Dual Eligible Member. An individual enrolled with an AHCCCS Medicaid MCO for full Medicaid services (AHCCCS benefits) who also receives both Part A and Part B Medicare benefits. These individuals are considered to be Full Benefit Dual Eligible Members, and include Qualified Medicare Beneficiary Plus (QMB Plus), Specified Low-Income Medicare Beneficiary Plus (SLMB Plus) and Other Full Benefit Dual Eligible (Other FBDE) populations. A Full Benefit Dual Eligible Member does not include those persons enrolled in a Medicare Savings Program population: Qualified Medicare Beneficiary only (QMB only), Specified Low- Income Medicare Beneficiary only (SLMB only) or Qualified Individual-1 (QI-1).
Appears in 5 contracts
Samples: Medicare Advantage Organization Agreement, Medicare Advantage Organization Agreement, Medicare Advantage Organization Agreement
Dual Eligible Member. An individual enrolled with an AHCCCS Medicaid MCO for full Medicaid services (AHCCCS benefits) who also receives both Part A and Part B Medicare benefits. These individuals are considered to be Full Benefit Dual Eligible Members, and include Qualified Medicare Beneficiary Plus (QMB PlusQMB+), Specified Low-Income Medicare Beneficiary Plus (SLMB PlusSLMB+) and Other Full Benefit Dual Eligible (Other FBDE) populations. A Full Benefit Dual Eligible Member does not include those persons enrolled in a Medicare Savings Program population: Qualified Medicare Beneficiary only (QMB only), Specified Low- Low-Income Medicare Beneficiary only (SLMB only) or Qualified Individual-1 (QI-1).
Appears in 3 contracts
Samples: Medicare Advantage Organization Agreement, Medicare Advantage Organization Agreement, Medicare Advantage Organization Agreement
