Preferred Provider Program Sample Clauses
A Preferred Provider Program clause establishes that certain goods or services must be obtained from a designated list of approved suppliers or service providers. In practice, this means that a party to the contract is required to use vendors or providers that have been vetted and selected by the other party, often due to negotiated pricing, quality standards, or existing relationships. The core function of this clause is to ensure consistency, control costs, and maintain quality by directing purchases or services through trusted sources, thereby reducing risks associated with unapproved or unknown providers.
Preferred Provider Program. (1) The parties agree that one (1) or more Preferred Provider Organization (PPO) programs for hospital and physicians’ services may be provided through the ▇▇▇▇▇ County Schools COG Health Insurance Program. Anyone, as of August 1, 2009, who has the traditional Mutual Health Program instead of the PPO, may continue such participation.
(2) Participation in any such programs will be voluntary and there shall be no diminution of benefits for those individuals who choose not to participate in a PPO. However, for those individuals who choose a PPO and then utilize services outside the PPO system, there may be a reduction in benefits.
(3) The selection of the PPO(s), the types of benefits/programs, or any changes therein, shall be mutually determined by the representative of the COG and the ▇▇▇▇▇ County OEA Office.
(4) The duration of this provision shall be from January 1, 1995, and continuing thereafter unless terminated or modified by the representatives outlined in Paragraph c, above.
Preferred Provider Program a. The parties agree that one or more Preferred Provider Organization (PPO) programs for hospitals and physicians services may be provided through the ▇▇▇▇▇ County Council of Governments (COG) Health Insurance Program.
b. Participation in any such programs will be voluntary and there shall be no diminution of benefits for those individuals who choose not to participate in a PPO. However, for those individuals who choose a PPO and utilize services outside the PPO system, there may be a reduction in benefits.
c. The selection of the PPO(s), the types of benefits/programs, or any changes therein, shall be mutually determined by the representative of the COG.
d. The duration of this provision shall be from November 1, 1996 and continuing thereafter unless terminated or modified by the representative outlined in paragraph (c) herein.
Preferred Provider Program. FDMS and Customer agree to work together in good faith so that Customer will participate in FDMS's preferred provider program, if and when such program becomes available.
Preferred Provider Program. The Company will continue its Hospital -------------------------- Preferred Provider Organization (HPPO) for voluntary employee participation, which includes a minimum of three hospitals in the Las Vegas, Nevada area. Employees who elect to utilize a PPO hospital will receive reimbursement of hospital expenses at the rate of 90/10 and the hospital deductible will be waived. The Company will continue its Physician Preferred Provider Organization (PPPO) for voluntary employee participation, which includes a minimum of 400 physicians in Southern Nevada. An employee who elects to utilize a PPO physician will pay a service fee in accordance with the PPO medical expense benefit schedule incorporated in the Nevada Power Company Self-Funded Medical Benefit Plan referenced above. No claim forms need to be filed and the PPO physician will ▇▇▇▇ the Company for the remainder of the office visit charge. HOSPITAL DEDUCTIBLE: The hospital deductible will be waived for those ------------------- employees who reside more than fifty (50) miles from a PPO hospital and use a local hospital which is not a PPO hospital. However, employees who elect to travel to Las Vegas and use a non-PPO hospital will pay the hospital deductible and receive reimbursement for hospital charges at the 80/20 rate.
Preferred Provider Program a. The parties agree that one or more Preferred Provider Organization (PPO) programs for hospitals and physicians’ services may be provided through the Stark County Council of Governments (COG) Health Insurance Program.
b. Participation in any such programs will be voluntary and there shall be no diminution of benefits for those individuals who choose not to participate in a PPO. However, for those individuals who choose a PPO and then utilize services outside the PPO system, there may be a reduction in benefits.
c. The selection of the PPO(s), the types of benefits/programs, or any changes therein, shall be mutually determined by the representative of the COG and the Stark County OEA office.
d. The duration of this provision shall be from July 1, 1994 and continuing thereafter unless terminated or modified by the representative outlined in Paragraph c, herein.