Discount Medical Plan Organization Definition

Define Medical discount plan organization. means a person that (A) establish

es a medical discount plan, (B) contracts with providers, provider networks or other medical discount plan organizations to provide health care services at a discount to medical discount plan members, and (C) determines the fees charged to the members for the medical discount plan.

Discount Medical Plan Organizations As defined in South Carolina law, a Disc

ount Medical Plan Organization (DMPO) includes companies that offer discount programs for all health care services.

Typical definition: “A health discount plan is a card, program, device, ar

rangement, contract, or mechanism that purports to offer discounts or access to discounts on health care services or supplies and that is not insurance.” – Alaska § 21.36.030

(F) “Discount medical plan organization” means an entity that: (1) Has e

stablished a discount medical plan; and (2) Contracts with providers, provider networks and other discount medical plan organizations to provide access for discount medical plan members to receive medical services at a discount and determines the charge to the purchaser.

(2) “Discount plan organization” means an entity that, in exchange for f

ees, dues, charges, or other consideration, provides access for plan members to providers of medical services and the right to receive medical services from those providers at a discount.

The idea behind medical discount plans — also known as discount health car

e programs — is that you will save money on products and services your insurance may not cover like dental, vision, hearing, or chiropractic services. Some people automatically get discount programs through their health insurance company.

The Discount Medical Plan Organization/Discount Plan Organization is Access

Plans USA, Inc., 5005 LBJ Freeway, Suite 1500, Dallas, TX 75244-6186. You may call 1-888-719-9990 for more information or click here for a list of providers. The Plan will make available before purchase and upon request, a list of program providers and the providers ...

In the United States, a pharmacy benefit manager (PBM) is a third-party admi

nistrator of prescription drug programs for commercial health plans, self-insured employer plans, Medicare Part D plans, the Federal Employees Health Benefits Program, and state government employee plans. According to the American Pharmacists Association, "PBMs are primarily responsible for developing and maintaining ...

Cigna is an American worldwide health services organization based in Bloomfi

eld, Connecticut. Its insurance subsidiaries are major providers of medical, dental, disability, life and accident insurance and related products and services, the majority of which are offered through employers and other groups (e.g. governmental and non-governmental organizations, unions and associations).

A discount medical plan organization may enter into a provider agreement dir

ectly with a provider, indirectly through a provider network to which a provider belongs, or through another discount medical plan organization that contracts with providers directly or through a provider network.

Market Regulation Discount Medical Plan Organizations . Company Name. Access

One Consumer Health, Inc. (10/20/2006) Access One Consumer Health, Inc. Consent Order (93115-07). Aetna Life Insurance Company (12/1/2005). Aetna Life Insurance Company Consent Order (87828-06-CO). Affinion Benefits Group, Incorporated (11/3/2006). Affinion Benefits Group, Incorporated (93823-08)

"Discount medical plan" means a business arrangement or contract in which a

person, in exchange for fees, dues, charges, or other consideration, offers access to members to providers of medical services and the right to receive discounted medical services from those providers. (2) "Discount medical plan" does not include any of the following:

Discount medical plan means a business arrangement or contract in which a pe

rson, in exchange for fees, dues, charges, or other consideration, offers access for its members to providers of medical or ancillary services and the right to receive discounts on medical or ancillary services provided under the discount medical plan from those providers.

Acronym Definition; DMPO: Defense Military Pay Office: DMPO: Discount Medica

l Plan Organization: DMPO: Deadline Monotonic Priority Ordering (algorithms): DMPO: Dimethyl Pyroline Oxide

A discount medical plan organization is an entity that, in exchange for fees

, dues, charges, or other consideration, provides access for discount medical plan members to providers of medical or ancillary services and the right to receive medical or specialty services from those providers at a discount.

Discount Medical Plan Organizations (DMPO) DMPO Licensing Instructions DMPO

Application (DMP-1) DMPO Surety Bond (DMP-2) ... Professional Employer Organization Reinsurance Intermediary Risk Retention/Purchasing Group Surplus Lines Third Party Administrator ...

Medical discount plans are much less expensive than health insurance, but th

ey do not provide any of the protections of a health insurance policy. Instead, they simply give members a discount on medical services. The discounts are not guaranteed and can vary significantly depending on the provider and the treatment involved.

