Primary Care Physician. The covered employee, and eligible spouse, agrees to have their HRA results shared with their primary care physician by signing the appropriate release with the party administering the HRA.
Primary Care Physician. This is the Preferred Care Provider who is: • Selected by a covered person from the list of primary care physicians in xxx.xxxxxxx.xxx; • Responsible for the covered person's on-going health care; and • Shown on Aetna's records as the covered person's primary care physician. For purposes of this definition, a primary care physician also includes the School Health Services. Provider: This is any recognized health care professional, pharmacy or facility providing services with the scope of their license. This is an institution that meets all of the following requirements. • Mainly provides a program for the diagnosis, evaluation, and treatment of substance abuse or mental disorders; • Is not mainly a school or a custodial, recreational or training institution; • Provides infirmary-level medical services. Also, it provides, or arranges with a hospital in the area for, any other medical service that may be required; • Is supervised full-time by a psychiatrist who is responsible for patient care and is there regularly; • Is staffed by psychiatrists involved in care and treatment; • Has a psychiatrist present during the whole treatment day; • Provides, at all times, psychiatric social work and nursing services; • Provides, at all times, skilled nursing services by licensed nurses who are supervised by a full-time R.N.; • Prepares and maintains a written plan of treatment for each patient based on medical, psychological and social needs. The plan must be supervised by a psychiatrist; • Makes charges; • Meets licensing standards.
Primary Care Physician licensed physician who provides both the first contact for a person with an undiagnosed health concern as well as continuing care of varied medical conditions with specialties in general practice, family practice, internal medicine, obstetrics, gynecology, and pediatrics. A Primary Care Physician may be a Primary Care Provider.
Primary Care Physician. A Physician who supervises, coordinates and provides initial care and basic medical services as a general or family care practitioner, or in some cases, as an internist or a pediatrician to Members; initiates their referral for specialist care and maintains continuity of patient care.
Primary Care Physician. Molina shall ensure that an appropriate Primary Care Physician is available for each Molina Member. A Molina Member may select a Primary Care Physician or Foundation may assign a Molina Member to a Primary Care Physician.
Primary Care Physician. (1) You must designate a Primary Care Physician for each Covered Person. If you do not select a Primary Care Physician we will assign one.
(2) The Covered Person’s Primary Care Physician will be responsible for coordinating Covered Services and making referrals to other Participating Providers. A Covered Person does not need a referral from his/her Primary Care Physician for obstetrical or gynecological treatment from a Participating Provider. A Covered Person may seek care directly from an obstetrician or gynecologist that is a Participating Provider. For all other Providers, the Covered Person must obtain a referral from his/her Primary Care Physician to obtain benefits for Covered Services under this Contract.
(3) You may change the selection of a Primary care Physician no more frequently than once each month. A Covered Person may change his/her Primary Care Physician by submitting a written request, online at xxx.xxxxxxxxxxxxx.xxx/xxxxxxxxxxx, or by contacting us at the number shown on your Identification Card. A change in Primary Care Physician selection will be effective no later than thirty (30) days from the date we receive a request.
Primary Care Physician. A Doctor of Medicine or a Doctor of Osteopathy or another health care professional as authorized under state law, Skilled Nursing Facility bylaws and the applicable Benefit Plan to admit or refer patients to a Skilled Nursing Facility for Covered Services who: (a) has been selected by or assigned to an I-SNP Customer to provide and/or coordinate the I-SNP Customer’s Covered Services; (b) whose practice predominantly includes internal medicine, family or general practice; and (c) who participates in United’s network.
Primary Care Physician. A Participating Physician whose area of practice and training is family practice, general medicine, internal medicine or pediatrics, or who is otherwise designated as a Primary Care Physician by Company, and who has agreed to provide primary care services and to coordinate and manage all Covered Services for Members who have selected or been assigned to such Participating Physician, if the applicable Plan provides for a Primary Care Physician.
Primary Care Physician. If Provider is a primary care physician, Provider is obligated to continue the provision of Covered Services until the end of the current plan year for a Member with no open enrollment period; or until the end of the plan year for which it was represented that Provider was, or would be, a provider that participates in UBH’s network for a Member with an open enrollment period. Provider agrees to accept and Xxxxx is obligated to pay the amounts established by this Agreement for Covered Services rendered after termination of this Agreement. Additionally, in the event Provider terminates the Agreement for any reason, Provider shall, within 30 days prior to the termination or 15 days following UBH’s receipt of the termination notice, whichever is later, post a notification of such termination in Provider’s office. This notice requirement applies only if Provider is a physician specialist and a referral is not required. If Provider receives or is due reimbursement for services provided to a Member under this section, Provider is subject to Wis. Stat. § 609.91 with respect to the Member, regardless of whether the Member’s Benefit Contract is a health maintenance organization. Such requirements include, but are not limited to the following: Provider may not, for any reason, including but not limited to termination of the Agreement, breach or default of the Agreement by UBH or UBH's insolvency or bankruptcy, bill, charge, collect a deposit from, seek remuneration or compensation from, file or threaten to file with a credit reporting agency or have any recourse against a Member, or any person acting on their behalf for costs that are covered under the Benefit Contract. This provision does not affect the liability of a Member for any copayments or premiums owed under a Benefit Contract.
Primary Care Physician. Physician Group agrees that each Enrollee will select or be assigned a Primary Care Physician. Group will determine that Primary Care Physicians are trained and have experience in dealing with the medical problems frequently encountered in elderly individuals. Primary Care Physician shall be responsible for the provision, coordination, referral and authorization of Covered Services in accordance with the Utilization Review Program and prevailing standards of medical practice.
