A health plan or dental plan is an organization of licensed insurers, non profit organizations and managed care organizations (Co's) who are contracted to provide services to children eligible for the Children's Health Insurance Program. A primary care provider (PC) is a doctor, nurse, dentist or other health professional who is responsible for providing and coordinating the CHIP child's health care.

Most CHIP children will receive care through a health plan or dental plan, however if there is no health plan or dental plan available in the area, they can choose fee-for-service. With fee for service you can attend any doctor or other provider who will take your children's medical card for payment.

This is a business processing entity which is associated with the Children's Health Insurance Program product delivery. An organization's administrator must administer certain entities when creating and maintaining Children's Health Insurance Program product deliveries.

Example

Susan Smith is a child in a household who is currently receiving Children's Health Insurance. Susan Smith has a health and dental plan which are provided for by Susan Smith's local family doctor and dentist. A case worker creates a Benefit Delivery System Details record with the details of the health plan, dental plan and the doctor and dentist who are providing the services under of those plans to Susan Smith. Benefit Delivery System Details is on Susan's Smith's Children's Health Insurance product delivery.