Preferred provider plan means a health care plan offered by an organization established under ch. 185, 193, 611, 613, or 614 or issued a certificate of authority under ch. 618 that makes available to its enrollees, without referral and for consideration other than predetermined periodic fixed payments, coverage of either comprehensive health care services or a limited range of health care services, regardless of whether the health care services are performed by participating or nonparticipating providers.
Preferred provider plan means a managed care plan that meets the definition in s. 609.01 (4), Stats. A preferred provider plan does not include any of the following:
Preferred provider plan means a health care plan offered by an organization established under ch. 185, 611, 613 or 614 or issued a certificate of authority under ch. 618 that makes available to its enrollees, for consideration other than predetermined peri- odic fixed payments, either comprehensive health care services or a limited range of health care services performed by providers par- ticipating in the plan.
Examples of Preferred provider plan in a sentence
Ins 9.26 Preferred provider plan subject to defined network plan regulations.
More Definitions of Preferred provider plan
Preferred provider plan means a benefit plan through which the Company provides for the payment of a level of coverage that is different from the basic level of coverage provided under this Policy if the Covered Person uses a Preferred Provider.
Preferred provider plan has the meaning given in s. 609.01 (4). History: 1991 a. 250; 1993 a. 27; 1995 a. 27; 1997 a. 35; 1999 a. 9; 2005 a. 22; 2011 a. 32.
Preferred provider plan means a health care plan offered by an organization established under ch. 185, 611, 613 or 614 or issued a certificate of authority under ch. 618 that makes available to its enrolled participants, for consideration other than predeter- mined periodic fixed payments, either comprehensive health care services or a limited range of health care services performed by providers selected by the organization.
Preferred provider plan means an undertaking to enter into agreements with providers relating to terms and conditions of reimbursements for the health care services of insureds, members, or enrollees relating to the amounts to be charged to insureds, members, or enrollees for health care services.