Dental Health Maintenance Organization definition

Dental Health Maintenance Organization. (DHMO) means a type of dental plan product that delivers dental services by requiring assignment to a primary dental care provider who is paid a capitated fee for providing all required dental services to the enrollee unless specialty care is needed. DHMOs require referral to specialty dental providers. These products do not include coverage of services provided by dental care providers outside the dental plan network.
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Examples of Dental Health Maintenance Organization in a sentence

  • HMO means a Health Maintenance Organization or Dental Health Maintenance Organization.

  • Plan includes: • Group insurance contracts and group-type contracts;• DHMO (Dental Health Maintenance Organization) coverage;• Coverage under a labor-management trusteed plan, a union welfare plan, an employer organization plan or an employee benefits plan;• Medicare or other government programs, other than Medicaid, and any other coverage required or provided by law; or• Other arrangements of insured or self-insured group or group-type coverage.

  • Consists of earned, purchased, or claimed credit.Deductible: The amount an employee or retiree is required to pay before your medical plan pays benefits for out-of-network care.Deferred Retirement: Retirement option when employee elects to receive benefit after the last day on payroll 60 day window.DHMO (Dental Health Maintenance Organization): A dental plan that operates in a way similar to a medical HMO but provides dental services.

  • Dental Maintenance Organization/ Dental Health Maintenance Organization Option When you enroll in the Dental Maintenance Organization (DMO) or Dental Health Maintenance Organization (DHMO) Option, administered by Aetna and Cigna, respectively: • You receive care solely from dentists who are associated with the DMO/DHMO network.

  • The County offers both a Dental Health Maintenance Organization (DHMO) and a Preferred Provider Organization (PPO) dental plan options.

  • As a member of our Dental Health Maintenance Organization (Dental HMO) plan, you’ll select a general dentist from a network of 580+ participating providers to coordinate all of your dental care needs.

  • DHCS – California Department of Health Care Services DHHS – United States Department of Health and Human Services DMHC – California Department of Managed Health Care Dental Health Maintenance Organization (DHMO) – A type of dental plan product that delivers dental services by requiring assignment to a primary dental care provider who is paid a capitated fee for providing all required dental services to the Enrollee unless specialty care is needed.

  • The Board will pay 90% of the premium of the Preferred Provider Organization (PPO) Dental Plan toward Traditional Dental Plan, Preferred Provider Organization Dental (PPO), or Dental Health Maintenance Organization (DHMO).

  • DHCS – California Department of Health Care Services DHHS – United States Department of Health and Human Services DMHC – California Department of Managed Health Care Dental Health Maintenance Organization (DHMO) – A type of dental plan product that delivers dental services by requiring assignment to a primary dental care provider who is paid a capitated fee for providing all required dental services to the enrollee unless specialty care is needed.

  • The County offers both a Dental Health Maintenance Organization (DHMO) dental plan and a Preferred Provider Organization (PPO) dental plan options.

Related to Dental Health Maintenance Organization

  • Health maintenance organization means that term as defined in section 3501 of the insurance code of 1956, 1956 PA 218, MCL 500.3501.

  • Health care organization ’ means any person or en-

  • Provider Organization means a group practice, facility, or organization that is:

  • Quality improvement organization or “QIO” shall mean the organization that performs medical peer review of Medicaid claims, including review of validity of hospital diagnosis and procedure coding information; completeness, adequacy and quality of care; appropriateness of admission, discharge and transfer; and appropriateness of prospective payment outlier cases. These activities undertaken by the QIO may be included in a contractual relationship with the Iowa Medicaid enterprise.

  • Industrial maintenance coating means a high performance architectural coating, including primers, sealers, undercoaters, intermediate coats, and topcoats formulated for application to substrates, including floors, exposed to one or more of the following extreme environmental conditions listed below and labeled “For industrial use only;” “For professional use only;” “Not for residential use;” or “Not intended for residential use.”

  • Clinical nurse specialist means a registered nurse with relevant post-basic qualifications and 12 months’ experience working in the clinical area of his/her specified post-basic qualification, or a minimum of four years’ post-basic registration experience, including three years’ experience in the relevant specialist field and who satisfies the local criteria.

