Plan Physician definition

Plan Physician means a Physician who has an independent contractor agreement with SHL to provide certain Covered Services to Insureds. A Plan Provider’s agreement with SHL may terminate, and an Insured will be required to select another Plan Provider.
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Plan Physician means any doctor of medicine, osteopathy, podiatry or dental surgery licensed by the State of California who has agreed to provide Professional Services to Members, either under an agreement with Plan or as a member of a PMG, and who is included in the selected Plan Network. Plan Physicians are listed in the Provider Directory.
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Plan Physician means a Physician who has an independent contractor agreement with SHL to provide certain Covered Services to Insureds. A Plan Provider’s agreement with SHL may terminate, and an Insured will be required to select another Agreement of Coverage Plan Provider.
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Examples of Plan Physician in a sentence

  • If you refuse to accept Services recommended by your Plan Physician, he or she will advise you if there is no other professionally acceptable alternative.

  • You may get a second opinion from another Plan Physician, as described under Getting a Second Opinion in Section 2: How to Get the Care You Need.

  • If you do not select a Primary Care Plan Physician upon enrollment, we will assign you one near your home.

  • The telephone number for their office is located on your Kaiser Permanente identification card.Choosing or Changing Your Primary Care Plan PhysicianWe recommend that you choose a Primary Care Plan Physician if you have not done so already.

  • Member Services representatives are ready and available to assist you Monday through Friday between 7:30 a.m. and 9 p.m. at 1-800-777-7902 or 711 (TTY).You may also visit our website, www.kp.org to schedule an appointment, select a Plan Provider, choose or change your Primary Care Plan Physician, access valuable wellness tips and find answers to frequently asked questions.Again, thank you for enrolling with Kaiser Permanente.

  • For more information, see Choosing Your Primary Care Plan Physician in this section.You may choose or change your Primary Care Plan Physician at any time, for any reason, by visiting www.kp.org/doctor.

  • Within pediatrics, you may select an allopathic or osteopathic pediatrician as the Primary Care Plan Physician for your child.

  • You may also ask your Primary Care Plan Physician or other health care professionals about problems you may have.Advance Directives to Direct Your Care While Incapacitated Advance directives are legal forms that help you control the kind of health care you will receive if you become very ill or unconscious.

  • Additionally, your Primary Care Plan Physician and Plan Providers will work as a team, along with you, to ensure continuity of care and medically appropriate courses of treatment.Each Member in your family should select a Primary Care Plan Physician.

  • In such instances, your Primary Care Plan Physician will issue a standing referral to the Specialist.A standing referral should be developed by the specialist, your Primary Care Plan Physician and you, and made in accordance with a written treatment plan consisting of covered Services.


More Definitions of Plan Physician

Plan Physician will mean a Physician who is under contract with Health Plan, either directly or through a contract with a medical group, IPA or other organization, to provide professional medical services to Enrollees.
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Plan Physician means a Physician employed by a specific Plan, or under contract to a specific Plan as an independent contractor, designated as such from time to time to Vision Twenty-One, and thereafter designated by Vision Twenty-One to Provider.
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Plan Physician means a licensed medical doctor or doctor of osteopathy contracted or employed with Health Plan or primary care physician affiliated with Health Plan to render services to Members which are benefits under this Certificate.
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Plan Physician means a Health Care Practitioner who:
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Related to Plan Physician

  • Licensed physician means a person licensed to practice

  • Participating physician means a physician licensed in Virginia to practice medicine, who practices

  • Physician means a licensed practitioner of medical, surgical, dental, services or the healing arts including accredited Christian Science Practitioner, acting within the scope of his/her license. The treating physician cannot be the Insured, a Traveling Companion, a Family Member, or a Business Partner.

  • Qualified physician means any physician who has not been excluded under the provisions of subpart I of this part. Except as otherwise provided by regulation, a qualified physician shall be deemed to be designated or ap- proved by OWCP.

  • Treating physician means an individual who:

  • Primary care physician or “PCP” means a Plan Provider who has an independent contractor agreement with HPN to assume responsibility for arranging and coordinating the delivery of Covered Services to Members. A Primary Care Physician’s agreement with HPN may terminate. In the event that a Member’s Primary Care Physician’s agreement terminates, the Member will be required to select another Primary Care Physician.

  • Specialist Physician means a licensed physician who qualifies as an attending physician and who examines a patient at the request of the attending physician or authorized nurse practitioner to aid in evaluation of disability, diagnosis, or provide temporary specialized treatment. A specialist physician may provide specialized treatment for the compensable injury or illness and give advice or an opinion regarding the treatment being rendered, or considered, for a patient’s compensable injury.

  • Consulting physician means a physician who is qualified by specialty or experience to make a professional diagnosis and prognosis regarding the patient's disease.

  • Medical physicist means a person trained in evaluating the performance of mammography equipment and facility quality assurance programs and who meets the qualifications for a medical physicist set forth in 41.6(3)“c.”

  • Attending physician means the physician who has primary

  • Independent physician means a physician who is chosen by the resident of the assisted living facility and who has no financial interest in the assisted living facility, directly or indirectly, as an owner, officer, or employee or as an independent contractor with the residence.

  • Resident physician means a physician enrolled in an internship, residency or fellowship.

  • Collaborating physician means the physician who,

  • Medical cannabis means the same as that term is defined in Section 26-61a-102.

  • Doctor means a licensed health care provider acting within the scope of his or her license and rendering care or treatment to a Covered Person that is appropriate for the conditions and locality. It will not include a Covered Person or a member of the Covered Person’s Immediate Family or household.

  • Hospital pharmacist means an Iowa-licensed pharmacist who meets the requirements for participating in a hospital practice protocol as determined by the hospital’s P&T committee.

  • graduate psychiatric nurse means a person whose name is entered on the register of graduate psychiatric nurses of the College of Registered Psychiatric Nurses of Manitoba. The terms of this Agreement shall be applicable to the graduate nurse, the graduate practical nurse, graduate psychiatric nurse, and graduate nurse practitioner, except as otherwise specified in the Collective Agreement.

  • Qualified mental health professional means a licensed medical practitioner or any other person meeting the qualifications specified in OAR 309-019-0125.

  • Licensed mental health professional or "LMHP" means a physician, licensed clinical psychologist, licensed professional counselor, licensed clinical social worker, licensed substance abuse treatment practitioner, licensed marriage and family therapist, certified psychiatric clinical nurse specialist, licensed behavior analyst, or licensed psychiatric/mental health nurse practitioner.

  • Medical Executive Committee or “MEC” means the Executive Committee of the Medical Staff.

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

  • Mental health professional means a psychiatrist,

  • Medical cannabis card means the same as that term is defined in Section 26-61a-102.

  • Supervising physician means any physician licensed under Iowa Code chapter 148, 150, or 150A. The supervising physician is responsible for medical direction of emergency medical care personnel when such personnel are providing emergency medical care.

  • Pharmacist means an individual licensed by this state to compound and dispense drugs, prescriptions, and poisons.

  • Supported employment means the ongoing supports to participants who, because of their disabilities, need intensive ongoing support to obtain and maintain an individual job in competitive or customized employment, or self-employment, in an integrated work setting in the general workforce at or above the state’s minimum wage or at or above the customary wage and level of benefits paid by the employer for the same or similar work performed by individuals without disabilities. The outcome of this service is sustained paid employment at or above the minimum wage in an integrated setting in the general workforce in a job that meets personal and career goals. Supported employment services can be provided through many different service models.