Common use of Incentive Plan Disclosure Clause in Contracts

Incentive Plan Disclosure. You are entitled to ask if HPN has special financial arrangements with their contracted Physicians that may affect Referral services, such as lab tests and hospitalizations that you might need. To receive information regarding contracted Physician payment arrangements, please call the Member Services Department at (000) 000-0000 or 0-000-000-0000. This information will be sent to you within thirty (30) days of the date that you make your request. HPN will provide information on the financial arrangements that they have with their contracted Physicians to any requesting Member. The following information is available upon request, to current, previous and potential Plan Members: 1. Whether HPN’s Managed Care Organization contracts or subcontracts include Physician incentive plans that affect the use of Referral services. 2. Information on the type of arrangements used. 3. Whether special insurance called stop-loss protection is required for Physicians or Physician’s groups.

Appears in 1 contract

Samples: Agreement of Coverage

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Incentive Plan Disclosure. You are entitled to ask if HPN has special financial arrangements with their contracted Physicians that may affect Referral services, such as lab tests and hospitalizations that you might need. To receive information regarding contracted Physician payment arrangements, please call the Member Services Department at (000) 000-0000 or 0-000-000-0000. This information will be sent to you within thirty (30) days of the date that you make your request. HPN will provide information on the financial arrangements that they have with their contracted Physicians to any requesting Member. The following information is available upon request, to current, previous and potential Plan Members: 1. :  Whether HPN’s Managed Care Organization contracts or subcontracts include Physician incentive plans that affect the use of Referral services. 2. Information on the type of arrangements used. 3. Whether special insurance called stop-loss protection is required for Physicians or Physician’s groups.

Appears in 1 contract

Samples: Agreement of Coverage

Incentive Plan Disclosure. You are entitled to ask if HPN has special financial arrangements with their contracted Physicians that may affect Referral services, such as lab tests and hospitalizations that you might need. To receive information regarding contracted Physician payment arrangements, please call the Member Services Department at (000) 000-0000 or 0-000-000-0000the number listed on page 3 of this EOC. This information will be sent to you within thirty (30) days of the date that you make your request. HPN will provide information on the financial arrangements that they have with their contracted Physicians to any requesting Member. The following information is available upon request, to current, previous and potential Plan Members: 1. Whether HPN’s Managed Care Organization the managed care organizations’ contracts or subcontracts include Physician incentive plans that affect the use of Referral services. 2. Information on the type of arrangements used. 3. Whether special insurance called stop-loss protection is required for Physicians or Physician’s Physician groups.

Appears in 1 contract

Samples: Group Enrollment Agreement

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Incentive Plan Disclosure. You are entitled to ask if HPN has special financial arrangements with their contracted Physicians that may affect Referral services, such as lab tests and hospitalizations that you might need. To receive information regarding contracted Physician payment arrangements, please call the Member Services Department at (000) 000-0000 or 0-000-000-0000. This information will be sent to you within thirty (30) days of the date that you make your request. HPN will provide information on the financial arrangements that they have with their contracted Physicians to any requesting Member. The following information is available upon request, to current, previous and potential Plan Members: 1. :  Whether HPN’s Managed Care Organization contracts or subcontracts include Physician incentive plans that affect the use of Referral services. 2. Information on the type of arrangements used. 3. Whether special insurance called stop-loss protection is required for Physicians or Physician’s groups.

Appears in 1 contract

Samples: Agreement of Coverage

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