Page 1835

West Virginia Income Maintenance Manual Chapter 22

West Virginia Income Maintenance Manual Page 49 Chapter 22 West Virginia Children’s Health Insurance Program (WVCHIP)

• Other benefits, similar to those above, under which benefits for medical care are supplemental or incidental to other insurance benefits and are provided under a separate policy GROUP HEALTH INSURANCE COVERAGE Health insurance coverage offered in connection with a group health plan. GROUP HEALTH PLAN An employee welfare benefit plan that provides medical care and services to employees or their dependents, as defined under the plan, directly or through insurance, reimbursement, or otherwise. Can be public or private. HEALTH INSURANCE COVERAGE Benefits consisting of medical care, provided directly, through insurance or reimbursement, or otherwise, and including items and services paid for as medical care under any hospital or medical service policy or certificate, hospital or medical service plan contract, or health maintenance organization (HMO) contract, offered by a health insurance issuer. INDIVIDUAL HEALTH INSURANCE COVERAGE Health insurance coverage offered to individuals. It does not include short-term, limited-duration insurance. MEDICAL CARE Amounts paid for any of the following: • The diagnosis, cure, mitigation, or prevention of disease, or amounts paid for the purpose of affecting any structure or function of the body • Transportation primarily for and essential to medical care • Insurance covering medical care as defined above