Common use of Effect of Medicare Clause in Contracts

Effect of Medicare. Members Residing Outside the GHC Medicare Advantage Service Area. Medicare primary/secondary payer guidelines and regulations will determine primary/secondary payer status. When Medicare, Part A and Part B or Part C are primary, Medicare's allowable amount is the highest allowable expense. When GHC renders care to a Member who is eligible for Medicare benefits, and Medicare is deemed to be the primary xxxx xxxxx under Medicare primary/secondary payer guidelines and regulations, GHC will seek Medicare reimbursement for all Medicare covered services.

Effect of Medicare. Members Residing Outside the GHC Medicare Advantage Service Area. Medicare primary/secondary payer guidelines and regulations will determine primary/secondary payer status, and will be adjudicated by GHC as set forth in this section. When Medicare, Part A and Part B or Part C are primary, Medicare's allowable amount is the highest allowable expense. When GHC renders care to a Member who is eligible for Medicare benefits, and Medicare is deemed to be the primary xxxx xxxxx under Medicare primary/secondary payer guidelines and regulations, GHC will seek Medicare reimbursement for all Medicare covered services.

Effect of Medicare. Members Residing Outside the GHC Medicare Advantage Service Area. Medicare primary/secondary payer guidelines and regulations will determine primary/secondary payer status. When Medicare, Part A and Part B or Part C are primary, Medicare's allowable amount is the highest allowable expense. When GHC renders care to a Member who is eligible for Medicare benefits, and Medicare is deemed to be the primary xxxx xxxxx under Medicare primary/secondary payer guidelines and regulations, GHC will seek Medicare reimbursement for all Medicare covered services.