insurance and franchise insurance and any other forms of group insurance.