Health Plan Agreement definition

Health Plan Agreement means any agreement between a Seller and a health plan related to one or more of the Accounts, and any amendment to such agreement.
Sample 1Sample 2Sample 3
Health Plan Agreement or “HPA” means the agreement between a Payor and PRACTICE HEALTH setting forth the terms and conditions under which PRACTICE HEALTH participating providers will provide Covered Services to Covered Individuals.
Sample 1
Health Plan Agreement or “HPA” means the agreement between a Payor and RMG setting forth the terms and conditions under which RMG participating providers will provide Covered Services to Covered Individuals.
Sample 1

Examples of Health Plan Agreement in a sentence

  • The Association shall provide and administer health and other related benefit plans for all Firefighter Unit employees and retirees in accordance with the terms and conditions of a separate agreement (Health Plan Agreement).

  • Notwithstanding the foregoing, the parties acknowledge that the price set forth in Exhibit A is not contingent upon the continuation of any specific Health Plan Agreement between Customer and a Contracted Health Plan.

  • This provision shall not prohibit collection from Covered Individual of copayments, coinsurance, deductibles or services not covered under any Medicare Advantage or Medicare Cost Health Plan Agreement.

  • In addition, MPOWER and CONTRACTOR agree to be joined in any dispute between Customer and a Contracted Health Plan involving administrative services rendered by MPOWER and CONTRACTOR pursuant to this Agreement, and to cooperate fully in the resolution of such dispute in accordance with the dispute resolution procedure set forth in the applicable Health Plan Agreement.

  • In the event of dispute between IPA and a Subscriber and upon mutual agreement between IPA and such Subscriber, PacifiCare agrees to make available the Subscriber Grievance Resolution Process described in the PacifiCare Health Plan Agreement for resolution of such dispute.

  • In the event of termination of a Health Plan Agreement for any reason, Customer may terminate this Agreement in whole or in part effective on the date of termination of the Health Plan Agreement.

  • Contractor shall be governed by and comply with all contractual obligations of the DHCS’ Mental Health Plan Agreement with the County.

  • In addition, MPOWER agrees to be joined in any dispute between Customer and a Contracted Health Plan involving administrative services rendered by MPOWER pursuant to this Agreement, and to cooperate fully in the resolution of such dispute in accordance with the dispute resolution procedure set forth in the applicable Health Plan Agreement.

  • Except for the Coordination of Benefits provision, the gen- eral provisions and exclusions of the HMO Health Plan Agreement shall apply.

  • The specific terms of the Plan, including eligibility and entitle- ments to benefits, shall be as set forth in the Health Plan Agreement.

Related to Health Plan Agreement

  • Health plan or "health benefit plan" means any policy,

  • Plan Agreement means a written agreement, as may be amended from time to time, which is entered into by and between an Employer and a Participant. Each Plan Agreement executed by a Participant and the Participant’s Employer shall provide for the entire benefit to which such Participant is entitled under the Plan; should there be more than one Plan Agreement, the Plan Agreement bearing the latest date of acceptance by the Employer shall supersede all previous Plan Agreements in their entirety and shall govern such entitlement. The terms of any Plan Agreement may be different for any Participant, and any Plan Agreement may provide additional benefits not set forth in the Plan or limit the benefits otherwise provided under the Plan; provided, however, that any such additional benefits or benefit limitations must be agreed to by both the Employer and the Participant.

  • Retiree Health Plan means an "employee welfare benefit plan" within the meaning of Section 3(1) of ERISA that provides benefits to individuals after termination of their employment, other than as required by Section 601 of ERISA.

  • Health Plans means any and all individual and family health and hospitalization insurance and/or self-insurance plans, medical reimbursement plans, prescription drug plans, dental plans and other health and/or wellness plans.

  • Health plan issuer means an entity subject to the insurance laws and rules of this state, or subject to the jurisdiction of the superintendent of insurance, that contracts, or offers to contract to provide, deliver, arrange for, pay for, or reimburse any of the costs of health care services under a health benefit plan, including a sickness and accident insurance company, a health insuring corporation, a fraternal benefit society, a self-funded multiple employer welfare arrangement, or a nonfederal, government health plan. “Health plan issuer” includes a third party administrator to the extent that the benefits that such an entity is contracted to administer under a health benefit plan are subject to the insurance laws and rules of this state or subject to the jurisdiction of the superintendent. The “Health plan issuer” is also called the Administrator in this Benefit Booklet.

  • Health care plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under:

  • State health plan means the employee and retiree insurance program provided for in Article 5, Chapter 11, Title 1.

  • Basic health plan means the plan described under chapter

  • Group health plan means an employee welfare benefit plan as defined in section 3(1) of subtitle A of title I of the employee retirement income security act of 1974, Public Law 93-406, 29 USC 1002, to the extent that the plan provides medical care, including items and services paid for as medical care to employees or their dependents as defined under the terms of the plan directly or through insurance, reimbursement, or otherwise.

  • Salary Reduction Agreement means an agreement between a dis- trict and an employee to reduce the employee’s salary for the pur- pose of making direct contributions to or purchases of a qualified investment product. Art. 6228a-5, Sec. 4(5), Tex. Rev. Civ. Stat.

  • Medicare Advantage plan means a plan of coverage for health benefits under Medicare Part C as defined in 42 U.S.C. 1395w-28(b)(1), and includes:

  • Professional employer agreement means a written contract by and between a client and a PEO that provides for the following:

  • Medical Benefits means the monthly fair market value of benefits provided to the Employee and the Employee’s dependents under the major medical, dental and vision benefit plans sponsored and maintained by the Company, at the level of coverage in effect for such persons immediately prior to the Employee’s termination of employment date. The “monthly fair market value” of such benefits shall be equal to the monthly cost as if such persons elected COBRA continuation coverage at such time at their own expense.

  • income-related employment and support allowance means an income-related allowance under Part 1 of the Welfare Reform Act 2007;

  • Individual health insurance coverage means health insurance coverage offered to individuals in the

  • Basic health plan services means that schedule of covered

  • Health benefits plan means a benefits plan which pays or

  • Medical Benefits Schedule means the Medicare Schedule of Benefits produced by the Department of Health to which all fees and benefits relate for inpatient hospital services.

  • Gap medical benefits means the benefits (if any) payable in respect of medical expenses that are less than, greater than or equal to the schedule fee, provided always that the medical expenses relate to a professional service that:

  • Nursing Service Plan means the plan that is developed by the registered nurse based on an Individual’s initial nursing assessment, reassessment, or updates made to a nursing assessment as a result of monitoring visits. The Nursing Service Plan must describe all licensed nursing services the Individual shall receive and be pursuant to the Individual’s Service Plan.

  • Health insurance plan means any health insurance policy or health benefit plan offered by a health insurer or a subcontractor of a health insurer, as well as Medicaid and any other public health care assistance program offered or administered by the State or by any subdivision or instrumentality of the State. The term includes vision care plans but does not include policies or plans providing coverage for a specified disease or other limited benefit coverage.

  • Separation Plan means the Company’s Separation Plan Amended and Restated Effective August 13, 2006, as may be amended from time to time or any successor plan, program, arrangement or agreement thereto.

  • Retiree means any person who has begun accruing a retirement

  • Pharmacy benefits management means the administration or management of prescription drug

  • Basic health plan model plan means a health plan as required in RCW 70.47.060(2)(e).

  • Dependent care assistance program or "DCAP" means a benefit plan whereby school employees may pay for certain employment related dependent care with pretax dollars as provided in the salary reduction plan under chapter 41.05 RCW pursuant to 26 U.S.C. Sec. 129 or other sections of the Internal Revenue Code.