Medicare beneficiaries

E544645

group of people health insurance enrollees

Medicare beneficiaries are individuals, primarily aged 65 and older or with certain disabilities, who are enrolled in the U.S. federal health insurance program Medicare.

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Observed surface forms (1)

Surface form	Occurrences
Medicare fee-for-service beneficiaries	1

Statements (49)

Predicate	Object
instanceOf	group of people ⓘ health insurance enrollees ⓘ
administeredBy	Centers for Medicare & Medicaid Services NERFINISHED ⓘ
country	United States of America ⓘ surface form: United States
coveredFor	home health services ⓘ hospice care ⓘ inpatient hospital services ⓘ outpatient medical services ⓘ physician services ⓘ prescription drugs under Part D ⓘ skilled nursing facility care ⓘ
demographicCharacteristic	high prevalence of chronic conditions ⓘ higher health care utilization than general population ⓘ
eligibleFor	Medicare Part A NERFINISHED ⓘ Medicare Part B NERFINISHED ⓘ Medicare Part C NERFINISHED ⓘ Medicare Part D NERFINISHED ⓘ
enrolledIn	Medicare NERFINISHED ⓘ
fundedBy	Hospital Insurance Trust Fund NERFINISHED ⓘ Supplementary Medical Insurance Trust Fund NERFINISHED ⓘ beneficiary premiums ⓘ general federal revenues ⓘ
mayHaveCoverageType	Medicare Advantage plan NERFINISHED ⓘ Original Medicare NERFINISHED ⓘ
mayHaveSupplementalCoverage	Medicaid NERFINISHED ⓘ Medigap policy ⓘ TRICARE NERFINISHED ⓘ Veterans Health Administration coverage ⓘ employer-sponsored retiree coverage ⓘ
mayInclude	people under 65 with disabilities ⓘ people with Amyotrophic Lateral Sclerosis ⓘ people with End-Stage Renal Disease ⓘ
mayPay	Part B premium ⓘ Part D premium ⓘ coinsurance ⓘ copayments ⓘ deductibles ⓘ
mustChoose	Medicare Advantage plan instead of Original Medicare if they enroll in Part C ⓘ Part D plan if they want outpatient drug coverage ⓘ
partOfProgram	U.S. federal health insurance program ⓘ
primaryEligibilityCriterion	age 65 or older ⓘ
protectedBy	federal beneficiary rights and protections ⓘ
secondaryEligibilityCriterion	Amyotrophic Lateral Sclerosis diagnosis ⓘ End-Stage Renal Disease requiring dialysis or transplant ⓘ Social Security Disability Insurance entitlement ⓘ qualifying disability ⓘ
subjectTo	annual open enrollment periods ⓘ late enrollment penalties for some parts ⓘ
typicalAgeGroup	65 and older ⓘ

Referenced by (3)

Full triples — surface form annotated when it differs from this entity's canonical label.

Part D → targetPopulation → Medicare beneficiaries ⓘ

subject surface form: Medicare Part D

Annual Enrollment Period → appliesTo → Medicare beneficiaries ⓘ

Pioneer ACO Model → appliesTo → Medicare beneficiaries ⓘ

this entity surface form: Medicare fee-for-service beneficiaries