Network of providers definition

Network of providers or "network" means an entity, including a health
Network of providers or "network" means an entity other than
Network of providers or "network" means an entity other than a health insurance issuer that, through contracts with health care providers, provides or arranges for access by groups of enrollees or insureds to health care services by health care providers who are not otherwise or individually contracted directly with a health insurance issuer.

Examples of Network of providers in a sentence

  • All Member Dentists who agree to be bound by this Member Dentist Agreement will be considered enrolled in the Delta Dental Premier Network of providers.

  • The ACO Plan uses a Network of providers and facilities that are part of or affiliated with the Providence-Swedish health care system.

  • Equipnet is the originator and administrator of a national network (the "Network") of providers of home health services and equipment.

  • The PASSE will develop and maintain a Referral Network of providers as required by the PASSE Medicaid Provider Manual, the Medicaid Provider-Led Organized Care Act (Act 775 of 2017, Ark.

  • All Ambulatory Healthcare Benefits are limited to the Healthcare Services delivered exclusively through an approved Healthcare Provider and as per applicable Network of providers.


More Definitions of Network of providers

Network of providers or "network" means an entity, including but not limited to a preferred provider organization as defined in R.S. 40:2202(5) and (6), other than a health insurance issuer that, through contracts with health care providers, provides or arranges for access by individuals or groups of individuals eligible for health insurance coverage to health care services by health care providers who are not otherwise or individually contracted directly with a health insurance issuer.
Network of providers a broad network of doctors and hospitals throughout the country and network hospitals internationally • Deductible: $250 individual, $500 family • Coverage: 90% coverage when you use network providers; 70% out-of-network • Co-pay: a $10 office visit co-pay at network doctors • Drug card: a $5 generic/$10 brand-name prescription drug co-pay at retail pharmacies • Mail-order prescription drugs: 90-day supply for maintenance drugs, including oral contraceptives; $5 co-pay • Lifetime benefit: unlimited lifetime coverage Highlights of the BlueChoice (POS) plan (California only) include: • Network of providers: a broad network of doctors and hospitals throughout the country and network hospitals internationally. You must select a Primary Care Physician (PCP) for yourself and covered dependents. • Deductible: $0 • Inpatient Hospital: $50 co-pay then 100% • Coverage: 90% coverage when you your network provider; 70% out-of-network • Co-pay: a $5 office visit co-pay at network ; 70% (50% well care) out-of-network • Drug card: a $5 generic/$10 brand-name prescription drug co-pay at retail pharmacies • Mail-order prescription drugs: 90-day supply for maintenance drugs, including oral contraceptives; $5 generic • Lifetime benefit: unlimited lifetime coverage Directory of providers: Employees can obtain the most current information about participating providers by calling 1-800-810-BLUE (2583) or checking their website at ▇▇▇.▇▇▇▇▇▇▇▇▇.▇▇▇/▇▇▇▇▇▇▇▇. (For the POS plan call 1-800-424-6521 or ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇.)
Network of providers or “network” means an entity, including a health insurance issuer, that, through contracts or agreements with healthcare providers, provides or arranges for access by groups of covered persons to healthcare services by healthcare providers who are not otherwise or individually contracted directly with a health insurance issuer.
Network of providers a broad network of doctors and hospitals throughout the country and network hospitals internationally • Deductible: $250 individual, $500 family • Coverage: 90% coverage when you use network providers; 70% out-of-network • Co-pay: a $10 office visit co-pay at network doctors • Drug card: a $5 generic/$10 brand-name prescription drug co-pay at retail pharmacies • Mail-order prescription drugs: 90-day supply for maintenance drugs, including oral contraceptives; $5 co-pay • Lifetime benefit: unlimited lifetime coverage Highlights of the BlueChoice (POS) plan (California only) include: • Network of providers: a broad network of doctors and hospitals throughout the country and network hospitals internationally. You must select a Primary Care Physician (PCP) for yourself and covered dependents. • Deductible: $0 • Inpatient Hospital: $50 co-pay then 100% • Coverage: 90% coverage when you your network provider; 70% out-of-network • Co-pay: a $5 office visit co-pay at network ; 70% (50% well care) out-of-network • Drug card: a $5 generic/$10 brand-name prescription drug co-pay at retail pharmacies • Mail-order prescription drugs: 90-day supply for maintenance drugs, including oral contraceptives; $5 generic • Lifetime benefit: unlimited lifetime coverage Directory of providers: Employees can obtain the most current information about participating providers by calling 1-800-810-BLUE (2583) or checking their website at ▇▇▇.▇▇▇▇▇▇▇▇▇.▇▇▇/▇▇▇▇▇▇▇▇. (For the POS plan call 1-800-424-6521 or ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇.)