Medicare Coverage Sample Clauses

Medicare Coverage. Employees hired by the City prior to 1986 desiring Medicare coverage will be responsible for the 1.45% employee share Medicare cost and the City will provide the employer-matching share of 1.45%. (This percentage is subject to change by Medicare.)

Medicare Coverage. The Board agrees to make Medicare coverage available to those employees who are currently not eligible. This provision will be effective beginning November 1, 1990. Each participating employee will be responsible for paying the 9.5.1 The District shall participate in the division (election) for Medicare coverage as provided by AB 265/89 and Government Code Section 22009.03 et. seq. for employees who are members of STRS and were hired before April 1, 1986. This shall be a one-time irrevocable option for said employees to obtain quarters for Medicare coverage as offered by the Social Security Administration. 9.5.2 Said employees shall contribute the applicable rate as determined by the Social Security Administration. The District shall contribute a matching amount. 9.5.3 Said employees shall participate effective November 1, 1990, pursuant to the procedures set forth by STRS and the Social Security Administration. The District shall take the necessary steps to commence payroll deduction for participating employees’ contributions and shall commence making its matching contributions as soon as practical following the division. 9.5.4 The District shall place employee contributions and its matching contribution into an escrow or like account and shall encumber these funds specifically for Medicare contributions, except as provided below. 9.5.5 Interest earned by the encumbered shall accrue to the District to offset administrative costs associated with the implementation of the program. 9.5.6 Participating employees who terminate service with the District prior to the disbursement of the encumbered account shall be able to withdraw contributions to the extent allowed by ▇▇▇▇ and SSI made by them to the encumbered account. The amount of such withdrawal shall not include any interest or any portion of the District’s matching funds. 9.5.7 Should the death of a participating employee occur prior to the disbursement of the encumbered account, the District shall pay from the encumbered account to the extent allowed by ▇▇▇▇ and SSI tothe beneficiary of the deceased employee on record with the District, or to the estate of the deceased employee, if no beneficiary is on record, and amount equal to the employee’s contribution to the encumbered account. This amount shall not include any interest or any portion of the District’s matching funds. 9.5.8 At the onset of contribution to the encumbered account, the District shall double deduct for a number of months equal to the n...

Medicare Coverage. On August 2, 2002, ▇▇▇▇▇▇ will become Medicare eligible and all coverage under the Company's medical plan (as may be in force from time to time) will cease. Effective that date, ▇▇▇▇▇▇ will have the option of enrolling in the Medicare Supplement and Prescription Plan as may then be in effect and in accordance with its terms. If ▇▇▇▇▇▇ enrolls in the Medicare Supplement and Prescription Plan, ▇▇▇▇▇▇ will pay the premium cost to the insurance company as long as he participates in the Plan.

Medicare Coverage. The parties agree to an effective date of June 1, 1995 for implementation of Medicare only coverage for Unit members hired prior to April 1, 1986, pursuant to a PERS division.

Medicare Coverage. The District agrees to allow bargaining unit members to elect individually whether they shall become eligible for Medicare coverage as provided for by AB265 (1989) in Government Code Section 2209.03

Medicare Coverage. The Board agrees to make Medicare coverage available to those employees who are currently not eligible. This provision will be effective beginning November 1, 1990. Each participating employee will be responsible for paying the

Medicare Coverage a. Covered ancillary services for those not covered under this Contract (i.e., imaging and laboratory) provided to Facility Medicare recipients will be reimbursed by Facility in accordance with the current published Medicare Fee Schedule rate applicable to the El Paso geographic area. b. Covered Professional Services provided to Medicare beneficiaries will be claimed by Contractor.

Medicare Coverage. If you are admitted to the hospital and have a three night qualifying stay, and are then in need of Skilled Care, Medicare Part A would cover up to 100 days per illness. For days 1 through 20, Medicare Part A pays in full. For days 21 through 100, there is a mandatory co-pay, currently $185.50 per day (2021 rate), applies if the required insurance is not carried. This is why Willow Valley Communities require Residents to maintain a Medigap Plan with a rating of “C”or higher. If, after several days, weeks, or months in Skilled Care, you no longer meet the criteria for Medicare Part A, you will be notified that Medicare A will no longer cover your stay. At that point, your WVC Lifecare coverage would apply. Please refer to your WVC Resident’s Agreement to familiarize yourself with the accommodations and supplies that are covered. One of the benefits of being covered by Medicare Part A is that Medicare will pay for all of your prescription medications during a Medicare Part A qualified stay in Supportive Living. When your stay is no longer Medicare Part A qualifying, it is your responsibility to pay out-of-pocket for prescription medications, unless:  You participate in a prescription drug insurance plan. PharMerica, our contracted pharmacy, works with most prescription drug insurance plans. Your specific coverage will determine your out-of-pocket expenses. We encourage you to contact your insurance carrier to verify this information as it applies to your specific policy. You will need to ask the following questions:    Does my (our) insurance policy cover the Medicare coinsurance of $185.50 per day for days 21-100 in 2021? Does my (our) insurance policy cover outpatient physical, occupational, and speech therapy?  Is my (our) insurance contracted with Willow Valley Communities to provide outpatient physical, occupational, and speech therapy?  What is the deductible amount for which I/we am/are responsible prior to my insurance paying for any services? What is my (our) maximum annual “out of pocket expense”? Attached is a glossary of terms and information that you may find useful as you speak to your insurance carrier. You may find additional information at ▇▇▇.▇▇▇▇▇▇▇▇.▇▇▇ or you may call 1.800.Medicare or ▇.▇▇▇.▇▇▇.▇▇▇▇.

Medicare Coverage. The parties acknowledge and warrant that it is not the purpose of this agreement to shift to Medicare, Medicaid or any other government program the responsibility for payment of medical expenses for the treatment of industrial injury or occupational disease related conditions. To the best of the parties’ abilities, they have tried to be clear that this agreement covers only the medical conditions accepted and covered under Claim, as outlined in this agreement. Other medical conditions are not covered except as provided in Section #-Reopening. If the accepted medical conditions outlined in this agreement should worsen and require treatment, the Claimant understands and accepts responsibility to seek treatment for those conditions by following the process outlined in Section #–Reopening. The Claimant’s right to future treatment for the "Select Ind Inj/ Occ Dis" is not being compromised by this agreement; therefore the Claimant and the Department do not expect that there will be any impact to the Claimant’s Medicare benefits. Nevertheless, the Claimant knowingly and voluntarily accepts responsibility for this risk and waives any and all claims of any nature and/or damages against the Department should Medicare take such action, including but not limited to a Private Cause of Action against the Department under the Medicare Secondary Payer Act (MSP) pursuant to 42 USC § 1395y(b)(3)(A). If the Claimant decides to seek treatment for the accepted medical conditions outlined in this agreement without going through the Department and Medicare finds it covered and provided for treatment that should have been paid for by funds associated with the worker’s industrial insurance claim, the Claimant agrees to accept responsibility for all costs and penalties for that treatment assessed by Medicare, Medicare Secondary Payer Recovery Contractor, CMS, Collection agencies, or any other governmental entity’s claims, actions, judgments or settlements.