WMU Health Services Plan definition

WMU Health Services Plan describes additional benefits applicable to members enrolled in the PPO plan. The University retains the right to amend the health benefit plans as dictated by changes in the law and changes mandated by the carrier/administrative agent.
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WMU Health Services Plan as described in this article shall continue for the length of this Agreement. Western retains the right to determine carriers and administrative agents of such benefits and programs at its sole discretion, with the prior consultation of the WMU Chapter of the AAUP. During the life of this Agreement, Western will maintain both the PPO and the WMU Health Services Plan unless changes are required by law or plan design changes are dictated by the carrier and/or administrative agents. The administrative agent posts the plan design on its portal for faculty members to review prior to obtaining services. Upon request, Western will provide the Chapter with a copy of all contracts with health care agents and providers. Human Resources shall assist faculty with questions and concerns regarding these health care plans. Western will provide health care coverage equivalent to the PPO health benefit plan to WMU- AAUP faculty who are assigned and authorized to work on a regular basis in states other than Michigan. Bargaining unit faculty member may choose to participate on a voluntary basis in the BCBSM HMO health care plan offered by Western.
Sample 1
WMU Health Services Plan as described in this article shall continue for the length of this Agreement. Western retains the right to determine carriers and administrative agents of such benefits and programs at its sole discretion, with the prior consultation of the WMU Chapter of the AAUP. Upon request, Western will provide the Chapter with a copy of all contracts with health care agents and providers. Human Resources shall assist faculty with questions and concerns regarding these health care plans.
Sample 1

Examples of WMU Health Services Plan in a sentence

  • All services provided by the Unified Clinics shall be available as per the PPO and/or WMU Health Services Plan, to PPO plan members and at a level of service as defined by that facility.

  • The University shall offer a Preferred Provider Organization (PPO) health plan, the WMU Health Services Plan and Unified Clinics, or substantially equivalent plans, to all eligible employees, their dependents and qualifying retirees.

  • All services provided by the Unified Clinics shall be available per the PPO and/or WMU Health Services Plan to PPO plan members and at a level of service as defined by that facility.

  • All services provided by the Unified Clinics shall be available as the PPO and/or WMU Health Services Plan, to PPO plan members and at a level of service as defined by that facility.

  • During the life of this Agreement, Western will maintain both the PPO and the WMU Health Services Plan unless changes are required by law or plan design changes are dictated by the carrier and/or administrative agents.

  • As a clarification, Western does not offer routine care, on-going treatment, or periodic physical examinations, or any other medical service as a contractual service except as specified in the WMU Health Services Plan (see Article 33.§5) and the specific services listed herein (Article 36.§4).

  • The University shall provide bargaining unit employees with a preferred provider organization (“PPO”) health plan and the WMU Health Services Plan.

  • The site is located within an accessible area with frequent bus services and within close proximity to facilities and services, for example primary and secondary schools and Eastwood Shopping Centre.

Related to WMU Health Services Plan

  • School health services means health services provided by a qualified school nurse or other qualified person that are designed to enable a child with a disability to receive FAPE as described in the child’s IEP.

  • Home health services means part-time or intermittent skilled nursing services, other therapeutic services (physical therapy, occupational therapy, speech therapy), and home health aide services made available on a visiting basis in a place of residence used as the client's home.

  • Health services means, but shall not be limited to, examination, diagnosis, evaluation, treatment, pharmaceuticals, aftercare, habilitation or rehabilitation and mental health therapy of any kind, as well as payment or reimbursement for any such services.

  • Telehealth services means the mode of delivering health care services and public health via information and communication technologies to facilitate the diagnosis, consultation, treatment, education, care management, and self-management of a patient's health care while the patient is at the originating site and the provider for telehealth is at a distant site. Telehealth facilitates patient self-management and caregiver support for patients and includes synchronous interactions and asynchronous store and forward transfers.

  • Mental health services means interventions designed to provide the maximum reduction of mental disability and restoration or maintenance of functioning consistent with the requirements for learning, development and enhanced self-sufficiency. Services shall include: a. Assessment means a service activity, which may include a clinical analysis of the history and current status of a beneficiary’s mental, emotional, or behavioral disorder, relevant cultural issues and history, Diagnosis and the use of testing procedures.

  • Mental health services provider means an individual, licensed or unlicensed, who performs or purports to perform mental health services, including a:

  • Behavioral health services means mental health services as

  • Home health aide services means the personal care and maintenance activities provided to individuals for the purpose of promoting normal standards of health and hygiene.

  • Health service area or “HSA” refers to the distinct geographic regions described in Section 4.1.4 or the Vermont Blueprint for Health Manual.

  • Health Service Provider means a body corporate with perpetual succession established under subsection 32(1)(b) of the Health Services Act 2016 (WA).

  • Mental health service provider means a public or private

  • Health Service means a Local Health District constituted under section 8 of the Health Services Act 1997, a Statutory Health Corporation constituted under section 11 of that Act, and an Affiliated Health Organisation constituted under section 13 of that Act.

  • Basic health plan services means that schedule of covered

  • Services plan means a written statement that describes the special education and related services the school district will provide to a parentally-placed child with a disability enrolled in a private school located in the district, including the location of the services and any transportation necessary, consistent with 34 CFR §§ 300.132, 300.137-139.

  • Group health benefit plan means any health care plan, subscription contract, evidence of

  • Pharmacy services means the practice of pharmacy as defined in chapter 18.64 RCW and includes any drugs or devices as defined in chapter 18.64 RCW.

  • Genetic services means a genetic test, genetic counseling (including obtaining, interpreting, or assessing genetic information), or genetic education.

  • Health-related services means services that may have an effect on the health of individuals but are not health services or social care services;

  • Group health plan means an employee welfare benefit plan as defined in section 3(1) of subtitle A of title I of the employee retirement income security act of 1974, Public Law 93-406, 29 USC 1002, to the extent that the plan provides medical care, including items and services paid for as medical care to employees or their dependents as defined under the terms of the plan directly or through insurance, reimbursement, or otherwise.

  • Health and Human Services Commission or “HHSC” means the administrative agency established under Chapter 531, Texas Government Code, or its designee.

  • Behavioral health administration or "BHA" means

  • Basic health plan means the plan described under chapter

  • Rural health clinic means a rural health clinic as defined under section 1861 of part C of title XVIII of the social security act, chapter 531, 49 Stat. 620, 42 U.S.C. 1395x, and certified to participate in medicaid and medicare.

  • Home health aide means an individual employed by a home health agency to provide home health services under the direction of a registered nurse or therapist.

  • Federal Health Care Program means any “federal health care program” as defined in 42 U.S.C. § 1320a-7b(f), including Medicare, state Medicaid programs, state CHIP programs, the Veterans Administration, TRICARE and similar or successor programs with or for the benefit of any Governmental Authority, and in each case any third party payor administering such programs.

  • Home and community-based services or "HCBS" means Home and Community-Based Services as defined in OAR chapter 411, division 004.