Plan Specialist definition

Plan Specialist means a licensed dentist practicing in a dental specialty who, at time Plan Benefits are provided, is under contract with Company to provide dental specialty services to Members. Some examples of “dentists practicing in a dental specialty” are endodontists, periodontists, oral surgeons, orthodontists and pedodontists. If Group purchases the Specialty Benefit Amendment, each Plan Specialist will participate in only one of the following two categories:
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Plan Specialist means a dentist practicing in a dental specialty who is under contract with the plan to provide specialty services to you including, but not limited to: endodontics, orthodontics, pedodontics, periodontics, and oral surgery.
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Examples of Plan Specialist in a sentence

  • If you are requesting a second opinion about care received from a specialist, the second opinion may be provided by any Plan Specialist of the same or equivalent specialty.

  • Members may be referred to a Plan Specialist within the Dental Center.

  • Each follow-up office visit with the Plan Specialist which is not referred or author- ized by your Personal Physician is a separate Access+ Spe- cialist visit and requires a separate Copayment.

  • You may arrange an office visit with a Plan Specialist in the same Medical Group or IPA as your Personal Physician without a referral from your Personal Physician, subject to the limitations described below.

  • Mem- bers may be referred to a Plan Specialist within the Dental Center.

  • If you have any questions about this Adoption Agreement, please call a ▇▇▇▇▇▇▇ Retirement Plan Specialist at ▇-▇▇▇-▇▇▇-▇▇▇▇.

  • How- ever, you may also be referred to a Plan Specialist outside of the Dental Center if the type of specialty service needed is not available within your Dental Center.

  • After the Specialty Services have been rendered, the Plan Specialist will provide a complete report to your Dental Provider to en- sure your dental record is complete.

  • Plan Specialist — a Physician other than a Personal Physi- cian, psychologist, licensed clinical social worker, or licensed marriage and family therapist who has an agreement with Blue Shield to provide Covered Services to Members either according to an authorized referral by a Personal Physician, or according to the Access+ Specialist program, or for OB/GYN Physician Services.

  • Your Personal Physician will generally refer you to a Plan Specialist or Plan Non-Physician Health Care Practitioner in the same Medical Group or IPA as your Personal Physician, but you can be referred outside the Medical Group or IPA if the type of specialist or Non-Physician Health Care Practi- tioner needed is not available within your Personal Physi- cian’s Medical Group or IPA.