Plan Hospital definition

Plan Hospital means a Hospital which has a written agreement with Blue Cross and Blue Shield of Illinois or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered to you.
Sample 1Sample 2Sample 3
Plan Hospital means a Hospital which has a written agreement with Blue Cross and Blue Shield of Illinois or another Blue Cross and/or Blue Shield Plan to provide Covered Services to you at the time Covered Services are rendered to you. A “Non-Plan Hospital” means a Hospital that does not meet the definition of a Plan Hospital.
Sample 1Sample 2Sample 3
Plan Hospital means a Hospital which has a written agreement with Blue Cross and Blue Shield of Illinois or another Blue Cross and/or Blue Shield Plan to provide Covered Services to participants in the BlueChoice Preferred PPO ℠ benefit program at the time Covered Services are rendered to you.
Sample 1Sample 2Sample 3

Examples of Plan Hospital in a sentence

  • For more information, see Referrals to Non-Plan Specialists and Non-Physician Specialists below.When you need authorized covered Services at a Plan Hospital, you will be referred to a Plan Hospital.

  • For coverage information in the event of a medical emergency, including emergency benefits away from home, refer to Emergency Services in Section 3: Benefits, Exclusions and Limitations.Emergency Services are available from Plan Hospital emergency departments, which are open 24/7.Emergency Services, with respect to an Emergency Medical Condition, means:1.

  • Disability of a large share of personnel of a Plan Hospital or Plan Medical Center; and/or7.

  • Plan Facility: A Plan Medical Center, a Plan Hospital or another freestanding facility that is:1.

  • Follow-up care must be Authorized by Sharp Health Plan.The Member pays an applicable Copayment to the hospital for Emergency Services provided in a hospital emergency room.The Member pays the same Copayment for Emergency Services whether the hospital is a Plan Hospital or not.

  • This Combined Evidence of Coverage and Disclosure Form sometimes refer to a Member as "you." Non–Plan Hospital: A hospital other than a Plan Hospital.

  • We also cover Durable Medical Equipment used during a covered stay in a Plan Hospital or Skilled Nursing Facility, but only if the Skilled Nursing Facility ordinarily furnishes Durable Medical Equipment.Coverage is limited to the standard item of equipment that adequately meets your medical needs.

  • For coverage information in the event of a medical emergency, including emergency benefits away from home, refer to Emergency Services in Section 3: Benefits, Exclusions and Limitations.Emergency Services are available from Plan Hospital emergency departments, which are open 24/7.

  • Inpatient DetoxificationWe cover hospitalization in a Plan Hospital only for inpatient detoxification (room and board, plan physician services, drugs, dependency recovery services, education and counseling.

  • Plan Facility: A Plan Medical Center, Plan Hospital or another freestanding facility that is:1.


More Definitions of Plan Hospital

Plan Hospital means an institution licensed by the State of California as an acute care hospital that provides certain Benefits to Members through an agreement with Plan and that is included in the selected Plan Network.
Sample 1Sample 2Sample 3
Plan Hospital. A hospital that:
Sample 1
Plan Hospital means an institution licensed by the Texas State Department of Health Services (“TDHS”) that is accredited by the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO), is certified for participation under Medicare and Medicaid as an acute care hospital, and provides certain Covered Health Care Services to Plan Members through an agreement with Plan.
Sample 1
Plan Hospital means a Hospital which has a written agreement with Blue Cross and Blue Shield of Illinois or another Blue Cross and/or Blue Shield Plan to provide Covered Services to participants in the Blue Options PPO℠ benefit program at the time Covered Services are rendered.
Sample 1
Plan Hospital means a Hospital which has a written agreement with Blue Cross and Blue Shield of Illinois or another Blue Cross and/or Blue
Sample 1
Plan Hospital means a Hospital w ich has a written agreement with Blue Cross and Blue Shield of Illino s or another Blue Cross and/or Blue Shield Plan to provi e services to yo at the time services are rendered to you.
Sample 1

Related to Plan Hospital

  • General hospital means a subclass of hospital that provides surgical services and emergency services.

  • SPECIALTY HOSPITAL means a hospital or the specialty unit of a general hospital that is licensed by the state. It must be designed to care for patients with injuries or special illnesses. This includes, but is not limited to, a long-term acute care unit, an acute mental health or acute short-term rehabilitation unit or hospital. Hospital does not mean: • convalescent home; • rest home; • nursing home; • home for the aged; • school and college infirmary; • residential treatment facility; • long-term care facility; • urgent care center or freestanding ambulatory surgical center; • facility providing mainly custodial, educational or rehabilitative care; or • a section of a hospital used for custodial, educational or rehabilitative care, even if accredited by the JCAHO or listed in the AHA directory.

