ComplianceOnline

Health Plans


Individual and group plans that provide or pay the cost of medical care are covered entities.

Health plans include:

  • health, dental, vision, and prescription drug insurers,
  • health maintenance organizations ("HMOs"),
  • Medicare,
  • Medicaid,
  • Medicare+Choice and Medicare supplement insurers,
  • long-term care insurers (excluding nursing home fixed-indemnity policies),
  • employer-sponsored group health plans,
  • government and church-sponsored health plans, and
  • multi-employer health plans.