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.
Examples of Managed care plan in a sentence
Managed care plan staff communicating with enrollees by phone can facilitate the use of this option by requesting email addresses from enrollees.
More Definitions of Managed care plan
Managed care plan means a health care or assisted living arrangement designed to coordinate patient care or control costs through utilization review, case management, use of spe- cific provider networks, or a combination of these methods.
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 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;