Exclusive Provider
/ɪkˈskluːsɪv prəˈvaɪdər/
Definitions
- (n.) A healthcare provider or network selected by an insurer with whom insured individuals must seek treatment to receive coverage benefits.
Under an exclusive provider plan, patients must visit an exclusive provider for their medical services to be reimbursed.
Forms
- exclusive provider
- exclusive providers
Related terms
See also
Commentary
Term is primarily used in health insurance law; drafting should clarify scope and restrictions of provider exclusivity to prevent ambiguity in coverage terms.
This glossary is for general informational and educational purposes only. Definitions are jurisdiction-agnostic but reflect terminology and concepts primarily drawn from English and American legal traditions. Nothing herein constitutes legal advice or creates a lawyer-client relationship. Users should consult qualified counsel for advice on specific matters or jurisdictions.