Primary Care Provider or PCP Sample Clauses

Primary Care Provider or PCP. A provider who is licensed in Hawaii and is 1) a physician, either a Doctor of Medicine (“M.D.”) or a Doctor of Osteopathy (“D.O.”) and must generally be a family practitioner, general practitioner, general internist, pediatrician or obstetrician/gynecologist (for women, especially pregnant women) or geriatrician; 2) an advanced practice registered nurse with prescriptive authority or 3) a licensed physician assistant recognized by the state Board of Medical Examiners as a licensed physician assistant. PCPs have the responsibility for supervising, coordinating and providing initial and primary care to Covered Persons and for initiating referrals and maintaining the continuity of care of Covered Persons.
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Primary Care Provider or PCP. A Provider who has responsibility for supervising, coordinating, and providing primary health care to Covered Persons, initiating referrals for specialist care, and maintaining the continuity of care for Covered Persons. PCPs include, but are not limited to, pediatricians, family practitioners, general practitioners, internists, physician assistants (under the supervision of a physician), or advanced registered nurse practitioners, as designated by Carrier. The definition of PCP is inclusive of primary care physician as it is used in 42 CFR § 438.
Primary Care Provider or PCP. A licensed allopathic or osteopathic physician whose practice is general, family, pediatric or internal medicine or other licensed physician or qualified nonphysician provider individually designated by Health Plan who is affiliated with Health Plan for the purposes of providing, arranging and managing medical care and services for Members under the terms and conditions of a Health Plan provider affiliation agreement.
Primary Care Provider or PCP. Those physicians licensed in the State of Florida and included in Health Plan’s network that are also board certified in Pediatrics or Family Medicine or who have received an exemption from such standards from FHKC.

Related to Primary Care Provider or PCP

  • Primary Care Clinic Employees and each of their covered dependents must individually elect a primary care clinic within the network of providers offered by the plan administrator chosen by the employee. Employees and their dependents may elect to change clinics within their clinic’s Benefit Level as often as the plan administrator permits and as outlined above.

  • Uncovered Health Care Expenses ☐ Husband ☐ Wife shall be responsible for medical, dental, orthodontic, optical, psychiatric, psychological, and other health care expenses of the Minor Children, to the extent not covered by insurance. The Spouse incurring the expense shall present to the other Spouse an itemized statement of costs accrued or paid, proof of payment of any costs paid by the Spouse, and any necessary information about how to make payment to the provider within a reasonable time, but not more than days after accruing the costs. The reimbursing Spouse shall make the required payment or reimbursement within a reasonable time, but not more than days after notification of the amount due. For purposes of duration and modification, this provision shall be deemed part of the Child Support orders made by the court in the Couples’ dissolution action. ☐ - Other. ☐ Husband the ☐ Wife agrees to make payment to the other Spouse for the following:

  • Emergency and urgently needed care outside the service area Professional services of a physician, emergency room treatment, and inpatient hospital services are covered at eighty percent (80%) of the first two thousand dollars ($2,000) of the charges incurred per insurance year, and one-hundred percent (100%) thereafter. The maximum eligible out-of-pocket expense per individual per year for this benefit is four hundred dollars ($400). This benefit is not available when the member’s condition permits him or her to receive care within the network of the plan in which the individual is enrolled.

  • Outpatient emergency and urgicenter services within the service area The emergency room copay applies to all outpatient emergency visits that do not result in hospital admission within twenty-four (24) hours. The urgicenter copay is the same as the primary care clinic office visit copay.

  • Clinical Management for Behavioral Health Services (CMBHS) System The CMBHS is the official record of documentation by System Agency. Grantee shall:

  • Health Care Operations Health Care Operations shall have the meaning set out in its definition at 45 C.F.R. § 164.501, as such provision is currently drafted and as it is subsequently updated, amended or revised.

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