Medicare Eligibility Clause Examples
The Medicare Eligibility clause defines the criteria under which an individual qualifies for Medicare coverage. Typically, this clause outlines age requirements, such as eligibility beginning at age 65, and may also address eligibility for those with certain disabilities or medical conditions. By clearly specifying who is eligible and under what circumstances, the clause ensures that both parties understand when Medicare benefits can be accessed, thereby preventing confusion and disputes regarding coverage.
Medicare Eligibility. This provision applies to Members who are entitled to Part A and/or Part B of Medicare. A Member will not be terminated as a result of reaching the age of sixty-five (65) or becoming eligible for Medicare. Benefits not covered by Medicare will be provided as described in the Agreement. Benefits covered by Medicare are subject to the provisions in this section.
Medicare Eligibility. When active employees and/or their spouses turn 65 years of age, they must choose between Medicare and their current health care coverage as their primary health insurance.
Medicare Eligibility. The person receiving continuation coverage becomes eligible for Medicare.
Medicare Eligibility. For purposes of this Agreement, an individual is considered eligible for Medicare when he becomes eligible for Medicare Part A due to age; eligibility based upon disability or end stage renal disease will not be considered. An individual need not be enrolled in or covered by Medicare to be considered “eligible.”
A. Medical Insurance
Medicare Eligibility. Commencing on their 65th birthday, unit members who retire from the College (and covered spouses) are required to utilize Medicare Part B in conjunction with a Medicare Advantage Plan that provides a level of benefit as close as possible to the College’s plan for which they would be eligible if the retiree and/or spouse was not yet 65. Except as provided in Article 13.1(b)(4), if a member (and/or covered spouse) moves out of the coverage area of the Medicare Advantage Plan provided under this Section, the College will provide an out-of-area Medicare Advantage Plan which provides benefits that are comparable (meaning as close as possible) on an overall basis to the coverage that would otherwise be provided under this Article. In the event Medicare Advantage Plans are not available, the college will provide a replacement plan that provides a level of benefit that is comparable (meaning as close as possible) on an overall basis to the coverage that would otherwise be provided under this article.
Medicare Eligibility. Upon reaching the age of Medicare eligibility, the retiree must apply for Medicare as required by CalPERS.
1. Eligible for Medicare
Medicare Eligibility. When the retiree or dependent on a county sponsored healthcare plan is eligible for Medicare they will be required to maintain Medicare Part B and enroll in a county provided Medicare Advantage Plan as determine by the Healthcare Coalition. Dependents eligible for coverage are a spouse, child or guardian child of the retiree at the time of retirement or deferment, whichever occurs first. Retiree dependents who are receiving medical, dental or optical benefits under this provision, shall continue to receive such benefits upon death of the retiree as follows: Spouse: until death; other dependent – until age 18 or 26 as applicable as long as payment of the premium, if any, is paid. Medical benefits shall be provided as follows:
Medicare Eligibility. The employee shall be responsible for notifying the City when the employee and/or spouse become eligible for Medicare.
Medicare Eligibility. PROVIDER represents and warrants that PROVIDER has, and during the term of this Agreement shall continue to maintain, a valid agreement with CMS to render services under the Medicare program. PROVIDER shall notify Payor within five (5) business days of any lapse, cancellation, or material change in status or the initiation of any proceeding that could result in such cancellation or material change.
Medicare Eligibility. When the retiree or dependent on a county sponsored healthcare plan is eligible for Medicare they will be required to maintain Medicare Part B and enroll in a county provided Medicare Advantage Plan as determined by the Healthcare Coalition. Dependents eligible for coverage are a spouse, child or guardian child of the retiree at the time of retirement or deferment, whichever occurs first. Retiree dependents who are receiving medical, dental or optical benefits under this provision, shall continue to receive such benefits upon death of the retiree as follows: Spouse – until death; other dependent – until age 18 or 26 as applicable, and payment of their share of the premiums are paid. Employees, who retire with at least fifteen (15) years of credited service, regardless of age, shall receive $12,000 straight life insurance policy paid by the Employer.