Medicare beneficiaries

E544645

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.

All labels observed (2)

How this entity was disambiguated

Statements (49)

Predicate Object
instanceOf group of people ⓘ
health insurance enrollees ⓘ
administeredBy Centers for Medicare & Medicaid Services ⓘ
country 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 ⓘ
Medicare Part B ⓘ
Medicare Part C ⓘ
Medicare Part D ⓘ
enrolledIn Medicare ⓘ
fundedBy Hospital Insurance Trust Fund ⓘ
Supplementary Medical Insurance Trust Fund ⓘ
beneficiary premiums ⓘ
general federal revenues ⓘ
mayHaveCoverageType Medicare Advantage plan ⓘ
linked to: Medicare Part C

Original Medicare ⓘ
linked to: Medicare Part A
mayHaveSupplementalCoverage Medicaid ⓘ
Medigap policy ⓘ
TRICARE ⓘ
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 ⓘ

How these facts were elicited

Referenced by (4)

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

Medicare Part D → targetPopulation → Medicare beneficiaries ⓘ
subject linked to: Part D
Annual Enrollment Period → appliesTo → Medicare beneficiaries ⓘ
Pioneer ACO Model → appliesTo → Medicare fee-for-service beneficiaries ⓘ
linked to: Medicare beneficiaries