Medicare+Choice Eligible Individual Law and Legal Definition
A medicare+choice eligible individual means an individual eligible to receive medicare benefits through enrollment in a medicare+choice plan. A medicare+choice eligible individual can choose to use private pay options, establish medical savings accounts, use managed care plans, or join provider-sponsored plans. Upon request made by a medicare+choice eligible individual, a medicare+choice organization must provide information about general coverage and general comparative plan, procedures used by the organization to control utilization of services and expenditures, and number of grievances, redeterminations, and appeals. The organization should also disclose information concerning the disposition in the aggregate of such matters, and summary description as to the method of compensation of participating physicians.
According to 42 USCS § 1395w-21(a)(3)(A), the term "Medicare + Choice eligible individual" means an individual who is entitled to benefits under part A [42 USCS §§ 1395c et seq.]and enrolled under part B [42 USCS §§ 1395j et seq.].
Legal Definition list
Related Legal Terms
- Affected Individual
- Aggrieved Individual [HUD]
- Authorized Individual [Energy]
- Close Relative of an Individual
- Discrimination Against Handicapped Individuals [Aviation Law]
- Disinterested Individual
- Economically Disadvantaged Family or Individual
- Eligible Adverse Weather [Agriculture]
- Eligible Biofuels Producer
- Eligible Book-Entry Sallie Mae Security