Medicare Eligible definition

Medicare Eligible means a Tort Claimant or Unknown Tort Claimant who has received, applied for, or is eligible to receive MMSEA and MSPA benefits, and is asserting a Tort Claim or Unknown Tort Claim against the Debtors.
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Medicare Eligible means age 65 or older, or such other age at which a member becomes eligible for Medicare benefits under federal law in effect at the time a member applies for an OPERS retirement benefit. For purposes of this Subchapter, age is calculated as of the first day of the month of birth. For example, a member born September 15, 1940, is considered to be 65 and Medicare-eligible on or after September 1, 2005.
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Medicare Eligible. Individuals mean those Individuals eligible for payment of charges for services rendered or supplies sold to them under Medicare.
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Examples of Medicare Eligible in a sentence

  • If You are not participating in Medicare Part B, this Contract will pay Part B related benefits described below as if You were enrolled in Medicare Part B and Medicare Part B had paid its benefits; payment will be based upon the Allowable Charge for the Medicare Eligible Expenses.

  • Charges which are not considered Medicare Eligible Expenses, except those specifically listed as covered in this Contract.

  • This is a form sent by Medicare’s Benefit Department which shows the Medicare Eligible Expenses.

  • Part A Medicare Eligible Expenses for hospitalization are covered to the extent they are not covered by Medicare from the 61st day through the 90th day in any Medicare Benefit Period.

  • Part A Medicare Eligible Expenses incurred for hospitalization are covered to the extent not covered by Medicare for each Medicare lifetime inpatient reserve day used.

  • Benefits for Medicare Eligible Insured PersonsInsured Persons eligible for Medicare receive the full benefits of this Plan, except for those Insured Persons listed below:1.

  • These costs are paid from the Medicare Eligible Retiree Health Care Fund (MERHCF).

  • Charges that exceed the Medicare payment amount and/or the benefits provided by this policy for Medicare Eligible Expenses, including but not limited to the Allowable Charge.

  • 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.

  • Coverage of Part A Medicare Eligible Expenses for hospitalization to the extent not covered by Medicare from the 61st day through the 90th day in any Medicare Benefit Period; 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

Medicare Eligible means a Survivor Claimant who is eligible to receive, is receiving, or has received Medicare benefits.
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Medicare Eligible or “Medicare Eligible Individual” is one who meets the requirements set forth in 42 CFR § 422.5 and/or 42 CFR §423.30, as applicable.
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Medicare Eligible or “Medicare Eligibility” means eligible to enroll in Medicare based on age (rather than, e.g., disability), pursuant to the current Medicare law and regulations, whether or not an individual actually enrolls in Medicare. If the eligibility age changes under Medicare law, then the age for Medicare Eligible under the Plan will adjust correspondingly. A Surviving Spouse must provide documentation to the Trust Office of ineligibility for Medicare in order to avoid the termination of benefits under Section 3.4(b) hereof.
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Related to Medicare Eligible

  • 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.

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

  • Eligible veteran means an individual who is certified by the Wisconsin Department of Veterans Affairs as meeting all of the following conditions:

  • Eligible Dependent means a child of an Eligible Retiree who satisfies the requirements for eligibility described in the Eligibility section of this document.

  • 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.

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

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

  • 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:

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

  • 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.

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

  • 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.

  • 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.

  • Retiree means any person who has begun accruing a retirement

  • 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.

  • Eligible patient means an individual who meets all of the following conditions:

  • Adult care home means any nursing facility, nursing facility for

  • Enrolled Nurse means an employee:

  • 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.

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

  • 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 entity means any health care provider, health plan or health care clearinghouse.

  • Health care service means that service offered or provided

  • Family day care home means a unit registered under Title 5, Subtitle 5 of the Family Law Article.

  • Family child care home means a private home in which 1 but fewer than 7 minor children are received for care and supervision for compensation for periods of less than 24 hours a day, unattended by a parent or legal guardian, except children related to an adult member of the household by blood, marriage, or adoption. Family child care home includes a home in which care is given to an unrelated minor child for more than 4 weeks during a calendar year. A family child care home does not include an individual providing babysitting services for another individual. As used in this subparagraph, "providing babysitting services" means caring for a child on behalf of the child's parent or guardian if the annual compensation for providing those services does not equal or exceed $600.00 or an amount that would according to the internal revenue code of 1986 obligate the child's parent or guardian to provide a form 1099-MISC to the individual for compensation paid during the calendar year for those services.