Health care service plan means an entity licensed pursuant to the Knox-Keene Health Care Service Plan Act of 1975 (Chapter 2.2 (commencing with Section 1340) of Division 2 of the Health and Safety Code).

Health care service plan means an entity designated pursuant to Labor Code section 4616.7(b).

Health care service plan or “health plan” means a health care service plan, other than a plan that provides only specialized or discount services, that is licensed by the Department of Managed Health Care under the Knox-Keene Health Care Service Plan Act of 1975 (Chapter 2.2 (commencing with Section 1340) of Division 2 of the Health and Safety Code) or a managed care plan contracted with the State Department of Health Care Services to provide Medi-Cal services.

Examples of Health care service plan in a sentence

Health care service plan contracts for the delivery of Medi-Cal services under the Waxman-Duffy Prepaid Health Plan Act (Chapter 8 (commencing with Section 14200) of Part 3 of Division 9 of the Welfare and Institutions Code) are exempt from the requirements of this section.
Health care service plan coverage for professional mental health services may include community residential treatment services that are alternatives to inpatient care and that are directly affiliated with the plan or to which enrollees are referred by providers affiliated with the plan.
Health care service plan includes “specialized health care service plans,” including behavioral health plans.
Health care service plan providers do not insure many in the underserved minority community, and “physicians are coerced by the Act to withdraw services from predominantly minority communities.” (Compl.
Health care service plan grievance systems shall include a requirement for expedited plan review of grievances for cases involving an imminent and serious threat to the health of the patient, including, but not limited to, severe pain, potential loss of life, limb, or major bodily function.

More Definitions of Health care service plan

Health care service plan means an entity licensed pursuant

Health care service plan shall have the same meaning as defined under the Xxxx-Xxxxx Health Care Service Plan Act of 1975, California Health and Safety Code sections 1340 et seq.

Health care service plan means any of the following which offer a managed care product:

Health care service plan means a health care service plan that issues, sells, renews, or offers a plan contract covering dental services or a specialized health care service plans covering dental services.

Health care service plan. The Facility has contracted with multiple Health Care Service Plans. It is the undersigned’s responsibility to know and verify if the benefits contained in the insurance plan agreed to between the undersigned and his/her Health Care Service Plan limit, reduce or deny coverage of medical services at the Facility. It is also the responsibility of the undersigned to verify if the Facility is within their covered Network. The undersigned agrees that he/she is obligated to reimburse the Facility for any deductible, co-payments, coverage penalties, or for any service rendered which is not a covered benefit of his/her Health Care Service Plan at the Facility. For non-emergency services, it is the patient’s responsibility to ensure his/her Plan has authorized the requested services at the Facility. The undersigned agrees that denial of payment for lack of an authorization for non-emergent services will be considered a denial for a non0covered benefit, and payable by the undersigned. The undersigned acknowledges he/she has read and understands the Financial Agreement, Assignment of Insurance Benefits, Health Care Service Plan obligation and all other applicable provisions above, and is the patient, the patient’s legal representative or duly authorized as the patient’s general agent to execute the above and accept its terms.

Health care service plan means any plan as defined in Section 1345, but this section does not apply to specialized health care service contracts.

Health care service plan means a health care service plan licensed pursuant to Chapter 2.2 (commencing with Section 1340) of Division 2 that covers hospital, medical, or surgical expenses.