X hits on this document

315 views

0 shares

0 downloads

0 comments

75 / 113

Medicare Coordination – End-Stage Renal Disease The Plan is the primary payer for:

  • An active employee or employee’s dependent spouse or child with end-stage renal disease during the first thirty (30) months of Medicare eligibility solely by reason of end-stage renal disease (Medicare is primary after the first 30 months).

  • A retiree, surviving spouse, or retiree’s or surviving spouse’s dependent spouse or child under age 65 with end-stage renal disease during the first 30 months of Medicare eligibility.

Medicare is the primary payer for: An active employee or employee’s dependent spouse or child with end-stage renal disease after the first 30 months of Medicare eligibility solely by reason of end-stage renal disease A retired employee, surviving spouse, or dependent of a retired employee or surviving spouse who is under age 65 with end-stage renal disease after the first 30 months of Medicare eligibility.

If the participant does not elect Medicare Part A, B, or D, benefits will be reduced as though Medicare is the primary payor. The Plan will calculate benefits assuming the participant has Medicare A, B, and D.

68

Document info
Document views315
Page views315
Page last viewedSun Dec 11 02:14:46 UTC 2016
Pages113
Paragraphs2271
Words37586

Comments