In group health insurance, the length of time an employee must be employed by an employer before he or she is eligible for insurance coverage. Also called probationary period .
Insurance Encyclopedia
eligibility—Medicare Part A
An individual is eligible for premium-free (no cost) Medicare Part A (hospital insurance) if he or she is 65 or older and receiving, or eligible for, retirement benefits from Social Security or the Railroad Retirement Board, or is younger than 65 and has received Railroad Retirement disability benefits for the prescribed time and meets the Social Security Act disability requirements, or had Medicare-covered government employment, or is younger than 65 and has end-stage renal disease (ESRD). If an individual is not eligible for premium-free Medicare Part A, he or she can buy Part A by paying monthly premium if he or she is 65 or older and enrolled in Part B, a resident of the United States, and either a citizen or an alien lawfully admitted for permanent residence who has lived in the United States continuously during the 5 years before the month in which they apply.
eligibility—Medicare Part B
An individual is automatically eligible for Part B if he or she is eligible for premium-free Part A. They are also eligible for Part B if they are not eligible for premium-free Part A but are age 65 or older and a resident of the United States or a citizen or an alien lawfully admitted for permanent residence. In this case, they must have lived in the United States continuously during the 5 years immediately before the month during which he or she enrolls in Part B.
Eligible
Qualified to receive health insurance or government program benefits.
Eligible complainants
Entities protected by FSA rules contained in Dispute resolution: Complaints Handling. They are: private individuals; a commercial customer with a group annual turnover below £1m; a charity with an annual income below £1m; and a trustee of a trust with a net asset value of less than £1m.
Eligible Dependent
A dependent of an insured person who is eligible for coverage according to the requirements set forth in the contract.
Eligible dependent (Health Insurance)
A person who depends on the policyholder for financial support, who is deemed eligible for benefits under the policy contract.
Eligible dependents
Individuals who are permitted to apply and maintain membership in a health insurance plan (i.e., spouse and children of the insured). Under some insurance policies, parents, other family members, and domestic partners may be insured as dependents.
Eligible drugs
Medications that are covered by a prescription drug plan. In a Medicare Part D plan, drugs that qualify are listed on the plan’s formulary.
Eligible employee
Employed worker who qualifies for health insurance plan benefits as one who is insured.
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An employee who is eligible based on the requirements as indicated in the group contract.