Health plan member

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What is a health plan member?

A health plan member is a person who has arranged for health insurance by signing up for and agreeing to a health insurance plan.

The health plan member is covered for certain healthcare services as defined by the health insurance plan, in exchange for paying a monthly premium. In order to benefit from the health insurance plan, the health plan member agrees to comply with certain financial terms such as a paying a deductibleand agreeing to copayments and coinsurance.

In some cases, a third party, such as a government agency or employer may be pay for a portion or all of the premium cost on behalf of the health plan member.

A health plan member is sometimes referred to as a enrollee, member or beneficiary.