Discount plan organization definition

Discount plan organization means an entity that, in exchange for fees, dues, charges, or other consideration, provides access for discount plan members to providers of medical or ancillary services and the right to receive medical or specialty services from those providers at a discount. It is the organization that contracts with providers, provider networks, or other discount plan organizations to offer access to medical or specialty services at a discount and determines the charge to discount plan members.
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Discount plan organization means an entity that, in exchange for fees, dues,
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Discount plan organization means a person that, in exchange for fees, dues, charges, or other consideration, provides or purports to provide access to discounts to its members on charges by providers for health care services. "Discount plan organization" also means a person or organization that contracts with providers, provider networks, or other discount plan organizations to offer discounts on health care services to its members. This term also includes all persons that determine the charge to or other consideration paid by members.
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Examples of Discount plan organization in a sentence

  • A patient access program; or15 d.e. A Medicare prescription drug plan.16 5.6. "Discount plan organization" means an entity that, in exchange for fees, dues,17 charges, or other consideration, provides access for discount plan members to18 providers of medical or ancillary services and the right to receive medical or specialty19 services from those providers at a discount.


More Definitions of Discount plan organization

Discount plan organization means an entity that, in exchange for fees, dues, charges, or other consideration, provides access for plan members to providers of medical services and the right to receive medical services from those providers at a discount. Until June 30, 2018, a discount plan organization may also be referred to as a discount medical plan organization.
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Related to Discount plan organization

  • Indian organization means the governing body of any Indian tribe or entity established or recognized by the governing body of an Indian tribe for the purposes of 25 U.S.C., chapter 17.

  • Regional integration organization means an organization constituted by sovereign States of a given region, to which its member States have transferred competence in respect of matters governed by this Convention. Such organizations shall declare, in their instruments of formal confirmation or accession, the extent of their competence with respect to matters governed by this Convention. Subsequently, they shall inform the depositary of any substantial modification in the extent of their competence.

  • Lead organization means a trade organization, labor organization or other incorporated entity representing a group of businesses that is the applicant for a business network project.

  • Review organization means a disability insurer regulated

  • Member organization means any individual, corporation, limited liability company, partnership, or association that belongs to an association.

  • Domestic organization means an organization created under the laws of this state.

  • Foreign organization means an organization created under laws other than the laws of this state for a purpose for which an organization may be created under the laws of this state.

  • Business organization means an individual, partnership, association, joint stock company, trust, corporation or other legal business entity or successor thereof.

  • Stewardship organization means an organization, association, or

  • Banking organization means a bank, trust company, savings bank, industrial bank, land bank, safe deposit company, private banker, or any organization defined by law as a bank or banking organization.

  • Professional employer organization means an employee leasing

  • Supervised financial organization means a person, other than an insurance company or other organization primarily engaged in an insurance business:

  • Participating Organization means an organization which elects to offer coverage under a Policy by completing a participation agreement that has been accepted by the Company.

  • Procurement organization means an eye bank, organ procurement organization, or tissue bank.

  • international organization shall have the meanings set forth in Section 7701 of the Code or successor provisions.

  • Utilization review organization means an entity that conducts utilization review, other than a health carrier performing a review for its own health benefit plans.

  • Educational organization means a nonprofit public or private elementary or

  • Provider Organization means a group practice, facility, or organization that is:

  • Religious organization means a church, ecclesiastical corporation, or group, not organized for pecuniary profit, that gathers for mutual support and edification in piety or worship of a supreme deity.

  • Financial organization means any bank, trust company, savings bank, industrial bank, land bank, safe deposit company, private banker, savings and loan association, credit union, cooperative bank, small loan company, sales finance company, investment company, or any type of insurance company.

  • ADR Organization means The American Arbitration Association or, if The American Arbitration Association no longer exists or if its ADR Rules would no longer permit mediation or arbitration, as applicable, of the dispute, another nationally recognized mediation or arbitration organization selected by the Sponsor.

  • Self-Regulatory Organization means any association of investment advisers or securities dealers registered under the federal securities laws, or any Exchange.

  • Affiliated Organization means any organization which is not a political committee, but which directly or indirectly establishes, administers or financially supports a political committee.

  • Metropolitan planning organization means the same as that term is defined in Section 72-1-208.5.

  • Sponsoring organization means any organization that establishes,

  • Organ procurement organization means a person designated by the Secretary of the United States Department of Health and Human Services as an organ procurement organization.