Plan Physician definition

Plan Physician means a Physician who has an independent contractor agreement with SHL to provide certain Covered Services to Insureds. A Plan Provider’s agreement with SHL may terminate, and an Insured will be required to select another Plan Provider.

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Plan Physician means any doctor of medicine, osteopathy, podiatry or dental surgery licensed by the State of California who has agreed to provide Professional Services to Members, either under an agreement with Plan or as a member of a PMG, and who is included in the selected Plan Network. Plan Physicians are listed in the Provider Directory.

Plan Physician means a licensed medical doctor or doctor of osteopathy contracted or employed with Health Plan or primary care physician affiliated with Health Plan to render services to Members which are benefits under this Certificate.

Examples of Plan Physician in a sentence

• Additionally, your Primary Care Plan Physician and Plan Providers will work as a team, along with you, to ensure continuity of care and medically appropriate courses of treatment.

• If you suffer from a life-threatening, degenerative, chronic or disabling disease or condition that requires Specialty Services, your Primary Care Plan Physician may determine, in consultation with you and a Specialist, that you need continuing care from that Specialist.

• If you do not select a Primary Care Plan Physician upon enrollment, we will assign you one near your home.

• Within pediatrics, you may select an allopathic or osteopathic pediatrician as the Primary Care Plan Physician for your child.

• We highly encourage you to choose a Primary Care Plan Physician when you enroll.

• In addition to selecting a Primary Care Plan Physician, Members may choose a Plan Physician who practices in the specialty of obstetrics or gynecology (OB/GYN) as their personal OB/GYN.

• It may also require that the Specialist communicate regularly with your Primary Care Plan Physician regarding your treatment and health status.

• Members enrolled in this Trio HMO Health Plan may only obtain Covered Services from Primary Care Physicians and Medical Group/IPAs designated as Plan Providers in the Blue Shield Trio HMO Health Plan Physician and Hospital Directory, except for Emergency Services or Urgent Services when the Member is out of the Service Area.

• You may also ask your Primary Care Plan Physician or other health care professionals about problems you may have.

• We recommend that you choose a Primary Care Plan Physician if you have not done so already.

More Definitions of Plan Physician

Plan Physician will mean a Physician who is under contract with Health Plan, either directly or through a contract with a medical group, IPA or other organization, to provide professional medical services to Enrollees.

Plan Physician means a Physician who has an independent contractor agreement with SHLto provide certain Covered Services to Insureds. A Plan Provider’s agreement with SHLmay terminate, and an Insured will be required to select another Plan Provider.

Plan Physician means a Health Care Practitioner who: A. Is a Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.); B. Has entered into a contract to provide medical care to Members; and C. Has been designated by the Plan as a Plan Physician under the Agreement.

Plan Physician means a Physician employed by a specific Plan, or under contract to a specific Plan as an independent contractor, designated as such from time to time to Vision Twenty-One, and thereafter designated by Vision Twenty-One to Provider.