Medicare Plan definition

Medicare Plan means a MA Plan, a Medicare Supplemental Plan, a MAPD Plan, a Medicare Cost Plan, or a Special Needs Plan which is purchased through the Connector. A MA Plan, Medicare Supplemental Plan, MAPD Plan or Special Needs Plan shall not constitute a Medicare Plan for purposes of this Plan as of the date that it is no longer made available through the Connector.‌
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Medicare Plan means a plan of group health care expense coverage provided to Medicare members whereby the Medicare Plan receives a Capitation payment from the Health Care Financing Administration ("HCFA") under a risk arrangement pursuant to Section 1876(g) of the Social Security Act and with which IPA is contracted to provide Covered Services to Medicare Plan Enrollees. Medicare Plans covered under this Agreement shall be determined solely by IPA. "Medicare" means the program administered by HCFA whereby eligibility is achieved by reason of attainment of age 65 or by the presence of a Medicare-eligible disabling condition.
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Medicare Plan means a Medicare Advantage (MA) plan, a Medicare Advantage-Prescription Drug plan (MA-PD) or a Medicare Prescription Drug Plan (PDP).
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Examples of Medicare Plan in a sentence

  • You can find information about plans available in your area by using the Medicare Plan Finder on the Medicare website.

  • You can also find Medicare contacts in your state.The Medicare website also has detailed information about your Medicare eligibility and enrollment options with the following tools:• Medicare Eligibility Tool: Provides Medicare eligibility status information.• Medicare Plan Finder: Provides personalized information about available Medicare prescription drug plans, Medicare health plans, and Medigap (Medicare Supplement Insurance) policies in your area.

  • You can also find information about plans in your area by using the Medicare Plan Finder on the Medicare website.

  • You can also find Medicare contacts in your state.The Medicare website also has detailed information about your Medicare eligibility and enrollment options with the following tools: MethodMedicare – Contact InformationWEBSITE(continued)• Medicare Eligibility Tool: Provides Medicare eligibility status information.• Medicare Plan Finder: Provides personalized information about available Medicare prescription drug plans, Medicare health plans, and Medigap (Medicare Supplement Insurance) policies in your area.

  • Or, use the Medicare Plan Finder on https://www.medicare.gov.• If you want to know more about the coverage and costs of Original Medicare, look in your current "Medicare & You" handbook.

  • In order for Providers (including entities) to receive payment from Medicare Plan (Part C and D), they must not be included in the Centers for Medicare & Medicaid Services (CMS) Preclusions List.

  • An Insured will be reimbursed for eligible expenses not covered by the Provincial Medicare Plan, subject to the deductible, if any, and percentage reimbursed shown below.

  • If you change to Original Medicare, you will need to decide whether to join a Medicare drug plan.To learn more about Original Medicare and the different types of Medicare plans, read Medicare & You 2022 handbook, call your State Health Insurance Assistance Program (see Section 4), or call Medicare (see Section 6.2).You can also find information about plans in your area by using the Medicare Plan Finder on the Medicare website.

  • Once you have been enrolled in a Medicare Plan, you can only make changes during the Annual Enrollment Period (AEP).

  • You can also find Medicare contacts in your state.The Medicare website also has detailed information about your Medicare eligibility and enrollment options, with the following tools:• Medicare Eligibility Tool: Provides Medicare eligibility status information.• Medicare Plan Finder: Provides personalized information about available Medicare prescription drug plans, Medicare health plans, and Medigap (Medicare Supplement Insurance) policies in your area.

Related to Medicare Plan

  • Health care plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under:

  • Medicare benefit means the Medicare benefit payable within the meaning of Part II of the Health Insurance Act 1973 with respect to a professional service.

  • Care Plan means a licensee's written description of a resident's needs, preferences, and capabilities, including by whom, when, and how often care and services are to be provided.

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

  • Managed care plan means a health benefit plan that either requires a covered person to use, or creates incentives, including financial incentives, for a covered person to use health care providers managed, owned, under contract with or employed by the health carrier.

  • Managed Care Plans means all health maintenance organizations, preferred provider organizations, individual practice associations, competitive medical plans and similar arrangements.

