Plan Providers definition

Plan Providers means the physicians, hospitals, skilled nursing facilities, home health agencies, pharmacies, medical transportation companies, laboratories, radiology and diagnostic facilities, durable medical equipment suppliers and other licensed health care entities or professionals who are part of the selected Plan Network and who provide Benefits to Members through an agreement with Plan. Plan Providers are listed in the Provider Directory. For purposes of Mental Health or Substance Use Disorders, Plan Providers also include : (a) A person who is licensed under Division 2 (commencing with Section 500) of the Business and Professions Code. (b) An associate marriage and family therapist or marriage and family therapist trainee. (c) A qualified autism spectrum disorder service provider or qualified autism spectrum disorder service professional certified by a national entity. (d) An associate clinical social worker. (e) An associate professional clinical counselor or professional clinical counselor trainee. (f) A registered psychologist. (g) A registered psychological assistant. (h) A psychology trainee.
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Plan Providers means the physicians, hospitals, skilled nursing facilities, home health agencies, pharmacies, medical transportation companies, laboratories, X-ray facilities, durable medical equipment suppliers and other licensed health care entities or professionals who are part of the selected Plan Network and which or who provide Benefits to Members through an agreement with the Plan.
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Plan Providers has the meaning set forth in Recital C.
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Examples of Plan Providers in a sentence

  • For purposes of this provision, the public does not include Plan Providers' representatives who are actively engaged in promoting the Funds.

  • This Agreement and Exhibit A may be amended at any time by Distributor without Plan Provider's consent by Distributor mailing a copy of an amendment to Plan Provider at the address set forth below.

  • Emergency Services obtained from Non-Plan providers will be payable at the same benefit level as would be applied to care received from Plan Providers.

  • SHL is not bound by statements or promises made by its Plan Providers.

  • Plan Providers are not agents or employees of HPN; nor is HPN, or any employee of HPN, an employee or agent of a Plan Provider.

  • The relationship between SHL and Plan Providers is an independent contractor relationship.

  • HPN is not liable for any claim or demand on account of damages as a result of, or in any manner connected with, any Injury suffered by a Member while receiving care from any Plan Provider or in any Plan Provider's facility.

  • The relationship between HPN and Plan Providers is an independent contractor relationship.

  • Reimbursement for Covered Services approved by HPN and provided by a Non-Plan Provider outside HPN’s Service Area shall be limited to the average payment which HPN makes to Plan Providers in HPN’s Service Area.

  • SHL's Managed Care Program requires the Insured, Plan Providers and SHL to work together.


More Definitions of Plan Providers

Plan Providers means the physicians, hospitals, skilled nursing facilities, home health agencies, pharmacies, medical transportation companies, laboratories, radiology and diagnostic facilities, durable medical equipment suppliers and other licensed health care entities or professionals who are part of the selected Plan Network and who provide Benefits to Members through an agreement with Plan. Plan Providers also include Qualified Autism Service Providers, Qualified Autism Service Professionals, and Qualified Autism Service Paraprofessionals who are part of the Member’s Plan Network and who provide Covered Benefits to Members through an agreement with Plan. Plan Providers are listed in the Provider Directory.
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Related to Plan Providers

  • Plan Provider means a Provider which has a written agreement with Blue Cross and Blue Shield of Illinois or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered to you.

  • Non-Plan Provider means a Provider that does not meet the definition of Plan Provider unless otherwise specified in the definition of a particular Provider.

  • Data Providers means pricing vendors, analytics providers, brokers, dealers, investment managers, Authorized Persons, Subcustodians, Depositories and any other Person providing Market Data to the Custodian.

  • Service Providers has the meaning set out in Section 9(e).

  • Participating Provider means an Administrator Hospital or Professional Provider which has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to participants in the Participating Provider Option program or an Administrator facility which has been designated by the Claim Administrator as a Participating Provider.