W. Va. Code R. § 114-83-2 - Definitions
2.1. "Discount
medical plan organization" means an entity that contracts with providers,
provider networks or other discount medical plan organizations to offer access
to medical or ancillary services at a discount to plan members, provides access
for discount medical plan members to the services in exchange for fees, dues,
charges or other consideration, and determines the charges to plan
members.
2.2. "Discount
prescription drug plan organization" means an entity that contracts with
providers, pharmacy networks or other discount prescription drug plan
organizations to offer access to pharmacy services to plan members at a
discount, provides access for discount prescription drug plan members to the
services in exchange for fees, dues, charges or other consideration, and
determines the charges to plan members.
Notes
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