Common use of Comprehensive Written Statement of Benefits Clause in Contracts

Comprehensive Written Statement of Benefits. Prior to enrolling any eligible individual into Health Plan’s D-SNP, Health Plan shall provide such individual with a comprehensive written statement describing the Medicare and Medicaid benefits and Cost-Sharing protections the individual would receive as a Member of Health Plan’s D-SNP. Such written statement shall include such information and be formatted in accordance with the requirements established by CMS. The Medicaid benefits that Health Plan will provide to Members are those benefits set forth in the model contract of the companion product designated in Attachment B.

Appears in 3 contracts

Samples: State Medicaid Agency Contract, State Medicaid Agency Contract, State Medicaid Agency Contract

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Comprehensive Written Statement of Benefits. Prior to enrolling any eligible individual into Health Plan’s D-SNP, Health Plan shall provide such individual with a comprehensive written statement describing the Medicare and Medicaid benefits and Cost-Sharing protections the individual would receive as a Member of Health Plan’s D-D- SNP. Such written statement shall include such information and be formatted in accordance with the requirements established by CMS. Health Plan and SDOH agree that the Medicaid benefits that SDOH will provide to Members, if applicable, and that Health Plan will document in the comprehensive written statement of benefits. The Medicaid benefits that Health Plan will provide to Members are those benefits set forth in the model contract of the companion product designated in Attachment B.

Appears in 1 contract

Samples: State Medicaid Agency Contract

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Comprehensive Written Statement of Benefits. Prior to enrolling any eligible individual into the Health Plan’s D-'s SNP, the Health Plan shall provide such individual with a comprehensive written statement describing the Medicare and Medicaid benefits and Costcost-Sharing sharing protections the individual would receive as a Member of Health Plan’s D-'s SNP. Such written statement shall include such information and be formatted in accordance with the requirements established by CMS. The Health Plan and the Agency agree that the Medicaid State Plan sets forth the Medicaid benefits that the Agency will provide members, and the Health Plan will provide to Members are those benefits set forth document in the model contract comprehensive written statement of the companion product designated in Attachment B.benefits.

Appears in 1 contract

Samples: Agreement (Wellcare Health Plans, Inc.)

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