Exclusive provider benefit plan definition

Exclusive provider benefit plan means a managed care plan subject to 28 T.A.C. Part 1, Chapter 3, Subchapter KK.
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Exclusive provider benefit plan means a managed
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Exclusive provider benefit plan means a benefit plan in which an insurer excludes benefits to an insured for some or all services, other than emergency care services required under Section 1301.155, provided by a physician or health care provider who is not a preferred provider.
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Examples of Exclusive provider benefit plan in a sentence

  • Exclusive provider benefit plan (EPBP)--An MCO that complies with 28 TAC §§3.9201 - 3.9212, relating to the Texas Department of Insurance's requirements for EPBPs, and contracts with HHSC to provide Medicaid coverage.

  • Exclusive provider benefit plan notice.[Figure 28 TAC §3.3705(f)(2)] Figure 28 TAC §3.3705(f)(2)Your rights with an exclusive provider (EPO) health planNotice from the Texas Department of InsuranceYour planYour health plan contracts with doctors and facilities to treat its members at discounted rates.


More Definitions of Exclusive provider benefit plan

Exclusive provider benefit plan means a benefit plan in
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Exclusive provider benefit plan means a plan that requires
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Exclusive provider benefit plan means a benefit
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Exclusive provider benefit plan means a benefit 5-67 plan in which an insurer excludes benefits to an insured for some or 5-68 all services, other than emergency care services required under 5-69 Section 1301.155, provided by a physician or health care provider
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Related to Exclusive provider benefit plan

  • Seller Benefit Plan means each Benefit Plan that is maintained, participated in, sponsored or contributed to by Seller of any of its Affiliates (other than the Sold Companies), or with respect to which Seller or any of its Affiliates (other than the Sold Companies) contributes or is obligated to contribute and, in either case, which covers, is entered into by or with and/or provides compensation or benefits to any Business Employees.

  • Basic health benefit plan means any plan offered to an individual, a small group,

  • Health benefit plan means a policy, contract, certificate or agreement offered or issued by a health carrier to provide, deliver, arrange for, pay for or reimburse any of the costs of health care services.

  • Employee Welfare Benefit Plan has the meaning set forth in ERISA Section 3(1).

  • income-related employment and support allowance means an income-related allowance under Part 1 of the Welfare Reform Act 2007;

  • Welfare Benefit Plan means each welfare benefit plan maintained or contributed to by the Company, including, but not limited to a plan that provides health (including medical and dental), life, accident or disability benefits or insurance, or similar coverage, in which Executive was participating at the time of the Change in Control.

  • converted employment and support allowance means an employment and support allowance which is not income-related and to which a person is entitled as a result of a conversion decision within the meaning of the Employment and Support Allowance (Existing Awards) Regulations 2008;

  • Benefit Arrangement means at any time an employee benefit plan within the meaning of Section 3(3) of ERISA which is not a Plan or a Multiemployer Plan and which is maintained or otherwise contributed to by any member of the ERISA Group.

  • Health benefits plan means a benefits plan which pays or

  • Company Benefit Plan has the meaning specified in Section 4.13(a).

  • Deferred Compensation Plan means any plan, agreement or arrangement maintained by the Company from time to time that provides opportunities for deferral of compensation.

  • Professional employer agreement means a written contract