Enrollee an Eligible Primary (“Primary Enrollee”), Eligible Dependent (“Dependent Enrollee”) or Eligible Pediatric Individual (“Pediatric Enrollee”) enrolled under this Policy to receive Benefits; persons eligible and enrolled under this Policy for Adult Benefits may also be referred to as “Adult Enrollees.”
Enrollee. An individual enrolled in an ICO participating in the Demonstration, including the duration of any month in which his/her eligibility for the Demonstration ends.
Enrollee. Enrollee means each and every individual or an Employee and each of their Family Members enrolled in a QHP offered through the Exchange for the purpose of receiving health benefits.
Enrollee. A person who has been determined eligible for TennCare and who has been enrolled in the TennCare program (see Member, also).
Enrollee. Any Medicare-Medicaid eligible individual who is enrolled with a Contractor.
Enrollee any individual who desires to be a member of XxxxXxxx and is in the process of complying with the requirements of MediCard membership.
Enrollee. An eligible employee or trust member (and/or such employee's/member's eligible dependents) of an employer/trust who has contracted with HPCC to provide behavioral health services to its employees/members. Employee/member must meet HPCC's eligibility requirements, enroll in the employer/trust's Group Plan, and accept the financial responsibility for any co-payments that may be incurred in treatment through the Group Plan.
Enrollee. A Medicaid beneficiary/recipient currently enrolled in a Dental Plan. Potential enrollee is Medicaid recipient not yet enrolled in a Dental Plan. The term enrollee us used synonymously with the term member.
Enrollee. You, when the Contractor notifies Delta Dental that you are eligible to receive Benefits under This Plan. A dental condition or symptom resulting from a dental disease or arises suddenly and in the judgment of a reasonable person, requires immediate care and treatment. Emergency Services will be paid at the In- Network Copayment level as indicated on your Summary of Dental Plan Benefits. You may be responsible for charges billed separately, which are not eligible for additional reimbursement, and you may be required to pay the entire xxxx at the time of service and file a claim.
