Managed care plan definition

Managed care plan means a health benefit plan that either requires a covered person to use, or creates incentives, including financial incentives, for a covered person to use health care providers managed, owned, under contract with or employed by the health carrier.
Managed care plan means a health benefit plan
Managed care plan means a health benefit plan that either requires a covered person to use, or

Examples of Managed care plan in a sentence

  • Managed care plan with exclusive network, fixed member copayments, no annual maximum dollar limits, no waiting periods and no deductibles.

  • Managed care plan" has the same meaning as in Title 24‑A, chapter 56‑A.[PL 1997, c.

  • Managed Care Plan Exclusions Managed care plan (MCP) membership is not required for certain Ohio Medicaid consumers.

  • Managed care plan staff communicating with enrollees by phone can facilitate the use of this option by requesting email addresses from enrollees.

  • Managed care plan that provides services in accordance with section 409.98, F.S., for the long-term care program of the Statewide Medicaid Managed Care program.


More Definitions of Managed care plan

Managed care plan means a health plan that coordinates the provision of covered health care services to a covered person through the use of a primary care provider and a network.
Managed care plan means a health plan that coor- dinates the provision of covered health care services to a cov- ered person through the use of a primary care provider and a network.
Managed care plan means a plan operated by a managed care entity that provides for the financing and delivery of health care services to persons enrolled in such plan through:
Managed care plan means a plan that establishes,
Managed care plan means a plan, including an exclusive provider benefit plan, under which a person undertakes to provide, arrange for, pay for, or reimburse any part of the cost of any health care services. A part of the plan must consist of arranging for or providing health care services as distinguished from indemnification against the cost of those services on a prepaid basis through insurance or otherwise. The term does not include a plan that indemnifies a person for the cost of health care services through insurance.
Managed care plan means a plan operated by a
Managed care plan means a health insurance policy that integrates the financing and delivery of appropriate health care services to covered persons by arrangements with participating providers who are selected to participate on the basis of explicit standards to furnish a comprehensive set of health care services and financial incentives for covered persons to use the participating providers and procedures provided for in the plan;