Common use of Member Eligibility Clause in Contracts

Member Eligibility. ☒ Only full-benefit dually eligible beneficiaries (QMB Plus, SLMB Plus and Other Full Benefit Dually Eligible Beneficiaries only as per applicable monthly capitation reimbursement rate codes at Attachment 7) ☐ QMB ☒ QMB Plus ☐ QI ☐ QDWI ☒ Other Full Benefit Dual Eligible (FBDE) Beneficiaries (non-QMB)

Appears in 4 contracts

Sources: Medicare Advantage Organization Agreement, Medicare Advantage Organization Agreement, Medicare Advantage Organization Agreement

Member Eligibility. Only full-benefit dually eligible beneficiaries (QMB Plus, SLMB Plus and Other Full Benefit Dually Eligible Beneficiaries only as per applicable monthly capitation reimbursement rate codes at Attachment 7) ☐ QMB QMB Plus ☐ QI ☐ QDWI Other Full Benefit Dual Eligible (FBDE) Beneficiaries (non-QMB)

Appears in 4 contracts

Sources: Medicare Advantage Organization Agreement, Medicare Advantage Organization Agreement, Medicare Advantage Organization Agreement

Member Eligibility. Only full-benefit dually eligible beneficiaries (QMB Plus, SLMB Plus and Other Full Benefit Dually Eligible Beneficiaries only as per applicable monthly capitation reimbursement rate codes at Attachment 7) QMB ☒ QMB SLMB Plus QI QDWI Other Full Benefit Dual Eligible (FBDE) Beneficiaries (non-QMB)

Appears in 1 contract

Sources: Medicare Advantage Organization Agreement