Managed care plan means a health benefit plan that either requires a covered person to use, or
Managed care plan means a health benefit plan that either requires a covered person to use, or creates incentives, including financial incentives, for a covered person to use health care providers managed, owned, under contract with or employed by the health carrier.
Managed care plan means a health benefit plan
Examples of Managed care plan in a sentence
The MCP should refer to the Guidance Document for Managed Care Plan Submission for Trial Member Level Incentive Programs for additional clarification.
More Definitions of Managed care plan
Managed care plan means a health plan that coordinates the provision of covered health care services to a covered person through the use of a primary care provider and a network.
Managed care plan means a health plan that coor- dinates the provision of covered health care services to a cov- ered person through the use of a primary care provider and a network.
Managed care plan means a plan operated by a managed care entity that provides for the financing and delivery of health care services to persons enrolled in such plan through:
Managed care plan means a plan that establishes,
Managed care plan means a plan, including an exclusive provider benefit plan, under which a person undertakes to provide, arrange for, pay for, or reimburse any part of the cost of any health care services. A part of the plan must consist of arranging for or providing health care services as distinguished from indemnification against the cost of those services on a prepaid basis through insurance or otherwise. The term does not include a plan that indemnifies a person for the cost of health care services through insurance.
Managed care plan means a plan operated by a
Managed care plan means a health insurance policy that integrates the financing and delivery of appropriate health care services to enrollees by arrangements with participating providers who are selected to participate on the basis of explicit standards to furnish a comprehensive set of health care services and financial incentives for enrollees to use the participating providers and procedures provided for in the plan;