Medicaid Eligibility. If you become eligible for Medicaid, you may request that we suspend coverage under this plan. To suspend coverage, notify us within ninety (90) days of the date you become entitled to Medicaid. Upon receipt of this notice, we will suspend benefits and subscriber fees due under this plan for up to twenty-four (24) months. This plan, or if this plan is no longer available, a plan that is a substantially equivalent, can be automatically reinstated within the twenty-four (24) month period if you: • are no longer eligible for Medicaid; and • notify us within ninety (90) days of the date you are no longer eligible for Medicaid; and • pay subscriber fees due as of the date of reinstatement. Your effective date of reinstatement is the date you cease to be eligible for Medicaid. Benefits and subscriber fees will be reinstated as if your plan, or a substantially equivalent plan, had remained in force. Any benefit or subscriber fee changes made to your plan, while your coverage was suspended, are effective as of your reinstatement date.
Appears in 14 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Medicaid Eligibility. If you become eligible for Medicaid, you may request that we suspend coverage under this plan. To suspend coverage, notify us within ninety (90) days of the date you become entitled to Medicaid. Upon receipt of this notice, we will suspend benefits and subscriber fees due under this plan for up to twenty-four (24) months. This plan, or if this plan is no longer available, a plan that is a substantially equivalent, can be automatically reinstated within the twenty-four (24) month period if you: • are no longer eligible for Medicaid; and • notify us within ninety (90) days of the date you are no longer eligible for Medicaid; and • pay subscriber fees due as of the date of reinstatement. Your effective date of reinstatement is the date you cease to be eligible for Medicaid. Benefits and subscriber fees will be reinstated as if your plan, or a substantially equivalent plan, had remained in force. Any benefit or subscriber fee changes made to your plan, while your coverage was suspended, are effective as of your reinstatement date.
Appears in 2 contracts
Samples: Subscriber Agreement, Subscriber Agreement
Medicaid Eligibility. If you become eligible for Medicaid, you may request that we suspend coverage under this plan. To suspend coverage, notify us within ninety (90) days of the date you become entitled to Medicaid. Upon receipt of this notice, we will suspend benefits and subscriber fees due under this plan for up to twenty-four (24) months. This plan, or if this plan is no longer available, a plan that is a substantially equivalent, can be automatically reinstated within the twenty-four (24) month period if you: • are no longer eligible for Medicaid; and • notify us within ninety (90) days of the date you are no longer eligible for Medicaid; and • pay subscriber fees due as of the date of reinstatement. Your effective date of reinstatement is the date you cease to be eligible for Medicaid. Benefits and subscriber fees will be reinstated as if your plan, or a substantially equivalent plan, had remained in force. Any benefit or subscriber fee changes made to your plan, while your coverage was suspended, are effective as of your reinstatement date.
Appears in 2 contracts
Samples: Subscriber Agreement, Subscriber Agreement