Med Plan definition
Examples of Med Plan in a sentence
For those employees enrolled in the Ohio Med Traditional Plus plan who choose to use non-PPO hospitals, co-payments ("co-insurance") for services delivered by those non-PPO hospitals shall be 70% by the Ohio Med Plan and 30% by the employee, after the deductible and up to the out-of- pocket maximum.
Representatives of the Ohio Med Plan administrator must agree to meet with the JHCC to discuss and resolve PPO hospital and PPO provider problems, including problems concerning inadequate numbers of providers, lack of minority representation, providers who are refusing to accept new patients, or inadequate representation of primary care or specialty providers in any given area.
The Committee shall advise the Director of the Department of Administrative Services on the operation of the Ohio Med Plan, Health Maintenance Organizations, managed mental health/substance abuse programs, quality assurance provisions, ancillary benefit programs utilization and cost containment provisions and employee education programs.
For those employees enrolled in the Ohio Med PPO Program, co-payments ("co-insurance") for services delivered by PPO hospitals or PPO providers shall be 90% by the Ohio Med Plan and 10% by the employee, after the deductible and up to the out-of-pocket maximum.
The Ohio Med Plan pays only for those covered services, supplies, and hospital admissions which are medically necessary or are preventive services covered under the plan.
With respect to Cash held in bank accounts, Buyer and Sellers shall determine as of 12:01 a.m. (local time) on the Closing Date in each location in which each bank account of the Company or any of its Subsidiaries is located, the aggregate cash balance of such bank accounts, which for the avoidance of doubt shall be net of all outstanding checks or similar instruments issued on such bank accounts at such time but not yet reflected as a deduction in the cash balances of such bank accounts.
HMOs shall be prohibited from utilizing any unfair or inaccurate comparison of their program with that of the Ohio Med Plan or of any other HMO in their marketing materials or programs.
The primary plan's benefit is subtracted from the amount the Ohio Med Plan normally pays.
The employer shall provide comprehensive health care to all permanent full-time and part-time employees, who shall have the right to choose between the Ohio Med Plan, any of the qualified health maintenance organizations (HMOs), or other managed care networks which are available in their area.
For those employees enrolled in the Ohio Med Traditional Plan, co-payments ("co-insurance") for services will be 80% by the Ohio Med Plan and 20% by the employee, after the deductible and up to the out-of-pocket maximum.