NAC287.620. Assumption regarding availability of benefits under Medicare; coordination under Medicare.

     1. If a medical claim is made by a retired participant who is 65 years of age or older, the Claims Administrator shall assume that benefits are available to the participant pursuant to Medicare Part B. To coordinate benefits under Medicare for the purposes of this subsection, the Claims Administrator shall use the first day of the month in which the birthday of the retired participant occurs.

     2. If the Claims Administrator receives notification that a retired participant who is less than 65 years of age is eligible for benefits pursuant to Medicare Part B, the Claims Administrator shall coordinate benefits under Medicare using the first day of the month in which he or she receives notification that the retired participant is eligible for such benefits.

     (Added to NAC by Com. on Benefits, eff. 5-4-92; A by Bd. of Pub. Employees’ Benefits Prog. by R108-12, 12-20-2012)