Managed care health insurance plan means an arrangement for the delivery of health care in which
Managed care health insurance plan or "MCHIP" means an arrangement for the delivery of health
Managed care health insurance plan or “MCHIP” means an arrangement for the delivery of health care in which Guardian undertakes to provide, arrange for, pay for, or reimburse any of the costs of health care services for a covered person on a prepaid or insured basis which: i) contains one or more incentive arrangements, including any credentialing requirements intended to influence the cost or level of health care services between the health carrier and one or more providers with respect to the delivery of health care services; and ii) requires or creates benefit payment differential incentives for covered persons to use providers that are directly or indirectly managed, owned, under contract with or employed by the health carrier. For the purposes of this definition, the prohibition of balance billing by a provider shall not be deemed a benefit payment differential incentive for covered persons to use providers who are directly or indirectly managed, owned, under contract with or employed by the health carrier. A single managed care health insurance plan may encompass multiple types of benefit payment differentials; however, a single managed care health insurance plan shall encompass only one provider network or set of provider networks.
More Definitions of Managed care health insurance plan
Managed care health insurance plan or “MCHIP” means an arrangement for the delivery of health care in which a health carrier as defined in § 38.2-5800 of the Code of Virginia undertakes to provide, arrange for, pay for, or reimburse any of the costs of health care services for a covered person on a prepaid or insured basis which (i) contains one or more incentive arrangements, including any credentialing requirements intended to influence the cost or level of health care services between the health carrier and one or more providers with respect to the delivery of health care services and (ii) requires or creates benefit payment
Managed care health insurance plan or ΑMCHIP≅ means an arrangement for the delivery of health care in which a health carrier as defined in ∍38.2-5800 of the Code of Virginia undertakes to provide, arrange for, pay for, or reimburse any of the costs of health care services for a covered person on a prepaid or insured basis which (i) contains one or more incentive arrangements, including any credentialing requirements intended to influence the cost or level of health care services between the health carrier and one or more providers with respect to the delivery of health care services and (ii) requires or creates benefit payment differential incentives for covered persons to use providers that are directly or indirectly managed, owned, under contract with or employed by the health carrier. Any health maintenance organization as defined in ∍38.2-4300 of the Code of Virginia or health carrier that offers preferred provider contracts or policies as defined in ∍38.2-3407 of the Code of Virginia or preferred provider subscription contracts as defined in ∍38.2-4209 of the Code of Virginia shall be deemed to be offering one or more managed care health insurance plans. For the purposes of this definition, the prohibition of balance billing by a provider shall not be deemed a benefit payment
Managed care health insurance plan means an arrangement in which a health carrier undertakes
Managed care health insurance plan or "MCHIP" means an arrangement in which a health carrier 704 undertakes to provide, arrange for, pay for, or reimburse any of the costs of health care services for a 705 covered person on a prepaid or insured basis, and either requires a covered person to use or creates 706 incentives for an enrollee or member to use providers who are directly or indirectly managed, owned, 707 under contract with or employed by the health carrier.