Continuation of Covered Services. 2.13.1 SelectCare shall develop a system to provide Provider with reasonable advance notice of impending ineligibility of a Medicare Member who is currently undergoing treatment from Provider. Upon receipt of notification of ineligibility of a Medicare Member, Provider shall use reasonable efforts (i) to advise such Medicare Member of alternative health care providers, programs or arrangements, if any, available to such Medicare Member; and (ii) to assist in the transfer of such Medicare Member whose responsibility for treatment is assumed by another health care provider. Nothing in the Agreement permits Provider to abandon any Member who is a patient.
Continuation of Covered Services. Dentist shall continue to provide Covered Services to Members as required under applicable state and federal laws. This provision shall survive the termination of the Agreement, regardless of the reason for termination, including the insolvency of MA Plan, and shall supersede any oral or written agreement between the Dentist and a Member.
Continuation of Covered Services. AHERF shall cause AHERF Providers to continue to perform Covered Services in accordance with this Agreement or the applicable Agreement then in effect by and between such AHERF Providers and AHERF during the Continuation Period. If termination of this Agreement occurs for any reason, any Covered Individual who is an inpatient as of the end of the Continuation Period shall continue to be provided all Covered Services by an AHERF Provider, and HealthAmerica shall pay such AHERF Provider for such inpatient Covered Services in accordance with this Agreement until such Covered Individual is transferred to another facility per HealthAmerica's request or is properly discharged.
Continuation of Covered Services. In the event this Agreement is terminated for any reason by Provider or in the event this Agreement is terminated by UBH without cause, and a Member is receiving care from Provider under a prescribed treatment plan for a particular injury or sickness, Provider is obligated to continue the provision of Covered Services to that Member, if such services are determined by UBH to be medically necessary, for a period of sixty (60) days from the date the Member is notified of such termination or pending termination. Provider shall be reimbursed in accordance with this Agreement for all such Covered Services rendered during the sixty (60) day period. Provider agrees to accept reimbursement from UBH or Payor at rates applicable prior to the start of the transitional period as payment in full and Provider agrees to adhere to the quality assurance standards of UBH and provide any medical information or data related to the care provided. Continuation of care under this provision shall be provided without liability of the Member to Provider for any amounts owed for medical care other than Member Expenses, such as deductibles or copayment amounts, specified in the Member's Benefit Plan or other contract between the Member and UBH. Provider agrees that pursuant to this section, in no event shall Provider bill, charge, collect a deposit from, seek compensation, remuneration or reimbursement from, or have any recourse against a Member or a person acting on behalf of the Member, other than UBH or Payor, for Covered Services provided pursuant to this section.
Continuation of Covered Services. In the event of HDS’ or applicable MCO’s insolvency or other cessation of operations, Provider shall continue to deliver covered services to Enrollees without balance billing until the earlier of:
Continuation of Covered Services. In the event of dissolution or insolvency of an HMO Payor, CONTRACTING PROVIDER and Represented Providers agree to continue to provide Covered Services to such HMO's Members until the Member becomes covered under another health benefit plan or until the date for which premiums or other payments by or on behalf of the Member have been made, whichever occurs first, at no charge to the Member other than Cost Shares. This provision will survive the termination of this Agreement, regardless of the reason for termination.
Continuation of Covered Services. Unless the Provider is terminated for cause, Provider must continue an ongoing course of treatment of a Covered Person for up to 60 calendar days from the date the Covered Person is notified of the termination or pending termination, or for up to 60 calendar days from the date of Provider termination, whichever is greater. A Covered Person is considered to be receiving an ongoing course of treatment from Provider under the following circumstances:
