A beneficiary is an individual who receives benefits or is covered under a healthcare plan, insurance policy, or social welfare program. Legal and financial documents usually necessitate the listing of a beneficiary.
In the context of healthcare, beneficiaries are typically enrolled in government programs like Medicare or Medicaid, private health insurance plans, or receive coverage through employer-sponsored health benefits.
They are entitled to receive medical services, prescriptions, preventive care, and other healthcare-related services depending on the specifics of their coverage plan.
Beneficiaries are at the center of healthcare policies and programs, with their needs and well-being driving the development and implementation of healthcare services. They identify the individuals within a health plan who qualify for specific services, including prescription drug coverage, hospital insurance, and medical insurance.