Enrollee definition
Examples of Enrollee in a sentence
Responsibilities of the counselors include the following: Educating the Potential Enrollee and his or her family, guardian or adult caregiver about managed care in general, including: the option to enroll in a Health Plan; the way services typically are accessed under managed care; the role of the Primary Care Provider (PCP); and the responsibilities of the Health Plan member.
Responsibilities of the counselors include the following: • Educating the Potential Enrollee and his or her family, guardian or adult caregiver about managed care in general, including: the option to enroll in a Health Plan; the way services typically are accessed under managed care; the role of the Primary Care Provider (PCP); and the responsibilities of the Health Plan member.
The Contractor or its Participating Providers shall not hold the Enrollee’s CHIP card as guarantee of payment by the Enrollee, nor may any other restrictions be placed on the Enrollee.
If the physician/group is put at substantial financial risk for services not provided by the physician/group, the Contractor shall ensure adequate stop-loss protection to individual physicians and conduct annual Enrollee surveys.
If the Enrollee or Provider requests a State fair hearing with the Department, all parties to the hearing are bound by the Department’s decision until any judicial reviews are completed.