Third-party benefit means any benefit that is or may be available at any time through contract, court award, judgment, settlement, agreement, or any arrangement between a third party and any person or entity, including, without limitation, a Medicaid recipient, a provider, another third party, an insurer, or the department, for any Medicaid-covered injury, illness, or other medical or allied care, goods, or services, including costs of medical or allied care, goods, or services related thereto, for personal injury or for death of the recipient, but specifically excluding policies of life insurance on the recipient, unless available under terms of the policy to pay medical expenses prior to death. The term includes, without limitation, collateral as defined in this section, health insurance, any benefit under a health maintenance organization, a preferred provider arrangement, a prepaid health clinic, liability insurance, uninsured motorist insurance or personal injury protection coverage, medical benefits under workers’ compensation, and any obligation under law or equity to furnish medical support.
Third-party benefit means any health care service(s) available to members through any medical insurance policy or through some other resource that covers medical benefits and the payment for those services is either completely the obligation of the third party payer (TPP) or in part the obligation of the member, the TPP, and/ or the MCP.
Third-party benefit means any health care service(s) available to members
More Definitions of Third-party benefit
Third-party benefit means any benefit that is
Third-party benefit means any benefit that is or 957 may be available at any time through contract, court award,
Third-party benefit means any health care service[s] available to consumers through any
Third-party benefit means any health care service(s) available to consumers through any medical insurance policy or through some other resource that covers medical benefits.
Third-party benefit means any health care service(s) available to consumers through any medical insurance policy or through some other resource that covers medical benefits and the payment for those services is either completely the obligation of the TPP or in part the obligation of the consumer, the TPP and/or medicaid. (Examples of a third party benefit include private health or accidental insurance, medicare, CHAMPUS or worker's compensation.)
Third-party benefit means any benefit that is or 1357 may be available at any time through contract, court award, 1358 judgment, settlement, agreement, or any arrangement between a 1359 third party and any person or entity, including, without 1360 limitation, a Medicaid recipient, a provider, another third 1361 party, an insurer, or the agency, for any Medicaid-covered 1362 injury, illness, goods, or services, including costs of medical 1363 services related thereto, for bodily personal injury or for 1364 death of the recipient, but specifically excluding policies of 1365 life insurance policies on the recipient, unless available under 1366 terms of the policy to pay medical expenses before prior to 1367 death. The term includes, without limitation, collateral, as 1368 defined in this section;, health insurance;, any benefit under a 1369 health maintenance organization, a preferred provider 1370 arrangement, a prepaid health clinic, liability insurance, 1371 uninsured motorist insurance, or medical payments coverage; or 1372 personal injury protection coverage, medical benefits under 1373 workers' compensation, and any obligation under law or equity to 1374 provide medical support. 1375 Section 30. Paragraph (f) of subsection (11) of section 1376 409.910, Florida Statutes, is amended to read: 1377 409.910 Responsibility for payments on behalf of Medicaid- 1378 eligible persons when other parties are liable.— 1379 (11) The agency may, as a matter of right, in order to 1380 enforce its rights under this section, institute, intervene in,
Third-party benefit means any benefit payable to the Employee, by a person, firm or entity other than the Company or its affiliates, pursuant to any employee pension plan within the meaning of Section 3(2) of ERISA, deferred compensation arrangement, golden parachute payments, plan described in Section 403(a), 403(b) or 408(k) of the Code, excess benefit plan, supplemental retirement plan or any other type of retirement or employment termination benefit plan, regardless of whether or not the Employee actually receives such benefit and disregarding any forfeiture of such benefit by reason of the termination of the employment of or the relationship with the Employee and any discretionary termination of such benefit by the obligor or sponsor of the benefit. If any such benefit terminates by reason of forfeiture, discretionary termination by the obligor or sponsor of the benefit or for any other reason and the Employee becomes entitled to receive a similar benefit from the same or a different obligor or sponsor, then such similar benefit shall constitute a Third Party Benefit only to the extent that it exceeds the terminated benefit.