HMO Member. A person who is eligible to receive Covered Services under those Benefit Programs offered by an Affiliate which is a health care service plan licensed under the Xxxx Xxxxx Act, and whose premium has been fully paid. An HMO Member shall be a person enrolled in a Medicare Benefit Program as set forth in Addendum C (“Medicare HMO Member”), a person enrolled in a Medicaid Benefit Program as set forth in Addendum F (“Medi-Cal HMO Member”) or a person enrolled in a commercial Benefit Program as set forth in Addendum B (“Commercial HMO Member”).
Appears in 4 contracts
Samples: Dental Services (Prospect Medical Holdings Inc), Provider Services Agreement (Prospect Medical Holdings Inc), Provider Services Agreement (Prospect Medical Holdings Inc)
HMO Member. A person who is eligible to receive Covered Services under those Benefit Programs offered by an Affiliate which is a health care service plan licensed under the Xxxx Xxxxx Kxxx Kxxxx Act, and whose premium has been fully paid. An HMO Member shall be a person enrolled in a Medicare Benefit Program as set forth in Addendum C (“Medicare Medicate HMO Member”), a person enrolled in a Medicaid Benefit Program as set forth in Addendum F ? (“Medi-Cal HMO Member”) or a person enrolled in a commercial Benefit Program as set forth in Addendum B (“Commercial HMO Member”).
Appears in 1 contract
Samples: Group Provider Services Agreement (Prospect Medical Holdings Inc)
HMO Member. A person who is eligible to receive Covered Services under those Benefit Programs offered by an Affiliate which is a health care service plan licensed under the Xxxx Xxxxx Act, and whose premium has been fully paid. An HMO Member shall be a person enrolled in a Medicare Benefit Program as set forth in Addendum C (“Medicare HMO Member”), a person enrolled in a Medicaid Benefit Program as set forth in Addendum F (“Medi-Cal HMO Member”) or a person enrolled in a commercial Benefit Program as set forth in Addendum B (“Commercial HMO Member”).
Appears in 1 contract
Samples: Group Provider Services Agreement (Prospect Medical Holdings Inc)
HMO Member. A person who is eligible to receive Covered Services under those Benefit Programs offered by an Affiliate which is a health care service plan licensed under the Xxxx Xxxxx Knox-Keene Act, and whose premium has been fully paid. An HMO Member shall Xxxxxx xxxll be a person enrolled in a Medicare HMO Benefit Program as set forth in Addendum C (“"Medicare HMO Member”"), a person enrolled in a Medicaid Benefit Program as set forth in Addendum F E (“"Medi-Cal HMO Member”") or a person enrolled in a commercial Benefit Program as set forth in Addendum B (“"Commercial HMO Member”").
Appears in 1 contract
Samples: Provider Services Agreement (Coram Healthcare Corp)