Common use of Agreement of Member Clause in Contracts

Agreement of Member. Each Member entitled to receive Covered Services under this Plan agrees to:  Choose a PCP from the list of available PCPs. The Subscriber and each Dependent may select a different PCP.  A female Member may choose two (2) PCPs: A general practice Physician and an Obstetrician or Gynecological Physician. Members may receive benefits only as provided by or approved in advance by the chosen PCP.  Receive specialty consultation and/or treatment from Plan Physicians only upon written Prior Authorization according to HPN’s Managed Care Program.  Obtain Prior Authorization from HPN’s Managed Care Program before receiving any non-Emergency Services from Non-Plan Providers.  Be financially responsible for the cost of services in excess of EME when these services are approved by HPN’s Managed Care Program and received outside of HPN’s Service Area or from Non-Plan Providers.  Except in the case of Emergency Services and Urgently Needed Services, be fully responsible for the cost of services not provided by the PCP according to HPN’s Managed Care Program or Prior Authorized by the PCP or HPN’s Managed Care Program.  Provide at least twenty-four (24) hours prior notice of cancellation of an appointment with a Provider.  Make timely payment of Copayment amounts due to Providers.

Agreement of Member. Each Member entitled to receive Covered Services under this Plan agrees to:  Choose a PCP from the list of available PCPs. The Subscriber and each Dependent may select a different PCP.  A female Member may choose two (2) PCPs: A general practice Physician and an Obstetrician or Gynecological Physician. Members may receive benefits only as provided by or approved in advance by the chosen PCP.  Receive specialty consultation and/or treatment from Plan Physicians only upon written Prior Authorization according to HPN’s Managed Care Program.  Obtain Prior Authorization from HPN’s Managed Care Program before receiving any non-Emergency Services from Non-Plan Providers.  Be financially responsible for the cost of services in excess of EME EME, or the Recognized Amount when applicable, when these services are approved by HPN’s Managed Care Program and received outside of HPN’s Service Area or from Non-Plan Providers.  Except in the case of Emergency Services and Urgently Needed Services, be fully responsible for the cost of services not provided by the PCP according to HPN’s Managed Care Program or Prior Authorized by the PCP or HPN’s Managed Care Program.  Provide at least twenty-four (24) hours prior notice of cancellation of an appointment with a Provider.  Make timely payment of Copayment amounts due to Providers.

Agreement of Member. Each Member entitled to receive Covered Services under this Plan agrees to:  Choose a PCP from the list of available PCPs. The Subscriber and each Dependent may select a different PCP.  A female Member may choose two (2) PCPs: A general practice Physician and an Obstetrician or Gynecological Physician. Members may receive benefits only as provided by or approved in advance by the chosen PCP.  Receive specialty consultation and/or treatment from Plan Physicians only upon written Prior Authorization according to HPN’s Managed Care Program.  Obtain Prior Authorization from HPN’s Managed Care Program before receiving any non-Emergency Services from Non-Plan Providers.  Be financially responsible for the cost of services in excess of EME when these services are approved by HPN’s Managed Care Program and received outside of HPN’s Service Area or from Non-Plan Providers.  Except in the case of Emergency Services and Urgently Needed Services, Services be fully responsible for the cost of services not provided by the PCP according to HPN’s Managed Care Program or Prior Authorized by the PCP or HPN’s Managed Care Program.  Provide at least twenty-four (24) hours prior notice of cancellation of an appointment with a Provider.  Make timely payment of Copayment amounts due to Providers.

Agreement of Member. Each Member entitled to receive Covered Services under this Plan agrees to:  • Choose a PCP from the list of available PCPs. The Subscriber and each Dependent may select a different PCP.  • A female Member may choose two (2) PCPs: A general practice Physician and an Obstetrician or Gynecological Physician. Members may receive benefits only as provided by or approved in advance by the chosen PCP.  • Receive specialty consultation and/or treatment from Plan Physicians only upon written Prior Authorization according to HPN’s Managed Care Program.  • Obtain Prior Authorization from HPN’s Managed Care Program before receiving any non-Emergency Services from Non-Plan Providers.  • Be financially responsible for the cost of services in excess of EME when these services are approved by HPN’s Managed Care Program and received outside of HPN’s Service Area or from Non-Plan Providers.  • Except in the case of Emergency Services and Urgently Needed Services, Services be fully responsible for the cost of services not provided by the PCP according to HPN’s Managed Care Program or Prior Authorized by the PCP or HPN’s Managed Care Program.  • Provide at least twenty-four (24) hours prior notice of cancellation of an appointment with a Provider.  • Make timely payment of Copayment amounts due to Providers.