Medicare coinsurance and deductible definition

Medicare coinsurance and deductible means the Medicare cost-sharing costs described in 42 U.S.C. 1396d(p)(3)(B) through 42 U.S.C. 1396d(p)(3)(D).
Sample 1Sample 2Sample 3

Examples of Medicare coinsurance and deductible in a sentence

  • The Medicare coinsurance and deductible amounts applicable to the claim.

  • For Medicare Services which are not covered by Medicaid, or for which Nevada does not have an established rate, Medicaid will pay the Medicare co-insurance and deductible amounts.

  • The Division limits payment to the Medicaid allowed amount, less the Medicare payment, up to the Medicare co-insurance and deductible, whichever is less.

  • For Medicare services which are not covered by Medicaid, or for which Nevada does not have an established rate, Medicaid will pay the Medicare co-insurance and deductible amounts.

  • If services are related to the professional component of laboratory and x-ray services, the payment for Medicare co-insurance and deductible will be made and forwarded to the hospital automatically based upon the EOMB cross-over information.

  • After filing a claim to Medicare, Providers have the option of filing a claim to Managed Care Organizations for consideration of any additional payment toward any applicable Medicare coinsurance and deductible.

  • For all other services, a Medicare EOMB must be attached to the appropriate claim form and submitted to the Bureau for the billing of Medicare co-insurance and deductible charges.

  • The MHP shall not be responsible to reimburse Fee-for-Service/Medi-Cal hospitals that deliver Medicare covered services to a beneficiary for any Medicare coinsurance and deductible payments due to the provider from the Medi-Cal program pursuant to Title 42, United States Code, Section 1396a(a)(n).NOTE: Authority: Section 14680, Welfare and Institutions Code.Reference: Sections 5777, 5778, and 14684, Welfare and Institutions Code, and Title 42, United States Code, Section 1396a(a)(n).

  • For all other services, a Medicare EOMB must be attached to the appropriate claim form and submitted to Medicaid for the billing of Medicare co-insurance and deductible charges.

  • The Medicare coinsurance and deductible would apply to these services.

Related to Medicare coinsurance and deductible

  • Coinsurance means that you pay a percent of the total cost of the drug each time you fill a prescription.

  • Individual health insurance coverage means health insurance coverage offered to individuals in the

  • Group health insurance coverage means in connection with a group health plan, health insurance

  • Health care coverage means any plan providing hospital, medical or surgical care coverage for

  • Health insurance coverage means benefits consisting of medical care (provided directly, through

  • Credit unemployment insurance means insurance:

  • Health insurance carrier or "carrier" means any entity subject to the insurance

  • Unemployment Insurance means the contribution required of Vendor, as an employer, in respect of, and measured by, the wages of its employees (or subcontractors) as required by any applicable federal, state or local unemployment insurance law or regulation.

  • Medical malpractice insurance means insurance against legal liability incident to the practice and provision of a medical service other than the practice and provision of a dental service.

  • Deductible has the meaning set forth in Section 11.1(e).

  • Insurance Costs means the sums described in paragraph 1.1 of Part 5 of the Schedule;

  • High Deductible Health Plan means a Health Plan as defined by 26 USC § 223(c)(2)(A) that also is a Qualified Health Plan.

  • Health insurance means protection which provides payment of benefits for covered sickness or injury.

  • 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.

  • Insurance Add-On Amount means the premium charged to the Obligor in the event that the Servicer obtains Force-Placed Insurance pursuant to Section 4.4.

  • Insurance carrier means every insurance carrier duly

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

  • Medicare cost report means CMS-2552-10, the cost report for electronic filing of

  • Insurance Contracts means the insurance or annuity policies and contracts, together with all binders, slips, certificates, endorsements and riders thereto, issued or entered into by any Insurance Company prior to the Closing.

  • Insurance Coverage Contractor shall, at Contractor’s sole expense, procure, maintain and keep in force for the duration of this Contract the following insurance conforming to the minimum requirements specified below. Unless specified herein or otherwise agreed to by the City, the required insurance shall be in effect prior to the commencement of work by Contractor and shall continue in force as appropriate until the latter of:

  • FHA Insurance The contractual obligation of FHA respecting the insurance of an FHA Loan pursuant to the National Housing Act, as amended.

  • Medicare Levy Surcharge means an extra charge payable by high income earners beyond the standard Medicare Levy if they do not have qualifying private hospital insurance coverage. This charge is assessed as part of an individual or family’s annual tax return.

  • Health insurance policy means a policy that provides specified benefits for hospital and/or general treatment and meets all requirements under section 63-10 of the Private Health Insurance Act 2007.

  • Insurance Laws means all Laws applicable to the business of insurance or the regulation of insurance companies.

  • Reinsurance means the activity consisting in accepting risks ceded by an insurance undertaking or by another reinsurance undertaking or, in the case of the association of underwriters known as Lloyd's, the activity consisting in accepting risks, ceded by any member of Lloyd's, by an insurance or reinsurance undertaking other than the association of underwriters known as Lloyd's;

  • Insurance Contract means a contract (other than an Annuity Contract) under which the issuer agrees to pay an amount upon the occurrence of a specified contingency involving mortality, morbidity, accident, liability, or property risk.