Health indemnity plan definition

Health indemnity plan means a health benefit plan that is not a managed care plan.
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Health indemnity plan means the San Felipe Del Rio CISD Health Indemnity Plan.
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Health indemnity plan means a health benefit plan that does not use a network arrangement to deliver health benefits or services.
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More Definitions of Health indemnity plan

Health indemnity plan means a health benefit plan that is not a managed care plan. 1 25. a. "Managed care plan" means a health benefit plan that requires a covered person 2 to use, or creates incentives, including financial incentives, for a covered person 3 to use health care providers managed, owned, under contract with, or employed 4 by the health carrier. 5 b. "Managed care plan" includes: 6 (1) A closed plan, as defined in subsection 8; and 7 (2) An open plan, as defined in subsection 27. 8 26. "Network" means the group of participating providers providing services to a managed 9 care plan. 10 27. "Open plan" means a managed care plan other than a closed plan that provides 11 incentives, including financial incentives, for covered persons to use participating 12 providers under the terms of the managed care plan. 13 28. "Participating provider" means a provider who under a contract with the health carrier 14 or with its contractor or subcontractor has agreed to provide health care services to 15 covered persons with an expectation of receiving payment, other than coinsurance, 16 copayments or deductibles, directly or indirectly from the health carrier. 17 29. "Person" means an individual, a corporation, a partnership, an association, a joint 18 venture, a joint stock company, a trust, an unincorporated organization, any similar 19 entity, or any combination of the foregoing. 20 30. "Prospective review" means utilization review conducted prior to an admission or the 21 provision of a health care service or a course of treatment in accordance with a health 22 carrier's requirement that the health care service or course of treatment, in whole or in 23 part, be approved prior to its provision. 24 31. "Rescission" means a cancellation or discontinuance of coverage under a health 25 benefit plan that has a retroactive effect. Rescission does not include a cancellation or 26 discontinuance of coverage under a health benefit plan if: 27 a. The cancellation or discontinuance of coverage has only a prospective effect; or 28 b. The cancellation or discontinuance of coverage is effective retroactively to the 29 extent it is attributable to a failure to timely pay required premiums or 30 contributions toward the cost of coverage.
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Health indemnity plan means a health benefit plan that is
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Related to Health indemnity plan

  • Health insurance plan means any health insurance policy or health benefit plan offered by a health insurer or a subcontractor of a health insurer, as well as Medicaid and any other public health care assistance program offered or administered by the State or by any subdivision or instrumentality of the State. The term includes vision care plans but does not include policies or plans providing coverage for a specified disease or other limited benefit coverage.

  • Health insurance issuer means an insurance company, or insurance organization (including a health

  • Health insurance carrier or "carrier" means any entity subject to the insurance

  • Health insurance policy means a policy that provides specified benefits for hospital and/or general treatment and meets all requirements under section 63-10 of the Private Health Insurance Act 2007.

  • Health insurance means protection which provides payment of benefits for covered sickness or injury.

  • Health insurer means the same as that term is defined in Section 31A-22-615.5.

  • Health and Welfare Benefits means any form of insurance or similar benefit programs, which may include but not be limited to, medical, hospitalization, surgical, prescription drug, dental, optical, psychiatric, life, or long-term disability.

  • Health benefits plan means a benefits plan which pays or

  • Health benefit plan means a policy, contract, certificate or agreement offered or issued by a health carrier to provide, deliver, arrange for, pay for or reimburse any of the costs of health care services.

  • Individual health insurance coverage means health insurance coverage offered to individuals in the

  • Group health insurance coverage means in connection with a group health plan, health insurance

  • Basic health benefit plan means any plan offered to an individual, a small group,

  • Accident and health insurance means contracts that incorporate morbidity risk and provide protection against economic loss resulting from accident, sickness, or medical conditions and as may be specified in the valuation manual.

  • Health and Safety Plan means a documented plan which addresses hazards identified and includes safe work procedures to mitigate, reduce or control the hazards identified;

  • Health Benefits means health maintenance organization, insured or self-funded medical, dental, vision, prescription drug and behavioral health benefits.

  • Health insurance coverage means benefits consisting of medical care (provided directly, through

  • Protected Health Information (PHI) means individually identifiable health information created, received, maintained or transmitted by Business Associate on behalf of a health care component of the Covered Entity that relates to the provision of health care to an Individual; the past, present, or future physical or mental health or condition of an Individual; or the past, present, or future payment for provision of health care to an Individual. 45 CFR 160.103. PHI includes demographic information that identifies the Individual or about which there is reasonable basis to believe can be used to identify the Individual. 45 CFR 160.103. PHI is information transmitted or held in any form or medium and includes EPHI. 45 CFR 160.103. PHI does not include education records covered by the Family Educational Rights and Privacy Act, as amended, 20 USCA 1232g(a)(4)(B)(iv) or employment records held by a Covered Entity in its role as employer.

  • HIPAA means the Health Insurance Portability and Accountability Act of 1996, as amended.

  • Health insurance exchange means an exchange as defined in 45 C.F.R. Sec. 155.20.

  • Credit accident and health insurance means insurance on a debtor to provide

  • Health information means any information or data except age or gender, whether oral or recorded in any form or medium, created by or derived from a health care provider or the consumer that relates to: