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More Less | | Questions answered: 4, Questions asked: 4 | | 0 entries | Sample translations submitted: 1 English to French: HEALTH CARE
General field: Medical
Detailed field: Medical: Health Care | Source text - English
Section 1.3 What if you are new to Generations Healthcare Value (HMO)
If you are a new member, then it’s important for you to learn how the plan operates – what the rules are and what services are available to you. We encourage you to set aside some time to look through this Evidence of Coverage booklet.
If you are confused or concerned or just have a question, please contact our plan’s Customer Service (contact information is on the cover of this booklet).
Section 1.4 Legal information about the Evidence of Coverage
It’s part of our contract with you
This Evidence of Coverage is part of our contract with you about how Generations Healthcare Value (HMO) covers your care. Other parts of this contract include your enrollment form and any notices you receive from us about changes or extra conditions that can affect your coverage. These notices are sometimes called “riders” or “amendments.”
The contract is in effect for months in which you are enrolled in Generations Healthcare Value (HMO), between January 1, 2010 to December 31, 2010.
Medicare must approve our plan each year
Medicare (the Centers for Medicare & Medicaid Services) must approve Generations Healthcare Value (HMO) each year. You can continue to get Medicare coverage as a member of our plan only as long as we choose to continue to offer the plan for the year in question and the Centers for Medicare & Medicaid Services renews its approval of the plan.
SECTION 2 What makes you eligible to be a plan member?
Section 2.1 Your eligibility requirements
You are eligible for membership in our plan as long as:
• You live in our geographic service area (section 2.3 below describes our service area)
• -- and -- you are entitled to Medicare Part A
• -- and -- you are enrolled in Medicare Part B
• -- and -- you do not have End Stage Renal Disease (ESRD), with limited exceptions, such as if you develop ESRD when you are already a member of a plan that we offer, or you were a member of a different plan that was terminated.
| Translation - French
Section 1.3 Et si vous êtes nouveau aux services médicaux Valeurs Générations “Generations Healthcare Value “(HMO)
Si vous êtes un nouveau membre, il est alors important pour vous d’apprendre comment ce plan fonctionne-Quels sont les règlements et quels sont les services qui vous sont disponibles. Nous vous encourageons a accorder un peu de votre temps pour feuilleter ce livret relatif aux preuves de garantie.
Si vous êtes désorienté, intéressé ou vous avez simplement une question à poser, prière contacter notre service clientèle du plan (les renseignements sont mentionnés sur la couverture de ce livret)
Section 1.4 Renseignements juridiques relatifs aux Preuves de garantie de protection médicale
C’est une partie de notre contrat avec vous
Les preuves de garantie de protection médicale font partie de notre contrat avec vous portant sur la manière dont Generations Healthcare Value (HMO) assure vos services médicaux. Dans d’autres parties de ce contrat sont inclus votre enrôlement et les préavis que vous recevrez de nous relatifs aux changements et aux conditions supplémentaires qui pourraient affecter votre garantie de protection médicale, ces préavis sont appelés parfois “clauses” ou “amendements”
Le contrat prend effet pour les mois pour lesquels vous vous êtes enrôlés à Generations Healthcare Value (HMO) ,entre le 1er Janvier 2010 et le 31 decembre 2010.
Medicare “L’assistance médicale pour personnes âgées” doit approuver notre plan médical chaque année.
Medicare (le centre pour L’assistance médicale pour personnes âgées et le centre des services médicaux pour personnes démunies) doit approuver Generations Healthcare Value (HMO) chaque année. Vous pouvez toujours bénéficier de la garantie de l’assistance médicale pour personnes âgées’ en tant que membre de notre plan, tant que nous choisissons de continuer de vous offrir le plan durant l’année en question et que les services médicaux : Medicare et Medicaid renouvellent leur accord de ce plan.
SECTION 2 Qu’est ce qui pourrait vous rendre éligible pour être un membre du plan
Section 2.1 Les exigences d’éligibilité
Vous êtes éligible a notre plan aussi longtemps que:
• Vous vivez dans notre zone de couverture géographique (section 2.3 ci-dessous décrit notre zone de couverture)
• --—vous êtes habilites par Medicare Partie A
• -- —vous êtes enrôlés a Medicare Partie B
• -- et que—vous n’êtes pas au stade final de la maladie rénale, avec des exceptions limitées telles que vous avez développé la maladie(maladie rénale stade final) alors que vous êtes déjà membre du plan que nous offrons ou que vous étiez un membre d’un plan qui a prit fin.
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More Less | | Bachelor's degree - bachelor in translation and interpreting 1992 | | Years of translation experience: 18. Registered at ProZ.com: Dec 2009. Became a member: Dec 2009. | | N/A | English to Arabic (Algerian University,Institute of Translation and I)
English to French (Algerian University,Institute of Translation and I)
Arabic to French (Algerian University,Institute of Translation and I)
French to Arabic (Algerian University,Institute of Translation and I)
French to English (Algerian University,Institute of Translation and I)
French to English (Algerian University,Institute of Translation and I)
Arabic to English (Algerian University,Institute of Translation and I)
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Dec 17, 2010 |
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