Common use of Eligible Beneficiary Clause in Contracts

Eligible Beneficiary. An individual who is eligible to enroll in the Demonstration but has not yet done so. This includes individuals who are enrolled in Medicare Part A and B and are receiving full Medicaid benefits, have no other comprehensive private or public health coverage, and who meet all other Demonstration eligibility criteria.

Eligible Beneficiary. An individual who is eligible to enroll in the Demonstration but has not yet done so. This includes individuals who are entitled to or enrolled in Medicare Part A and B and B, eligible to enroll in Part D, are receiving full Medicaid benefits, have no other comprehensive private or public health coverageThird Party Health Insurance, and who meet all other Demonstration eligibility criteria. In other materials including the CFR, such an individual is sometimes referred to as a “potential enrollee.”

Eligible Beneficiary. An individual who is eligible to enroll in the Demonstration but has not yet done so. This includes individuals who are enrolled in Medicare Part A and B and are receiving full Medicaid benefits, have no other comprehensive private or public health coverage, and who meet all other Demonstration eligibility criteria. In other materials including the CFR, such an individual is sometimes referred to as a “potential enrollee.”