  • public hospital means a governmental entity of a political subdivision of the state of Iowa that is authorized by legislative authority. For purposes of this subrule, a “public hospital” must also meet the requirements of Iowa Code section 249J.3. Under Iowa Code section 249J.3, a “public hospital” must be licensed pursuant to Iowa Code chapter 135B and governed pursuant to Iowa Code chapter 145A (merged hospitals), Iowa Code chapter 347 (county hospitals), Iowa Code chapter 347A (county hospitals payable from revenue), or Iowa Code chapter 392 (creation by city of a hospital or health care facility). For the purposes of this definition, “public hospital” does not include a hospital or medical care facility that is funded, operated, or administered by the Iowa department of human services, Iowa department of corrections, or board of regents, or the Iowa Veterans Home.

  • Mental Hospital means a health care facility (or its psychiatric unit) which:

  • Teaching Hospital means a hospital that trains students to become physicians, nurses or other health or laboratory personnel.

  • Hospital means a facility that:

  • Participating Hospital means an Administrator Hospital that has an agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide Hospital services to participants in the Participating Provider Option program.

  • Rural hospital means a hospital that meets both of the following:

  • o GENERAL HOSPITAL means a hospital that is designed to care for medical and surgical patients with acute illness or injury.

  • Psychiatric hospital means an Institution constituted, licensed, and operated as set forth in the laws that apply to Hospitals, which meets all of the following requirements:

  • Transplant hospital means a hospital that furnishes organ transplants and other medical and surgical specialty services required for the care of transplant patients.

  • Inpatient hospital services means any health care service provided to a patient who has been admitted to a hospital and is required to remain in that hospital overnight, but does not include any secure forensic mental health services;

  • Health plan or "health benefit plan" means any policy,

  • Pharmacy benefits management means the administration or management of prescription drug

  • Outpatient hospital services means preventive, diagnostic, therapeutic, observation, rehabilitation, or palliative services provided to an outpatient by or under the direction of a physician, dentist, or other practitioner by an institution that:

  • Acute care hospital means a Hospital that provides Acute Care Services. Adjudicate means to deny or pay a Clean Claim. Administrative Services see MCO Administrative Services. Administrative Services Contractor see HHSC Administrative Services Contractor.

  • Hospital clinic means an outpatient care clinic operated and affiliated with a hospital and under the direct authority of the hospital’s P&T committee.

  • Nursing program means a series of courses leading to an LPN certificate or an ADN degree provided through a Wyoming community college; or a BSN degree or a Master’s degree provided through the University of Wyoming; or, in the case of a candidate for a doctoral degree, provided through an institution offering the required nursing education courses under contract with the WICHE, or in a distance nursing education program provided through a university that is regionally accredited.

  • Hospital/Nursing Home : means any institution established for in- patient care and day care treatment of sickness and / or injuries and which has been registered as a Hospital with the local authorities, wherever applicable, and is under the supervision of a registered and qualified Medical Practitioner OR must comply with all minimum criteria as under:

  • Hospital services means the clinical services provided by the Hospital and the operational activities that support those clinical services, that are funded in whole or in part by the Funder, and includes the type, volume, frequency and availability of Hospital Services; HSAA Indicator Technical Specifications means the document entitled “HSAA Indicator Technical Specifications” as it may be amended or replaced from time to time;

  • Non-Administrator Hospital means a Hospital that does not meet the definition of an Administrator Hospital.

  • Non-Participating Hospital means an Administrator Hospital that does not meet the definition of a Participating Hospital.

  • Plan means any employee pension benefit plan (other than a Multiemployer Plan) subject to the provisions of Title IV of ERISA or Section 412 of the Code or Section 302 of ERISA, and in respect of which the Borrower or any ERISA Affiliate is (or, if such plan were terminated, would under Section 4069 of ERISA be deemed to be) an “employer” as defined in Section 3(5) of ERISA.

  • Nursing Service Plan means the plan that is developed by the registered nurse based on an Individual’s initial nursing assessment, reassessment, or updates made to a nursing assessment as a result of monitoring visits. The Nursing Service Plan must describe all licensed nursing services the Individual shall receive and be pursuant to the Individual’s Service Plan.

  • Education program means any program that is principally engaged in the provision of education, including, but not limited to, early childhood education, elementary and secondary education, postsecondary education, special education, job training, career and technical education and adult education, and any program that is administered by an educational agency or institution.

  • Orthodontic means a type of specialist dental treatment carried out by an orthodontist that diagnoses, prevents and corrects mispositioned teeth and jaws and misaligned bite patterns.