A medical care provider who has elected to participate in a PPO.
A provider of medical services belonging to a network of providers contracted with a certain insurance company or health plan.
a Physician, Hospital, or other Provider who has a signed contract with one of the networks noted in this Plan and who has agreed to provide Covered Services to a Member and submit claims to the Plan Supervisor and to accept the Fee Schedule amount as payment in full for Covered Services. The Participating status of a Provider may change.
Hospital or physician that contracts on a fee-for-service basis to provide medical services. Providers exchange discounted services for increased volume and prompt payment. Participants' out-of-pocket costs usually lower than under a fee-for-service plan.
Providers who contract to provide health services to persons covered by a particular health plan.
a prescreened doctor, hospital or other health care provider that has agreed to provide services at predetermined rates
This is a physician or other health-care provider who has signed a contract with us to be a preferred provider.
A doctor, laboratory, or other medical or care group that provides services to health plan members.
a provider who has a contract with the plan to participate in the network. The contract includes provisions to accept the reasonable and customary charge or allowable amount for a given service as the full fee.
A hospital, physician or other provider of medical services and supplies participating under a contract with BCBSKC through a Preferred Provider Organization (PPO) as named in the provider directory. Preferred Providers also include those who participate in other designated Blue Cross and/or Blue Shield Plan networks in the BlueCard PPO program. Call the toll free number on your identification card for a list of Preferred Providers participating in the BlueCard PPO Program.
Network hospitals and physicians who will provide a range of healthcare services for discounted fees specified in a formal contract and performed according to agreed upon standards.
A provider who has signed an agreement with the insurance carrier not to charge that carrier's members more than the insurer's allowed fees.
Usually relating to health care providers that have contracted with your insurance to provide specified services. Though you always have the choice whether or not to use a preferred provider, your benefits are reduced when services are provided by non-preferred providers.
A health care provider who appears on an approved list of people whose services are covered by an insurance company.