1. Health insurance plan that directly contracts with providers such as Blue Cross and Blue Shield. The providers directly bill the plan and the plan pays directly to the providers. The providers agree to certain fees and payment in full with no balance billing to the patient. The patient (member or insured) is responsible for the deductible and copayments. 2. Written document that outlines the types and frequency of long-term care services that a client receives. It may include treatment goals for a specified time period. 3. See plan of treatment .
****
Insurance coverage that has contracts with providers and in which health care benefits are given to individuals instead of monetary payment. Sometimes a Blue Cross and Blue Shield plan may be referred to as a service plan .