Restricted provider network definition

Restricted provider network means a health benefit plan that conditions the
Restricted provider network means a health benefit plan that conditions the payment of benefits, in whole or in part, on the use of the providers that have entered into a contractual arrangement with the insurer to provide health care services to covered individuals;
Restricted provider network means a limited network of health providers, selected by the CoC member, that must provide all of the member’s primary care, narcotic prescription care, pharmacy and behavioral health care while participating in the CoC.

Examples of Restricted provider network in a sentence

  • If you buy a Medicare SELECT policy, you are buying one of the 10 standard plans identified by letters A through G.• Restricted provider network - With Medicare SELECT you must use specific hospitals and, in some cases, specific doctorsStandard Plan Benefitsto receive full benefits.

Related to Restricted provider network

  • Provider network means an affiliated group of varied health care providers that is established to provide a continuum of health care services to individuals;

  • Designated provider means a person who:

  • Qualified provider means a person or business experienced in the design, implementation, and installation of energy conservation measures. A qualified provider to whom the contract is awarded shall give a sufficient bond to the municipality for its faithful performance.

  • Preferred Provider Organization or "PPO" means an entity through which a group of health care providers, such as doctors, hospitals and others, agree to provide specific medical and hospital care and some related services at a negotiated price.

  • Internet Service Provider (ISP) is an Enhanced Service Provider that provides Internet Services, and is defined in paragraph 341 of the FCC’s First Report and Order in CC Docket No. 97-158.