A business term for multiplying an amount by a discount rate to determine it

s present (“discounted”) value. The term has been broadly applied to geriatrics in the NHS and can be defined as the reduction in the costs and benefits of treatment by a fixed annual amount to take into account the declining “value" of an ageing patient over time.

Preferred Provider Organization – PPO: A preferred provider organization (

PPO) is a type of health insurance arrangement that allows plan participants relative freedom to choose the doctors and ...

A generic term applied to a managed care plan; also called Health Maintenanc

e Organization (HMO), Preferred Provider Organization (PPO), or Point-of-Service Plan (POS), although the MCO may not conform exactly to any of these formats.

1) Provided that the fee charged by each healthcare provider for each servic

e covers the cost of rendition of the services and reasonable overhead, and so long as each member is solely responsible for his or her provider’s charges associated with the cost of rendition, ABC, PPO and the providers would not be doing an insurance business.

93. Please provide a description of the member complaint procedures establis

hed by the Discount Medical Plan. 94. Please list below all states in which the applicant currently holds a license, registration, or certificate of authority to transact business as a Discount Medical Plan Organization. 95.

HMO, PPO, EPO and POS plans are all types of managed care plans that contrac

t with healthcare provider networks. A provider network is a list of hospitals, clinics, doctors and other healthcare providers that a health insurance plan has contracted with to provide medical services at a discount to its members.

Dictionary. Discount plans. In a discount plan, you pay a monthly fee to qua

lify for discounts within a network of doctors and other health providers. ... Discount plans are not health insurance ...

Discount Medical Plan Organization • New Benefits, Ltd. • 14240 Proton R

d • Dallas, TX 75244 ©2009 Co-Health USA 914-302-2777 • 800-373-0881 • Site by NRG Networks America's Leader in Discount Health Care

The discount will not be offered to international patients or for cosmetic o

r elective procedures that are not medically necessary. Financial assistance. In order to apply for financial assistance, patients will be required to apply for their state medical assistance (Medicaid) plan.

A voluntary employees' beneficiary association (VEBA) plan is a type of tax-

exempt trust used by its members and eligible dependents to pay for eligible medical expenses.

The Discount Medical Plan Organization/Discount Plan Organization is Allianc

e HealthCard of Florida, Inc., 5005 LBJ Freeway, Suite 1500, Dallas, TX 75244-6186. You may call 1-888-719-9990 for more information or click here for a list of providers. The Plan will make available before purchase and upon request, a list of program providers and the ...

The definition of a PPO is an abbreviation for preferred provider organizati

on, which means a hea... Dictionary ! Menu. ... To be included in a PPO network, dentists must discount their fees for plan members.

If your health plan administrator has authorized you to make payments for yo

ur health plan, log into the Web Portal to make payments. If you need assistance, contact the DMHC Accounting Office at (916) 445-2282 between the hours of 8:00 a.m. to 4:30 p.m. (Pacific Standard Time, Monday through Friday, excluding holidays). Licensing Contacts for ...

Discount Medical Plan Organization • New Benefits, Ltd. • 14240 Proton R

d • Dallas, TX 75244 ©2009 Co-Health USA 914-302-2777 • 800-373-0881 • Site by NRG Networks America's Leader in Discount Health Care

Towers Administrators LLC (doing business as “SingleCare”) is the licens

ed discount medical plan organization with its administrative office located at 4510 Cox Road, Suite 111, Glen Allen, VA ...

Medicare drug plans: Medicare-approved private insurance plans that offer pr

escription drug coverage in the Part D program. They can be stand-alone plans that provide only drug coverage or Medicare Advantage plans that provide medical care and drug coverage in a single package. Medicare Part D: The official name of the drug coverage program.

Discount plan organization . Application Instructions. Applying for Licensur

e to Act as a Discount Plan Organization in Washington. Chapter 48.155 RCW regulates Healthcare Discount Plan Organizations. As an applicant or licensed entity, it is your responsibility to fully understand the statutes.

Disclosures: This discount medical, health and drug plan is NOT insurance, a

health insurance policy or a Medicare prescription drug plan. This plan (The Plan) provides discounts for certain medical services, pharmaceutical supplies, prescription drugs or medical equipment and supplies offered by providers who have agreed to participate in The Plan.

preferred provider organization Managed care A network of independent health

care providers who provide medical services to a health plan's members or purchasers–eg, insurance companies, employers and other health care buyers at a discount; PPO members typically have autonomy over health care rather than needing to pass by a primary care (gatekeeper) physician like HMO members; use of in ...

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