Health Benefit Program. The Plan’s applicable program that defines the health care services for which a Plan Member is eligible and the conditions and circumstances under which the Plan is obligated to pay for such services on behalf of the Plan Member.
Appears in 3 contracts
Samples: Professional Services, Professional Services, Pho Physician Professional Services Agreement
Health Benefit Program. The Plan’s applicable program documents issued by a Plan that defines define the health care services for which a Plan Member is Is eligible and the conditions and circumstances under which the Plan is obligated to pay for such services on behalf of Of the Plan Member.
Appears in 2 contracts
Samples: Physician Participation Agreement, Physician Participation Agreement