(215 ILCS 165/2) (from Ch. 32, par. 596)
Sec. 2. For the purposes of this Act, the following terms have the respective
meanings set forth in this section, unless different meanings are plainly
indicated by the context:
(a) "Health Services Plan Corporation" means a corporation organized under
the terms of this Act for the purpose of establishing and operating a voluntary
health services plan and providing other medically related services.
(b) "Voluntary health services plan" means either a plan or system under which
medical, hospital, nursing and relating health services may
be rendered to a subscriber or beneficiary at the expense of a health
services plan corporation, or any contractual arrangement to provide,
either directly or through arrangements with others, dental care services
to subscribers and beneficiaries.
(c) "Subscriber" means a natural person to whom a subscription certificate
has been issued by a health services plan corporation. Persons eligible
under Section 5-2 of the Illinois Public Aid Code may be subscribers if
a written agreement exists, as specified in Section 25 of this Act, between
the Health Services Plan Corporation and the Department of Healthcare and Family Services.
A subscription certificate may be issued to such persons at no cost.
(d) "Beneficiary" means a person designated in a subscription certificate
as one entitled to receive health services.
(e) "Health services" means those services ordinarily rendered by physicians
licensed in Illinois to practice medicine in all of its branches, by podiatric physicians
licensed in Illinois to practice podiatric medicine, by dentists and dental
surgeons licensed to practice in Illinois, by nurses registered in Illinois,
by dental hygienists licensed to practice in Illinois, and by assistants
and technicians acting under professional supervision; it likewise means
hospital services as usually and customarily rendered in Illinois, and the
compounding and dispensing of drugs and medicines by pharmacists and assistant
pharmacists registered in Illinois.
(f) "Subscription certificate" means a certificate issued to a subscriber
by a health services plan corporation, setting forth the terms and conditions
upon which health services shall be rendered to a subscriber or a beneficiary.
(g) "Physician rendering service for a plan" means a physician licensed
in Illinois to practice medicine in all of its branches who has undertaken
or agreed, upon terms and conditions acceptable both to himself and to the
health services plan corporation involved, to furnish medical service to
the plan's subscribers and beneficiaries.
(h) "Dentist or dental surgeon rendering service for a plan" means a dentist
or dental surgeon licensed in Illinois to practice dentistry or dental surgery
who has undertaken or agreed, upon terms and conditions acceptable both
to himself and to the health services plan corporation involved, to furnish
dental or dental surgical services to the plan's subscribers and beneficiaries.
(i) "Director" means the Director of Insurance of the State of Illinois.
(j) "Person" means any of the following: a natural person, corporation,
partnership or unincorporated association.
(k) "Podiatric physician or podiatric surgeon rendering service for a plan" means
any podiatric physician or podiatric surgeon licensed in Illinois to practice podiatry,
who has undertaken or agreed, upon terms and conditions acceptable both
to himself and to the health services plan corporation involved, to furnish
podiatric or podiatric surgical services to the plan's subscribers and beneficiaries.
(Source: P.A. 98-214, eff. 8-9-13.)
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