116 A Provider licensed when required by law and approved by us, that: 1. Gives skilled nursing and other services on a visiting basis in your home; and 2. Supervises the delivery of services under a plan prescribed and approved in writing by the attending Doctor. Hospice A Provider that gives care to terminally ill patients and their families, either directly or on a consulting basis with the patient’s Doctor. It must be licensed by the appropriate agency. Hospital A facility licensed as a Hospital as required by law that must satisfy our accreditation requirements and be approved by us. The term Hospital does not include a Provider, or that part of a Provider, used mainly for: 1. Nursing care 2. Rest care 3. Convalescent care 4. Care of the aged 5. Custodial Care 6. Educational care 7. Subacute care Identification Card (ID Card) The card given to you that showing your Member identification, group numbers, and the P lan you have. In - Network Provider A Provider that has a contract, either directly or indirectly, with us, or another organization, to give Covered Services to Members through negotiated payment arrangements. A Provider that is In - Network for one plan may not be In - Network for another. Please see “How to Find a Provider in the Network” in the section “How Your Plan Works” for more information on how to find an In - Network Provider for this Plan . There are different levels of In - Network Providers. A Tier 1 Provider charges lower Copayments / Coinsurance on many services than Tier 2 Providers. Inpatient A Member who is treated as a registered bed patient in a Hospital and for whom a room and board charge is made. Intensive In - Home Behavioral Health Program A range of therapy services provided in the home to address symptoms and behaviors that, as the result of a M ental D isorder or S ubstance U se D isorder, put the Members and others at risk of harm. Intensive Outpatient Program Structured, multidisciplinary treatment for Mental Health and Substance Use Disorders that provides a combination of individual, group and family therapy to Members who require a type or frequency of treatment that is not available in a standard outpatient setting.

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