Effective date of enrollment definition

Effective date of enrollment means the first date when an en- rollee is entitled to receive covered benefits.
Effective date of enrollment means the date on which an Enrollee may receive services from the Contractor, pursuant to Section 6.8(b) and Appendix H of this Agreement.
Effective date of enrollment means the first date when an enrollee is entitled to receive covered benefits.

Examples of Effective date of enrollment in a sentence

  • Other eligibility requirements.(1) At the time of enrollment, the person must be able to live in a community setting without jeopardizing the person’s health or safety, pursuant to the criteria specified in the PACE program agreement.(2) To continue to be eligible for PACE as an Iowa Medicaid enrollee, a person must meet the annual recertification requirements specified in subrule 88.84(4).88.84(2) Effective date of enrollment.

  • Fails to meet the requirements of a site visit, as required by 42 C.F.R. 455.432.(5) Effective date of enrollment of nonbilling pro- vider.

  • Prior to the end of the enrollee’s annual enrollment period, the enrollee shall be notified of the option to maintain enrollment with the current managed care organization or to enroll with a different managed care organization.73.3(4) Effective date of enrollment.

  • Membership, or its amendment, is formalized by the issuing of a Certificate of enrollment showing the name and address of the Member, those of the insured Dependents and the Effective date of enrollment, the benefits selected, the Selected coverage zone, the Deductible, the Co-payment where applicable, the corresponding Premium and, if applicable, the fixed term of membership.

  • Nothing in this section prevents a low income subsidy eligible individual from—(1) Affirmatively declining enroll- ment in Part D; or(2) Disenrolling from the Part D plan in which the individual is enrolled and electing to enroll in another Part D plan during the special enrollment pe- riod provided under § 423.38.(f) Effective date of enrollment for full- benefit dual eligible individuals.


More Definitions of Effective date of enrollment

Effective date of enrollment means the date on which an Enrollee is a member of the Contractor’s Medicaid Advantage Plus Product.
Effective date of enrollment means the first date, as established by BHP, on which an enrollee is entitled to receive covered services from the enrollee's respective man- aged health care system.
Effective date of enrollment means the first date, as established by BHP or WHP, on which an enrollee is entitled to receive covered services from the enrollee's respective managed health care system.
Effective date of enrollment means the first date on which an enrollee is entitled to receive covered benefits.
Effective date of enrollment means the date as of which a participating health plan is required to provide benefits to an enrollee.
Effective date of enrollment means: - The first day of the birth month of a newborn that is determined by the Offices to be an enrolled member; - The fifteenth day of the current month for a member who has, between the twenty-sixth day of the previous month and the tenth day of the current month, been determined by the Offices to be an enrolled member; and, - The first day of the following month for a member who has, between the eleventh day and the twenty-fifth day of a month, been determined by the Offices to be an enrolled member.
Effective date of enrollment means the date on which a participating plan's coverage begins for an enrollee.