What is the enrollee?

What is the enrollee?

noun. a person enrolled, in a class, school, course of study, etc.

What does primary enrollee mean?

Primary enrollee means a person who is responsible for making payments for participation in a health care plan or an enrollee whose employment or other status is the basis of eligibility for enrollment in a health care plan.

What is a late enrollee?

“Late enrollee” means an employee or dependent who requests enrollment in a health benefits plan after the initial enrollment period that is provided under the terms of the health benefits plan if the initial enrollment period is at least thirty-one days.

What does insured mean in medical terms?

be·ne·fi·ci·ar·y. (ben’ĕ-fish’ē-ar-ē) A person with health care insurance coverage, usually through the Medicare program.

What is the plural of enrollee?

enrollee (plural enrollees)

What is the purpose of the insurance claim utilization review process?

The goal of utilization review is to make sure patients get the care they need, that it’s administered via proven methods, provided by an appropriate healthcare provider, and delivered in an appropriate setting.

How long is a member responsible for a late enrollment penalty for Medicare?

63 days
Medicare beneficiaries may incur a late enrollment penalty (LEP) if there is a continuous period of 63 days or more at any time after the end of the individual’s Part D initial enrollment period during which the individual was eligible to enroll, but was not enrolled in a Medicare Part D plan and was not covered under …

How long does LEP last?

For most people, you have to pay the LEP as long as you are enrolled in the Medicare prescription drug benefit. There are some exceptions: If you receive Extra Help, your penalty will be permanently erased. If you are under 65 and have Medicare, your LEP will end when you turn 65.

How do you use enrollee in a sentence?

The plans will then affect healthcare for their enrollees. Real spending on older antidepressants dropped by 10%, while the number of prescriptions per enrollee remained virtually unchanged.

What is another word for enrollees?

educatee, student, pupil.

What is Enrolment process?

The meaning of the word enrollment is taking admission or initiating for attendance in school or office. If a student wants to take admission in any school or college for any course, there is an enrollment process. The student has to fill-up the form and then submit it to the college or school.

What does before enrollment mean?

Definition of preenrollment : occurring or done before someone enrolls in something (such as in a school or program) preenrollment testing.

What is the difference between primary and secondary dental insurance?

Generally, the primary plan is the one in which the patient is the main policyholder. The secondary plan is the plan that the patient is covered as a dependent.

When an insurance states they have a missing tooth clause this means?

Members covered by a dental plan with a missing tooth clause means the dental insurance company will not cover the costs of replacing the tooth if the tooth fell out or was extracted before the current dental coverage started.