  • Electric Reliability Organization or “ERO” means the organization that is certified by the Commission under Section 39.3 of its regulations, the purpose of which is to establish and enforce Reliability Standards for the Bulk Power System in the United States, subject to Commission review. The organization may also have received recognition by Applicable Governmental Authorities in Canada and Mexico to establish and enforce Reliability Standards for the Bulk Power Systems of the respective countries.

  • Preferred Provider Organization or "PPO" means an entity through which a group of health care providers, such as doctors, hospitals and others, agree to provide specific medical and hospital care and some related services at a negotiated price.

  • Managed Care Organization (MCO means a contracted health delivery system providing capitated or prepaid health services, also known as a Prepaid Health Plan (PHP). An MCO is responsible for providing, arranging, and making reimbursement arrangements for covered services as governed by state and federal law. An MCO may be a Chemical Dependency Organization (CDO), Dental Care Organization (DCO), Mental Health Organization (MHO), or Physician Care Organization (PCO).

  • Managed care organization means an entity that (1) is under contract with the department to provide services to Medicaid recipients and (2) meets the definition of “health maintenance organization” as defined in Iowa Code section 514B.1.

  • Maintenance Adder means an adder that may be included to account for variable operation and maintenance expenses in a Market Seller’s Fuel Cost Policy. The Maintenance Adder is calculated in accordance with the applicable provisions of PJM Manual 15, and may only include expenses incurred as a result of electric production. Manual Load Dump Action:

  • Basic health plan means the plan described under chapter

  • Health planning region means a contiguous geographical area of the Commonwealth with a

  • Statewide special election means a special election called by the governor or the

  • Credit union service organization means an organization, corporation, or association whose membership or ownership is primarily confined or restricted to credit unions or organizations of credit unions and whose purpose is primarily designed to provide services to credit unions, organizations of credit unions, or credit union members.

  • CREFC® Significant Insurance Event Template A report substantially in the form of, and containing the information called for in, the downloadable form of the “Interest Significant Insurance Event Template” available as of the Closing Date on the CREFC® Website, or such other form for the presentation of such information and containing such additional information as may from time to time be approved by the CREFC® for commercial mortgage securities transactions generally.

  • Employee organization means any organization, union, or

  • Health hazard means any condition, device or practice in a water system or its operation resulting from a real or potential danger to the health and well-being of consumers. The word "severe" as used to qualify "health hazard" means a hazard to the health of the user that could be expected to result in death or significant reduction in the quality of life.

  • Child with special needs means a child with one or more of the following conditions:

  • Maintenance Plan means a maintenance plan pursuant to N.J.A.C. 7:8-5.2(b) and 5.8 prepared by the design engineer for the stormwater management measures incorporated into the design of a major development.

  • COVID-19 hazard means exposure to potentially infectious material that may contain SARS-CoV-2, the virus that causes COVID-19. Potentially infectious materials include airborne droplets, small particle aerosols, and airborne droplet nuclei, which most commonly result from a person or persons exhaling, talking or vocalizing, coughing, sneezing, or procedures performed on persons which may aerosolize saliva or respiratory tract fluids, among other things. This also includes objects or surfaces that may be contaminated with SARS-CoV-2.

  • Retail Service and Maintenance Sector Means the service and maintenance of retail facilities which includes financial institutions, retail businesses, schools and hospitals but does not include commercial premises as defined.

  • o GENERAL HOSPITAL means a hospital that is designed to care for medical and surgical patients with acute illness or injury.

  • Fire hazard means any situation, process, material or condition which may cause a fire or explosion or provide a ready fuel supply to increase the spread or intensity of the fire or explosion and which poses a threat to life or property;

  • Coordinated licensure information system means an integrated process for collecting, storing, and sharing information on nurse licensure and enforcement activities related to nurse licensure laws that is administered by a nonprofit organization composed of and controlled by licensing boards.

  • Medical Specialist means any medical practitioner who is vocationally registered by the Medical Council under the Health Practitioners Competence Assurance Act 2003 in one of the approved branches of medicine and who is employed in either that branch of medicine or in a similar capacity with minimal oversight.