Preferred Provider Network. , “Network” or “PPO” means a network of Providers that contract with a Preferred Provider Organization to provide services to Insureds of the Company at negotiated rates.
Preferred Provider Network means a health care provider or group of providers selected by the Scheme as the preferred provider or providers to provide to the Members of the Scheme diagnosis, treatments and care in respect of one or more conditions at a prenegotiated rate;
Preferred Provider Network means hospitals or Network providers empanelled by ITGI on negotiated package rates to provide cashless facility to you.
Examples of Preferred Provider Network in a sentence
The Insured will be responsible for thirty percent (30%) of all covered medical and hospital charges that exceed the benefit of twenty-five thousand dollars ($25,000) on services performed outside the Preferred Provider Network.
There is no coverage outside the Preferred Provider Network, except for emergencies.
The Plan Bupa Group policy provides emergency medical treatment outside of the Preferred Provider Network in those cases where the emergency treatment is required to avoid loss of life or limb.
The Plan Bupa Group policy provides coverage in the Preferred Provider Network only, regardless of whether the treatment is in your country of residence or outside your country of residence.
No benefits are payable for service rendered outside the Preferred Provider Network, except under the emergency medical treatment provision.
More Definitions of Preferred Provider Network
Preferred Provider Network. A group of Network Providers that MiSalud Enrollees may access without any requirement of a Referral or Prior Authorization; provides services to MiSalud Enrollees without imposing any Co-Payments; and meets the Network requirements described in Article 9 of this Contract.
Preferred Provider Network means a Hospital, clinic or Physician that has entered into an agreement to provide specific medical care at negotiated prices. The Company maintains an international network of medical Providers and facilities with which it has arranged direct billing procedures. Please refer to your Medical Identification Card to locate Preferred Providers, or access a list of Providers at xxx.xxx.xxx. Prescription Drugs are medications which are prescribed by a Physician and which would not be available without such prescription. Certain treatments and medications, such as vitamins, herbs, aspirin, cold remedies, medicines, Experimental and/or Investigational drugs, or medical supplies even when recommended by a Physician, do not qualify as Prescription Drugs. Professional Sports are activities in which the participants receive payment for participation. Provider means the organization or person performing or supplying treatment, services, supplies or drugs.
Preferred Provider Network means an organization responsible for maintaining and providing a network of medical providers to perform medical services for CDCR Patient-Inmates/DJJ Youth.
Preferred Provider Network means a person, which is not a managed care organization, but which pays claims for the delivery of health care services, accepts financial risk for the delivery of health care services and establishes, operates or maintains an arrangement or contract with providers relating to (A) the health care services rendered by the providers, and (B) the amounts to be paid to the providers for such services. "Preferred provider network" does not include (i) a workers' compensation preferred provider organization established pursuant to section 31-279-10 of the regulations of Connecticut state agencies, (ii) an independent practice association or
Preferred Provider Network means a person [, which] that is not a managed care organization, but [which] that pays claims for the delivery of health care services, accepts financial risk for the delivery of health care services and establishes, operates or maintains an arrangement or contract with providers relating to (A) the health care services rendered by the providers, and (B) the amounts to be paid to the providers for such services. "Preferred provider network" does not include (i) a workers' compensation preferred provider organization established pursuant to section 31-279-10 of the regulations of Connecticut state agencies, (ii) an independent practice association or physician hospital organization whose primary function is to contract with insurers and provide services to providers, (iii) a clinical laboratory, licensed pursuant to section 19a-30, whose primary payments for any contracted or referred services are made to other licensed clinical laboratories or for associated pathology services, or (iv) a pharmacy benefits manager responsible for administering pharmacy claims whose primary function is to administer the pharmacy benefit on behalf of a health benefit plan;
Preferred Provider Network. (PPN) shall mean a network of hospitals, day care centres, nursing homes, as the case may be in select cities which have agreed to cashless packaged rates for defined procedures for insured person/s. The list of such hospitals and procedures may be provided in the website of the Insurer and the TPA for the information of the insured/s and updated from time to time.
Preferred Provider Network. A group of Network Providers that MI Salud Enrollees may access without any requirement of a Referral or Prior Authorization; provides services to MI Salud Enrollees without imposing any Co-Payments; and meets the Network requirements described in Article 9 of this Contract. Prepaid Inpatient Health Plan (“PIHP”): An entity that: (a) provides medical services to Enrollees under a contract with ASES with prepaid Capitation or other payment arrangements that do not use State plan payment plans; (b) provides, arranges for, or otherwise has responsibility for the provision of any inpatient hospital or institutional services for its Enrollees; and (c) does not have a comprehensive risk contract.