Medicare eligible expenses definition

Medicare eligible expenses means expenses of the kinds covered by Medicare Parts A and B, to the extent recognized as reasonable and medically necessary by Medicare.

Medicare eligible expenses means health care expenses that are covered by Medicare Parts A and B, recognized as medi- cally necessary and reasonable by Medicare, and that may or may not be fully reimbursed by Medicare.

Medicare eligible expenses means health care expenses of the kinds covered by medicare parts A and B, to the extent recognized as reasonable and medically necessary by medicare.

Examples of Medicare eligible expenses in a sentence

• Coverage for the coinsurance amount of Medicare eligible expenses under Part B, regardless of hospital confinement, subject to the Medicare Part B deductible.

• Coverage of Part A Medicare eligible expenses for hospitalization to the extent not covered by Medicare from the sixty-first day through the ninetieth day in any Medicare benefit period.

• Coverage for fifty percent (50%) of the cost sharing for all Part A Medicare eligible expenses and respite care until the out- of-pocket limitation is met as described in subdivision (10).

• Coverage for the coinsurance amount or for hospital outpatient department services paid under a prospective payment system, the copayment amount, of Medicare eligible expenses under Part B regardless of hospital confinement, subject to the Medicare Part B deductible.

• Coverage of Part A Medicare eligible expenses incurred for hospitalization to the extent not covered by Medicare for each Medicare lifetime inpatient reserve day used.

More Definitions of Medicare eligible expenses

Medicare eligible expenses means health care expenses of the

Medicare eligible expenses means expenses for health care of the kind covered by Medicare, to the extent recognized as reasonable by Medicare. Payment of benefits by an insurer for such expenses may be conditioned upon the same or less restrictive conditions of payment, including determinations of medical necessity, as are applicable to Medicare claims.

Medicare eligible expenses means health care expenses which are covered by Medicare, recognized as medically neces- sary and reasonable by Medicare, and which may or may not be fully reimbursed by Medicare.

Medicare eligible expenses means health care expenses of the kinds covered by Medicare, to the extent recognized as reasonable by Medicare. Payment of benefits by insurers for Medicare eligible expenses may be conditioned upon the same or less restrictive payment conditions, including determinations of medical necessity, as are applicable to Medicare claims.

Medicare eligible expenses means expenses of the kinds covered by Medicare Part A and B to the extent recognized as reasonable and medically necessary by Medicare. Outpatient means a Subscriber receiving Ser- vices under the direction of a Physician, but not as an Inpatient. Physician means any practitioner as defined un- der Medicare. Services means medically necessary health care services and medically necessary supplies fur- nished incident to those services. Sickness means an illness or disease of a covered person which first manifests itself after the effec- tive date of the Agreement and while coverage is in effect. Skilled Nursing Facility means a facility which participates in the Medicare program and is li- censed by the California Department of Health Services as a "Skilled Nursing Facility," or a simi- lar institution licensed by another state, a United States Territory, or a foreign country. Subacute Care means skilled nursing or skilled rehabilitative care provided in a hospital or skilled nursing facility to patients who require skilled care such as nursing services, physical, occupa- tional, or speech therapy; a coordinated program of multiple therapies or who have medical needs that require daily Registered Nurse monitoring. A facility which is primarily a rest home, convales- cent facility, or home for the aged is not included. Subscriber means a person whose status is the basis for eligibility for membership in this Medi- care Supplement Plan, who is enrolled by Blue Shield, and maintains coverage in accordance with this Agreement. Total Disability (or Totally Disabled) means the incapability of self-sustaining employment by reason of mental retardation or physical handicap. United States means all of the States, the District of Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, Guam, and American Samoa.

Medicare eligible expenses means expenses of the kinds cov- ered by medicare Parts A and B, to the extent recognized as reasonable and medically necessary by medicare.

Medicare eligible expenses means health care expenses that are covered by Medicare Parts A and B, recognized as medi-