A TRUSTED INDEPENDENT HEALTH INSURANCE GUIDE SINCE 1999.
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Medicare & Medicaid

Medicare & Medicaid

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beneficiary

What is a beneficiary?

healthinsurance.org health insurance glossary

What is a beneficiary?

The beneficiary is enrolled in a health insurance plan and receives benefits through the policy in the form of paid claims and/or network-negotiated rates for the portion of the claim that the beneficiary has to pay.

A beneficiary can have any type of health insurance, including Medicare, Medicaid, or private coverage. But it’s particularly very common to see this term used in relation to Medicare (for example, “there are 67 million Medicare beneficiaries” means that 67 million people are enrolled in Medicare).

The term beneficiary is also used in the context of life insurance, and refers to the person (or people) who receives payment under the plan in the event that the insured person passes away.

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