Due to a planned data migration beginning Friday, July 11 at 11:00 p.m., and continuing through Monday, July 14 at 8:00 a.m., you may experience a delay in your information appearing on CareFirst portals. We expect that changes to member data will be reflected on the portals by Tuesday, July 15. Your patience is appreciated.
Change Healthcare notifying individuals of data breach. Learn more here.
- Effective Date
- Date on which a group member's coverage begins, typically occurring at the end of an eligibility period stipulated by the group.
- Elective Surgery
- Surgery for a condition that is not considered an emergency.
- Eligibility
- Insured person's qualification for coverage as an eligible member under the contract at the time health care is rendered.
- Eligibility Period
- Period of time before a group member becomes eligible for benefits. This is defined by each group.
- Emergency Care
- Care for patients with severe or life-threatening conditions that require immediate intervention.
- Emergency Surgery
- Procedure that must be performed in a situation that is serious or life-threatening for the patient.
- Enrollee
- An individual who is enrolled and eligible for coverage under a health plan contract. Also known as the "insured."
- Enrollment
- Process by which a person completes an enrollment form or application in order to become a member of health insurance coverage under a contract.
- Evidence of Coverage (EOC)
- A summary detailing the terms, conditions and limitations of your group coverage.
- Exclusion
- Specific circumstances or services listed in the contract for which benefits will not be provided.
- Experimental Procedures
- Any service or supply that is in the developmental stage or is in the process of human or animal testing.
- Expiration Date
- See Termination Date.
- Explanation of Benefits (EOB)
- A statement a member receives that describes how a claim was processed for benefits, including the member's liability for services rendered