Managed care plan definition

Managed care plan means a health benefit plan that either requires a covered person to use, or

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Managed care plan means a health benefit plan

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

Nothing in the Managed Care Plan network provider agreement or any addendum thereto shall be interpreted to authorize or obligate such Provider or any employee of such Provider to operate outside of the scope of the FTCA.
The Managed Care Plan shall not impose any enrollment fee, premium, or similar charge, and no deduction, copayment, cost sharing, or similar charge shall be imposed against an Indian who is furnished an item or service directly by the Indian Health Service, an Indian Tribe, Tribal Organization or Urban Indian Organization or through referral under contract health services.
To the extent the Managed Care Plan imposes any medical quality assurance requirements on its network IHCPs, any such requirements applicable to the IHCP shall be subject to Section 805 of the IHCIA, 25 U.S.C. § 1675.
The IHCP agrees that it will consider input from the Managed Care Plan as to its hours and days of service.
Reimbursement must be made directly by the Subscriber when benefits are paid in error, due to his or her failure to comply with the terms, rules and conditions of Workers' Compensation Laws or a Certified or Licensed Workers' Compensation Managed Care Plan.

More Definitions of Managed care plan

Managed care plan means a health benefit plan that either requires a covered person to use, or creates incentives, including financial incentives, for a covered person to use health care providers managed, owned, under contract with or employed by the health carrier.

Managed care plan means a health plan that coor- dinates the provision of covered health care services to a cov- ered person through the use of a primary care provider and a network.

Managed care plan means a plan operated by a managed care entity that provides for the financing and delivery of health care services to persons enrolled in such plan through:

Managed care plan means a plan operated by a

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 care or assisted living arrangement designed to coordinate patient care or control costs through utilization review, case management, or use of specific provider networks.

Managed care plan means a plan that establishes,