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

Medicare & Medicaid

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Featured
What are the deadlines for the ACA’s open enrollment period?
A list of the open enrollment deadlines for enrollment in 2025 ACA-compliant health insurance in every state. Open enrollment runs from November 1 to January 15 in most states, but some state-run exchanges have different schedules.

Featured

Featured
Will you receive an ACA premium subsidy?
See if you're eligible for the Affordable Care Act's premium tax credits (premium subsidies), how subsidies are calculated, and why they are more robust than they used to be.

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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