Copayments and Deductibles. Except in cases of extreme financial hardship that are documented in the Member’s medical record or where reasonable collection efforts have failed, Provider shall collect all applicable Copayments and Deductibles, including Medicare Copayments and Deductibles, which are the Member’s responsibility.
Copayments and Deductibles. Provider is entitled to xxxx and has the responsibility to collect from a Member any applicable copayments or deductibles for Covered Services according to the terms of this Agreement. Provider understands and agrees that because of the variety of benefit structures offered by SelectCare, it is not always possible to determine, in advance, the deductible or copayment amounts to be paid by Members. Furthermore, Provider understands and agrees that SelectCare have no responsibility to pay any amount except as described in Section 5.1 and Provider shall xxxx and collect copayments, deductibles and any other fees that are the Member’s responsibility. For health care services not covered by this Agreement or which SelectCare determines are not Medically Necessary, and for so long as not prohibited by SelectCare, Provider may xxxx Member or other responsible party. Provider shall provide notice to SelectCare of all such charges. Provider agrees to notify Members, in advance of providing any uncovered services that the service is not covered by SelectCare and that Member will be responsible for all charges.
Copayments and Deductibles. Provider understands and agrees that the Payer (or, if applicable, IPA) has no responsibility to pay any amount except as described in Paragraph 5.1 above and Provider shall xxxx and attempt to collect copayments, deductibles, and any other fees which are the Covered Person’s responsibility under such Covered Person’s health benefit plan or policy. For medical services not covered by this Agreement and for so long as not prohibited by IPA and/or Payer, Provider may xxxx a Covered Person or other responsible party at a mutually-agreeable charge. Provider agrees to notify the Covered Person, in advance of providing any uncovered services or any services for which the patient is not eligible, that the medical service is not covered and that the Covered Persons will be responsible for all charges.
Copayments and Deductibles. Pharmacy agrees to collect from each Covered Person or Representing Agent the applicable Copayment, Coinsurance, and Deductible, when applicable, on each prescription order. It is the Pharmacy’s obligation to determine the applicable Copayment, Coinsurance or Deductible amounts through the use of the System. Unless required by law, Pharmacy agrees that it shall not waive the Copayment, Coinsurance or Deductible on the part of a Covered Person without express written consent of ProCare, and that Copayment, Coinsurance or Deductible returned from the System is the maximum allowable amount which shall be collected by Pharmacy from the Covered Person or Representing Agent. Pharmacy may not charge any amount greater than the Covered Person’s amount due sent back to the Pharmacy via the System. Pharmacy may apply standard senior citizen or other discounts when Covered Persons are required to pay the full Usual and Customary (“U&C”) charges for Services.
Copayments and Deductibles. The Participating Hospital shall xxxx and has the responsibility to collect from a Participating Patient any applicable copayments or deductibles for Covered Hospital Services according to the terms of the applicable group health benefit plan between Group and the Participating Patient. For hospital services provided but not covered by the Group's health benefit plan, the Hospital may xxxx and collect the Hospital's usual, customary, and reasonable charges from Participating Patient or other responsible party.
Copayments and Deductibles. From and after the Effective Time, Buyer will, or will cause the Surviving Company and its subsidiaries to, waive any pre-existing condition exclusions and actively-at-work requirements under any employee benefit plan or program in which a Covered Employee becomes eligible to participate following the Closing (the “Surviving Company Benefit Plans”) (except to the extent that such exclusions and requirements were not waived by the Company or the Subsidiaries), and will make commercially reasonable efforts to provide that any covered expenses incurred on or before the Effective Time by an employee or an employee’s covered dependents under the Company’s employee benefit plans will be taken into account under the applicable Surviving Company Benefit Plans for purposes of satisfying applicable deductible, coinsurance and maximum out-of-pocket provisions after the Effective Time.
Copayments and Deductibles. Ancillary Provider understands and agrees that the Payor (or, if applicable, CCPN) has no responsibility to pay any amount except as described in Paragraph 4.2 above and Ancillary Provider shall, unless prohibited by state or federal law, bill xxx attempt to collect copayments, deductibles and any other fees which are the Covered Person's responsibility under the Covered Person's Payor Plan. For medical services not covered by this Agreement and for so long as not prohibited by CCPN and/or Payor or by state or federal law, Ancillary Provider may bill x Xovered Person or other responsible party.
Copayments and Deductibles. All copayments and deductibles are to be paid at the time of service. This arrangement is part of your contract with your insurance company. If you have a high deductible insurance plan, you will be required to pay $50 toward your deductible at the time of service and we will bill you for any remaining balance after your insurance has processed the bill.
Copayments and Deductibles. Participating Provider shall xxxx and has the responsibility to collect from a Participating Patient any applicable copayments or deductibles for Covered Medical Services according to the terms of the applicable group health insurance benefit plan between Group and the Participating Patient. The WPPA shall notify Provider of the applicable copayments and deductibles for each Group's benefit plan. For medical services provided but not covered by the Group's health insurance benefit plan, the Provider may xxxx and collect the Provider's usual, customary, and reasonable charges from Participating Patient or other responsible party.
