the parties if the parties fail to enter into a mutually
agreeable provider contract within the time frames established
by this act.
"Department." The Insurance Department of the Commonwealth.
"Health care services." A medical-surgical, hospital,
facility or ancillary service provided to an individual.
"Health insurance." A health insurance policy, subscriber
contract, certificate or policy that provides health or sickness
and accident coverage offered by a health insurance carrier and
which is subject to review by the department under the
provisions of the act of December 18, 1996 (P.L.1066, No.159),
known as the Accident and Health Filing Reform Act. The term
does not include any of the following:
(1) An accident-only policy.
(2) A credit-only policy.
(3) A long-term care or disability income policy.
(4) A specified disease policy.
(5) A Medicare supplement policy.
(6) A Civilian Health and Medical Program of the
Uniformed Services (CHAMPUS) supplement policy.
(7) A dental-only policy, other than a qualified dental
policy.
(8) A vision-only policy.
(9) A workers' compensation policy.
(10) An automobile medical payment policy under 75
Pa.C.S. (relating to vehicles).
(11) Any other similar policies providing for limited
benefits.
"Health insurance carrier." An entity licensed in this
Commonwealth to issue health insurance, subscriber contracts,
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