Care in other Health Plan Regions. If our contract with any Plan Provider terminates, for reasons unrelated to fraud, patient abuse, incompetence, or loss of licensure status, while you are under the care of that Plan Provider, you may continue to see that provider and we will retain financial responsibility for covered Services you receive, in excess of any applicable Copayments, Coinsurance or Deductibles for a period not to exceed ninety (90) days from the date we have notified you of the Plan Provider’s termination.
Care in other Health Plan Regions. If our contract with any Plan Provider terminates, for reasons unrelated to fraud, patient abuse, incompetence, or loss of licensure status, while you are under the care of that Plan Provider, you may continue to see that provider and we will retain financial responsibility for covered Services you receive, in excess of any applicable Copayments, Coinsurance or Deductibles for a period not to exceed ninety (90) days from the date we have notified you of the Plan Provider’s termination. GOVERNING LAW Except as preempted by federal law, this EOC will be covered in accordance with the law of the State of Maryland. Any provision that is required to be in this EOC by state or federal law shall bind Members and the Health Plan, whether or not it is set forth in this EOC. NOTICE OF NON-GRANDFATHERED COVERAGE Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. believes that your Plan is a “non- grandfathered health plan” under the PPACA. GROUPS AND MEMBERS NOT HEALTH PLAN’S AGENTS Neither your Group nor any Member is the agent or representative of Health Plan. MEMBER RIGHTS AND RESPONSIBILITIES Xxxxxx Permanente is committed to providing you and your family with quality health care Services. In a spirit of partnership with you, here are the rights and responsibilities we share in the delivery of your health care Services.