  • Medicare Advantage plan means a plan of coverage for health benefits under Medicare Part C as defined in 42 U.S.C. 1395w-28(b)(1), and includes:

  • Nursing Care Plan means a plan of care developed by a nurse that describes the medical, nursing, psychosocial, and other needs of a child and how those needs shall be met. The Nursing Care Plan includes which tasks shall be taught, assigned, or delegated to the qualified provider or family.

  • Health care worker means a person other than a health care professional who provides medical, dental, or other health-related care or treatment under the direction of a health care professional with the authority to direct that individual's activities, including medical technicians, medical assistants, dental assistants, orderlies, aides, and individuals acting in similar capacities.

  • Medicare Provider Agreement means an agreement entered into between CMS or other such entity administering the Medicare program on behalf of CMS, and a health care provider or supplier under which the health care provider or supplier agrees to provide items and services for Medicare patients in accordance with the terms of the agreement and Medicare Regulations.

  • Medicaid means the medical assistance programs administered by state agencies and approved by CMS pursuant to the terms of Title XIX of the Social Security Act, codified at 42 U.S.C. 1396 et seq.

  • Medicare Advantage The Medicare managed care options that are authorized under Title XVIII as specified at Part C and 42 C.F.R. § 422.

  • Child Care Program means a person or business that offers child care.

  • Medicare Regulations means, collectively, all federal statutes (whether set forth in Title XVIII of the Social Security Act or elsewhere) affecting the health insurance program for the aged and disabled established by Title XVIII of the Social Security Act and any statutes succeeding thereto; together with all applicable provisions of all rules, regulations, manuals and orders and administrative, reimbursement and other guidelines having the force of law of all Governmental Authorities (including without limitation, Health and Human Services ("HHS"), HCFA, the Office of the Inspector General for HHS, or any Person succeeding to the functions of any of the foregoing) promulgated pursuant to or in connection with any of the foregoing having the force of law, as each may be amended, supplemented or otherwise modified from time to time.

  • TRICARE means, collectively, a program of medical benefits covering former and active members of the uniformed services and certain of their dependents, financed and administered by the United States Departments of Defense, Health and Human Services and Transportation, and all laws applicable to such programs.

  • Federal Health Care Program means any “federal health care program” as defined in 42 U.S.C. § 1320a-7b(f), including Medicare, state Medicaid programs, state CHIP programs, the Veterans Administration, TRICARE and similar or successor programs with or for the benefit of any Governmental Authority, and in each case any third party payor administering such programs.

  • Health and Welfare Plans means any plan, fund or program which was established or is maintained for the purpose of providing for its participants or their beneficiaries, through the purchase of insurance or otherwise, medical (including PPO, EPO and HDHP coverages), dental, prescription, vision, short-term disability, long-term disability, life and AD&D, employee assistance, group legal services, wellness, cafeteria (including premium payment, health flexible spending account and dependent care flexible spending account components), travel reimbursement, transportation, or other benefits in the event of sickness, accident, disability, death or unemployment, or vacation benefits, apprenticeship or other training programs or day care centers, scholarship funds, or prepaid legal services, including any such plan, fund or program as defined in Section 3(1) of ERISA.

  • Health plan or "health benefit plan" means any policy,

  • Retiree Health Plan means an "employee welfare benefit plan" within the meaning of Section 3(1) of ERISA that provides benefits to individuals after termination of their employment, other than as required by Section 601 of ERISA.

  • Dependent care assistance program means a benefit plan

  • Health Care Law means any Applicable Law regulating the acquisition, construction, operation, maintenance or management of a healthcare practice, facility, provider or payor.

  • Health care organization ’ means any person or en-

  • Health Plans means any and all individual and family health and hospitalization insurance and/or self-insurance plans, medical reimbursement plans, prescription drug plans, dental plans and other health and/or wellness plans.

  • Health care system means any public or private entity whose function or purpose is the management of, processing of, enrollment of individuals for or payment for, in full or in part, health care services or health care data or health care information for its participants;

  • Health care practitioner means an individual licensed

  • Health and Welfare Benefits means any form of insurance or similar benefit programs, which may include but not be limited to, medical, hospitalization, surgical, prescription drug, dental, optical, psychiatric, life, or long-term disability.