A combination of a group health plan and a top - up plan is not a wise choice and there are substantial reasons to justify the answer.
Not exact matches
Further trials are
planned to document the efficacy and safety
of the
combination in patients infected with the other HCV genotypes and in particularly vulnerable
groups, to enable a public
health approach to the treatment
of hepatitis C.
The commenter stated that the clarifying language is needed given the «catchall» category
of entities defined as «any other individual
plan or
group health plan, or
combination thereof, that Start Printed Page 82578provides or pays for the cost
of medical care,» and asserted that absent clarification there could be serious confusion as to whether property and casualty benefit providers are «
health plans» under the rule.
We proposed that this definition include, but not be limited to the 15 types
of plans (e.g.,
group health plan,
health insurance issuer,
health maintenance organization) listed in the statute, as well as any
combination of them.
Comment: Some commenters expressed support for retaining the category in paragraph (16)
of the proposal's definition: «Any other individual or
group health plan, or
combination thereof, that provides or pays for the cost
of medical care.»
Response: As described in the proposed rule, this category implements the language at the beginning
of the statutory definition
of the term «
health plan»: «The term «
health plan» means an individual or
group plan that provides, or pays the cost
of, medical care * * * Such term includes the following, and any
combination thereof * * *» This statutory language is general, not specific, and as such, we are leaving it general in the final rule.
EmblemHealth was formed through the
combination of two other local insurers,
Group Health Incorporated (GHI) and
Health Insurance
Plan of Greater New York (HIP).