In this chapter:
(1) “Enrollee” means an individual who is eligible to receive health care services under a managed care plan.
(2) “Maintenance of certification” has the meaning assigned by Section 151.002, Occupations Code.
(3) “Managed care plan” means a health benefit plan under which health care services are provided to enrollees through contracts with physicians and that requires enrollees to use participating physicians or that provides a different level of coverage for enrollees who use participating physicians. The term includes a health benefit plan issued by:
(A) a health maintenance organization;
(B) a preferred provider benefit plan issuer; or
(C) any other entity that issues a health benefit plan, including an insurance company.
(4) “Participating physician” means a physician who has directly or indirectly contracted with a health benefit plan issuer to provide services to enrollees.
(5) “Physician” means an individual licensed to practice medicine in this state.