An HMO, PCCM or other entity contracted with the state to arrange for health care services under the managed care setting.
This refers to any kind of plan that covers health care services such as HMOs, insured plans, preferred provider organizations, etc.
A health-care-service contractor or health-maintenance organization. Commonly used interchangeably with the term insurance company.
Various types of managed care plans.
a high deductible health insurance plan designed to provide major medical coverage with a Health Savings Account
a qualified high deductible health insurance plan designed to provide
An organization that acts as insurer for an enrolled population. Types of health plans include fee-for-service (FFS), preferred provider organization (PPO), point-of-service (POS), and health maintenance organizations (HMO).
Refers to a plan of benefits offered through employers, or other entities including, but not limited to, Health & Welfare funds, Labor funds, HMOs and Insurance Companies.
A term which has different meanings depending upon the context. Health plan can be used to mean an HMO, a health plan provided by an employer to its employees, or a health plan offered to employers by an insurer or third party administrator.
NCQA defines health plan to include HMO, POS and PPO plans.
Organization that offers reimbursement for its members' health care services. It can be an HMO, a preferred provider organization, a commercial insurance carrier or a company that self-insures.
Within this web site, the term is used generally to include insurance, HMO and managed care plans.
a health maintenance organization, preferred provider organization, insured plan, self-funded plan, or other entity that covers health care services.
For the purposes of Title II of HIPAA, an individual or group plan that provides or pays the cost of medical care (as defined in section 2791(a)(2) of the PHS Act, 42 U.S.C. 300gg-91(a)(2)) and including entities and government programs listed in the Rule. Health plan excludes: (1) any policy, plan, or program to the extent that it provides, or pays for the cost of, excepted benefits that are listed in section 2791(c)(1) of the PHS Act, 42 U.S.C. 300gg-91(c)(1); and (2) a government-funded program (unless otherwise included at section 160.103 of HIPAA) whose principal purpose is other than providing, or paying for the cost of, health care or whose principal activity is the direct provision of health care to persons or the making of grants to fund the direct provision of health care to persons.