HMO Plans definition

HMO Plans means commercial contracts for health care services provided by Company to Contractholders in the Service Area utilizing the Company's network of healthcare providers to provide health care services when such contracts are marketed and sold under the tradename "The Guardian & PHS Healthcare Solutions," or such other tradename as the parties may mutually agree to from time to time. HMO Plans include HMO Plans with a "point-of-service" feature.
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Examples of HMO Plans in a sentence

  • Employees in this group who elect upon retirement to enroll in any PPO plan other than a PPO 10 plan, any of the approved HMO Plans or a HDHP in retirement shall not have to contribute to the cost of any premium for health insurance coverage.

  • Employees in this group who elect to enroll in a PPO10 plan and earn $40,000 or more in base salary in the year they retire shall pay the difference between the cost of that plan and the average of the cost to the State of the other PPO plans and the approved HMO Plans for health insurance coverage.

  • On the following pages, please select the desired coverage(s) from one or more of the following plans: (1) CalCPA Health Medical Plans; (2) Anthem Blue Cross HMO Plans); (3) Vision Service Plan; (4) Dental Plans; and/or (5) Group Long-Term Disability and Group Term Life.

  • Employees in this group who elect to enroll in the Managed Care/Point of Service (NJ Plus) or any of the approved HMO Plans in retirement shall not have to contribute to the cost of any premium for health insurance coverage.

  • Employees in this group who elect upon retirement to enroll in any PPO plan other than a PPO 10 plan, any of the approved HMO Plans or High Deductible Plan (HDHP) shall not have to contribute to the cost of any premium for health insurance coverage.

  • Employees in this group who elect to enroll in a PPO 10 plan and earn $40,000 or more in base salary in the year they retire shall pay the difference between the cost of that plan and the average of the cost to the State of the other PPO plans and the approved HMO Plans for health insurance coverage.

  • If the termination affects participation with respect to HMO Plans, the advisory review panel shall be composed of providers appointed by Beech, including at least one representative in the affected provider's specialty or a similar specialty, if available, who serve on a standing Quality Management committee or Utilization Management committee.

  • Employees in this group who elect to enroll in the Traditional Plan and earn $40,000 or more in base salary in the year they retire shall pay the difference between the cost of the Traditional Plan and the average of the cost to the State of the Managed Care/Point of Service (NJ Plus) and the approved HMO Plans for health insurance coverage.

  • Members enrolled under HPN’s HMO Plans who use the services of Non-Plan Providers will receive no benefit payments or reimbursement for amounts for any Covered Service, except  in the case of Emergency Services or Urgently Needed Services; or  for other Covered Services, as defined in this AOC, provided by a Non-Plan Provider that are Prior Authorized by HPN’s Managed Care Program.

  • Employees in this group who elect to enroll in the Managed Care/Point of Service (NJ Plus) or any of the approved HMO Plans shall not have to contribute to the cost of any premium for health insurance coverage.

Related to HMO Plans