VHP definition
Examples of VHP in a sentence
Upon request, the parties agree to meet to discuss the possibility of modifying VHP into two separate plan designs.
Upon request the parties agree to meet to discuss the possibility of modifying VHP into two separate plan designs.
The worker share shall be as follows: Valley Health Plan 0% Single, Adult and child(ren), Two adults or Family Non- VHP HMO Plan 0% Single, 2%, Adult and child(ren), Two adults or Family Point of Service Plan 0% Single, $52.83 Family Effective June 5, 2017 for tiers with dependent coverage in the non-VHP HMO or the POS plan, the employee share of premiums shall increase by ten percent (10%) of the increase in premiums for those tiers.
In each year thereafter, employees will continue to pay ten percent (10%) of future premium increases on the POS and HMO plans (not VHP).
A claim that: (1) has no defect, impropriety, lack of any VHP required substantiating documentation or particular circumstance requiring special treatment that prevents timely payment; and (2) otherwise conforms to the clean claim requirements for equivalent claims under original Medicare.
In order to contest such payments, Physician shall provide to VHP, at a minimum, in a clear and acceptable written format, the following information: Member name and identification number, date of service, relationship of the Member to the patient, claim number, name of the provider of the services, charge amount, payment amount, the allegedly correct payment amount, difference between the amount paid and the allegedly correct payment amount, and a brief explanation of the basis for the contestation.
Physician further understands and agrees that VHP will adjust Physician’s payments on a pro rata basis in the event that any Federal law or regulation changes payments made to Medicare Advantage Plans, such as VHP, including but not limited to any reductions made pursuant to a sequestration order issued in accordance with the Balanced Budget and Emergency Deficit Control Act of 1985 (BBEDCA), as amended.
After this, employees who are enrolled in the J or VHP plans cannot switch between these two plans, but may switch to a VFP plan when it is available.
If a new or modified VHP plan that limits provider networks is adopted, any IP who is enrolled in a provider network other than SCIPA or VMC may choose to continue in that network as long as that provider network is available through VHP.
As used herein the term Cost Share shall be inclusive of any fixed dollar copayments per service, percentage co-insurance amounts per service or deductible amounts payable by Member before VHP assumes financial liability for payment of a Covered Service.