Plan contract definition
Plan contract means a contract between a plan and its subscribers or enrollees or a person contracting on their behalf pursuant to which health care services, including basic health care services, are furnished; and unless the context otherwise indicates it includes specialized health care service plan contracts; and unless the context otherwise indicates it includes group contracts.
Plan contract means a contract between a plan and its subscribers or enrollees or a person contracting on their behalf pursuant to which health care services, including basic health care services, are furnished; and unless the context otherwise indicates it includes specialized health care service plan contracts; and unless the context otherwise indicates it includes group contracts. (s) All references in this chapter to financial statements, assets, liabilities, and other accounting items mean those financial statements and accounting items prepared or determined in accordance with generally accepted accounting principles, and fairly presenting the matters which they purport to present, subject to any specific requirement imposed by this chapter or by the commissioner. SEC. 2. Section 1368.2 is added to the Health and Safety Code, to read: 1368.2. (a) On and after January 1, 2002, every group health care service plan contract, except a specialized health care service plan contract, which is issued, amended, or renewed, shall include a provision for hospice care. (b) The hospice care shall at a minimum be equivalent to hospice care provided by the federal Medicare program pursuant to Title XVIII of the Social Security Act. (c) The following are applicable to this section and to paragraph (7) of subdivision (b) of Section 1345: (1) The definitions in Section 1746. (2) The "federal regulations" which means the regulations adopted for hospice care under Title XVIII of the Social Security Act in Title 42 of the Code of Federal Regulations, Chapter IV, Part 418, except Subparts A, B, G, and H, and any amendments or successor provisions thereto. (d) The commissioner no later than January 1, 2001, shall adopt regulations to implement this section. The regulations shall meet all of the following requirements: (1) Be consistent with all material elements of the federal regulations that are not by their terms applicable only to eligible Medicare beneficiaries. If there is a conflict between a federal regulation and any state regulation, other than those adopted pursuant to this section, the commissioner shall adopt the regulation that is most favorable for plan subscribers, members or enrollees to receive hospice care. (2) Be consistent with any other applicable federal or state laws.
Plan contract means the contract dated December 18, 2007 between the Recipient and the Project Implementing Entity.
Examples of Plan contract in a sentence
The Plan will not cover services or provide benefits that are not otherwise covered under the terms and condition of the Plan contract.
The Meal Plan contract remains in effect for the entire academic year and cancellation is not permitted.
Remember that the second opinion visit is subject to all Plan contract benefit limitations and exclusions.
A Participant is deemed to notify the Plan Administrator of any Excess Elective Deferrals that arise by taking into account only those Elective Deferrals made to the Plan, contract, or arrangement of the Employer.
The Parties agree to abide by such Future Directives as these Future Directives may affect the obligations of the Parties under the Covered California Qualified Health Plan contract (Exchange Agreement) and/or this Agreement.
More Definitions of Plan contract
Plan contract means a contract between a plan and its subscribers or enrollees or a person contracting on their behalf
Plan contract means the contract satisfactory to the Association, to be entered into between the Project’s Implementing Entity and the Recipient, as referred to in Section IV.B of Schedule 2 to this Agreement.
Plan contract means the Contract for a Denplan payment plan in a form prescribed by Denplan between the Member and the Registered Patient setting out the scope of the services to be provided by the Member to the Registered Patient.
Plan contract means a contract between a plan and its subscribers or enrollees or a person contracting on their behalf pursuant to which health care services, including basic health care services, are furnished; and unless the context otherwise indicates it includes specialized health care service plan contracts; and unless the context otherwise indicates it includes group contracts. (t) All references in this chapter to financial statements, assets, liabilities, and other accounting items mean those financial statements and accounting items prepared or determined in accordance with generally accepted accounting principles, and fairly presenting the matters which they purport to present, subject to any specific requirement imposed by this chapter or by the commissioner.
Plan contract means the agreement between WVP and a Payer for the provision of Covered Services to Enrollees of the Payer’s Plan. This Agreement may be amended from time to time by the addition of a new Plan Contract. Participating Providers will be provided with a summary of the Plan Contract (or amendment(s) to an existing Plan Contract) by electronic mail. The term Plan Contract includes the applicable Compensation Formula and electronic references to each Plan’s Rules and Standards.
Plan contract means the Contract in a form prescribed by Denplan between the Member and the Registered Patient setting out the scope of the services to be provided by the Member to the Registered Patient.
Plan contract means the contract between TBH and a Payor or Contract MCO pursuant to which TBH has agreed to arrange for the provision of Covered Services to Enrollees. Each Plan Contract that is covered by this Agreement shall be identified by an Addendum that describes the essential provisions of the Plan Contract that are necessary for Provider to provide and bill ▇▇▇ Designated Covered Services provided to Enrollees covered by such Plan Contract in a manner permitted by this Agreement and such Plan Contract.