Health Care Service Plan Law and Legal Definition

Health care service plan means a plan that undertakes to arrange for the provision of health care services to subscribers or enrollees, or to pay for or to reimburse any part of the cost for those services, in return for a prepaid or periodic charge paid by or on behalf of the subscribers or enrollees. It is also called as specialized health care service plan.

The term health care service plan also refers to any person, whether located within or outside of a state, who solicits or contracts with a subscriber or enrollee to pay for or reimburse any part of the cost of, or who undertakes to arrange or arranges for, the provision of health care services that are to be provided wholly or in part in a foreign country in return for a prepaid or periodic charge paid by or on behalf of the subscriber or enrollee. [Cal Health & Saf Code § 1345(f)(2)].