Member Eligibility. Verify Member eligibility contemporaneous with the rendering of services. BCBS will provide systems and/or methods for verification of eligibility and benefit coverage for Members. This is furnished as a service and not as a guarantee of payment;
Member Eligibility. ☐ Only full-benefit dually eligible beneficiaries (QMB Plus, SLMB Plus and Other Full Benefit Dually Eligible Beneficiaries only) ☐ QMB ☐ QMB Plus ☐ QI ☐ QDWI ☐ Other Full Benefit Dual Eligible (FBDE) Beneficiaries (non-QMB)
Member Eligibility. You are a Member of this Plan if you are enrolled as a Subscriber or Dependent of the Subscriber. If this Plan is being offered through the Marketplace, the Marketplace will make eligibility determinations in accordance with applicable law and based upon your Application. If you purchased this Plan direct from Health Options, we will make eligibility determinations in accordance with applicable law, your Application, and payment of the initial Premium. Subscribers must reside in Maine.
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)
Member Eligibility. ☐ AHCCCS Complete Care (ACC) ☐ QMB+ ☐ Integrated RBHA ☐ SLMB+ ☐ ALTCS Elderly and Physically Disabled ☐ FBDE (non-QMB) ☐ ALTCS Developmentally Disabled (DD) ☐ Children’s Rehabilitative Services (CRS) (for the ALTCS Developmentally Disabled [DD] CRS subpopulation only)
Member Eligibility. ☒ AHCCCS Acute Program ☒ QMB+ ☐ Integrated RBHA Maricopa County ☒ SLMB+ ☐ ALTCS Elderly and Physically Disabled ☒ FBDE (noniQMB) ☐ ALTCS Developmentally Disabled ☐ Children’s Rehabilitative Services
Member Eligibility. ☐ AHCCCS Acute Program ☒ QMB+ ☐ Integrated RBHA Maricopa County ☒ SLMB+ ☐ ALTCS Elderly and Physically Disabled ☒ FBDE (noniQMB) ☐ ALTCS Developmentally Disabled ☒ Children’s Rehabilitative Services
Member Eligibility. Vendor will inform any prospective Government Unit, it must complete forms with MMCAP Infuse before it can access the pricing and benefits of this Agreement.
Member Eligibility. The MCO may provide eligibility renewal assistance for Members whose eligibility is about to expire.
Member Eligibility. All Wings Members who are 18 years of age or older and have the legal capacity to enter into a binding contract are eligible to participate in the Program. To participate in the Program, Members must qualify for at least one product included in the Program. A Point account will be established for the primary Member of an eligible product or service. A person who does not serve as the primary Member on an eligible account will not have a Point account opened until such time they become a primary Member on an eligible product or service.
