Preferred Provider - Doctors/Hospitals Sample Clauses
The Preferred Provider - Doctors/Hospitals clause designates specific healthcare providers or facilities that an insured individual must use to receive the maximum benefits under a health insurance plan. In practice, this means that policyholders are encouraged or required to seek medical care from a network of approved doctors or hospitals, often resulting in lower out-of-pocket costs or higher coverage levels. This clause helps control healthcare costs for both the insurer and the insured by steering patients toward providers with negotiated rates, and it ensures clarity regarding which medical services are covered at the most favorable terms.
Preferred Provider - Doctors/Hospitals. 1. The parties agree that one or more Preferred Provider Organization (PPO) programs for hospital and physicians' services shall be provided through the ▇▇▇▇▇ County Council of Governments (COG) Health Insurance Program. Anyone, as of August 1, 2009, who has the traditional Mutual Health Program instead of the PPO, may continue such participation.
2. The selection of the PPO(s), the types of benefits/programs, or any changes therein, shall be mutually determined by the representative of the COG and the ▇▇▇▇▇ County OEA office representative.
Preferred Provider - Doctors/Hospitals. The parties agree that one or more Preferred Provider Organization (PPO) programs for hospital and physicians’ services may be provided through the ▇▇▇▇▇ County Council of Governments (COG) Health Insurance Program.
Preferred Provider - Doctors/Hospitals. A. The parties agree that one or more Preferred Provider Organizations (PPO) programs for hospital and physicians’ services may be provided through the ▇▇▇▇▇ County Council of Governments (COG) Health Insurance Program. Anyone, as of August 1, 2009, who has the traditional Mutual Health Program instead of the PPO, may continue such participation.
B. Participation in any such programs will be voluntary and there shall be no diminution of benefits for those individuals who choose not to participate in a PPO. However, for those individuals who choose a PPO and then utilize services outside the PPO system, there may be a reduction in benefits.
C. The selection of the PPO(s), the types of benefits/programs, or any changes therein, shall be mutually determined by the representative of the COG and the ▇▇▇▇▇ County OEA office representative.
D. The duration of this provision shall be from July 1, 2006, and continuing thereafter unless terminated or modified by the representatives outlined in paragraph 3 herein.
Preferred Provider - Doctors/Hospitals. 1. The parties agree that one or more Preferred Provider Organization (PPO) programs for hospital and physicians' services may be provided through the Stark County Council of Governments (COG) Health Insurance Program.
2. Participation in any such programs will be voluntary, and there shall be no diminution of benefits for those individuals who choose not to participate in a PPO. However, for those individuals who choose a PPO and then utilize services outside the PPO system, there may be a reduction in benefits.
3. The selection of the PPO(s), the types of benefits/programs, or any changes therein shall be mutually determined by the representative of the COG and the Stark County OEA office representative.
4. The duration of this provision shall be from March 1, 1994, and continuing thereafter unless terminated or modified by the representatives outlined in paragraph 3 herein.
Preferred Provider - Doctors/Hospitals. 1. The parties agree that one or more Preferred Provider Organization (PPO) programs for hospital and physicians’ services shall be provided.
2. The selection of the PPO(s), the types of benefits/programs, or any changes therein, shall be equivalent to current coverage.
Preferred Provider - Doctors/Hospitals. 041 The parties agree that one or more Preferred Provider Organization (PPO) programs for hospital and physicians' services shall be provided through the COG Health Insurance Program. Anyone, as of August 1, 2009, who has the traditional Mutual Health Program instead of the PPO may continue such participation.
Preferred Provider - Doctors/Hospitals. 1. The parties agree that one or more Preferred Provider Organization (PPO) programs for hospital and physicians' services shall be provided through the Stark County Council of Governments (COG) Health Insurance Program. Anyone, as of August 1, 2009, who has the traditional Mutual Health Program instead of the PPO, may continue such participation. August 1, 2009, who has the traditional Mutual Health Program instead of the PPO, may continue such participation.
2. The selection of the PPO(s), the types of benefits/programs, or any changes therein, shall be mutually determined by the representative of the COG and the Stark County OEA office representative.