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 :
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Plan Providers has the meaning set forth in Recital C.
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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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Examples of Plan Providers in a sentence

  • To find out which Plan Providers are affiliated with your PMG and part of your Plan Network, refer to the Provider Directory for your Plan Network or call Customer Care.

  • Our Provider Directories listing the Plan Providers in your Plan Network, including providers in the Delta Dental (dental services), Vision Service Plan (vision services), American Specialty Health Plans (acupuncture and chiropractic services) and CVS Caremark (pharmacies), are available online at xxxxxxxxxxxxxxx.xxx/xxxxxxxxxxx.‌‌‌ You may also request a printed directory by calling Customer Care at 0-000-000-0000.

  • Choice of Plan Physicians and Plan Providers Sharp Health Plan Providers are located throughout San Diego County.

  • The Provider Directories list Plan Physicians, Plan Hospitals and other Plan Providers in your Plan Network.

  • If Covered Benefits are not available from Plan Providers affiliated with your PMG, you will be referred to another Plan Provider to receive such Covered Benefits.

  • You receive Covered Benefits (except those listed below) from Plan Providers who are affiliated with your PMG and who are part of your Plan Network.

  • The Provider Directories list the addresses and phone numbers of Plan Providers, including PCPs, hospitals and other facilities.

  • You will receive all non-emergency Covered Benefits from the Plan Providers in your Plan Network.

  • Access Health Care Services Through Your Primary Care Physician Your PCP will provide the appropriate services or referrals to other Plan Providers.

  • Availability of Plan Providers will be assessed based on your specific medical needs, provider expertise, geographic access, and appointment availability.


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 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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Related to Plan Providers

  • 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.

  • Training provider means an organization meeting the eligibility conditions as mentioned in Data Sheet and selected in accordance with the criteria set forth for the purpose.

  • Providers means individuals or organizations --------- licensed to practice dentistry (including specialists) as well as other dental professionals who provide ancillary reimbursable dental services.

  • The Service Provider means the Bidder or firm supplying the Services under this Contract.

  • Service Provider Personnel means and refers to Service Provider employees or subcontractors hired and maintained to perform Services hereunder.

  • Housing Provider means, with respect to a HOME Development, Local Government, consortia approved by HUD under 24 CFR Part 92, for-profit and Non-Profit Developers, and qualified CHDOs, with demonstrated capacity to construct or rehabilitate affordable housing.

  • Nonparticipating provider means a person, health care provider, practitioner, facility, or entity, acting within their scope of practice, that does not have a written contract to participate in a managed health care system's provider network, but provides health care services to enrollees of programs authorized under this chapter or other applicable law whose health care services are provided by the managed health care system.

  • Common Service Provider means a person nominated by the ICSDs to perform the role of common service provider;

  • Non-Participating Provider means an Administrator Hospital or Professional Provider which does not have 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 a facility which has not been designated by the Claim Administrator as a Participating Provider.

  • Third Party Providers or “TPPs” means any payment service provider that provides payment services to you or someone else that concerns the Account, for example, an AISP (described in Clause 1(c) below).

  • Individual provider means an individual provider as defined

  • Medical provider means a medical service provider, a hospital, a medical clinic, or a vendor of medical services.

  • Education service provider means an education management organization, school

  • Information Service Provider A provider of Information Service. Information Service Provider includes, but is not limited to, Internet Service Providers (ISPs).

  • Enhanced Service Provider (ESP means the provider of enhanced services, as those services are defined in 47 CFR Section 64.702.

  • Principals or Key Personnel means and refers to those principals and key personnel of the Contractor, and its or their agents, as described in C.G.S. §§ 4-250(5) and 4-252(c)(1)(B) and (C).