Common use of Continuity of Care from Plan Providers Clause in Contracts

Continuity of Care from Plan Providers. Termination of a Plan Provider’s contract will not release the Provider from treating a Member, except for reasons of medical incompetence or professional misconduct as determined by HPN. Coverage provided under this section is available until the latest of the following dates:  The 120th day following the date the contract was terminated between the Provider and HPN; or  If the medical condition is pregnancy, the 45th day after the date of delivery or if the pregnancy does not end in delivery, the date of the end of the pregnancy. The Member or Plan Provider may submit a request for continuity of care to the address shown below. If the Plan agrees to the continued treatment, the Plan will pay for Covered Services at the Plan Provider level of benefits for a limited time, as outlined above. The Plan Provider may not seek payment from the Member for any amounts for which the Member would not be responsible if the Provider were still a Plan Provider. Health Plan of Nevada, Inc. Attn: Provider Services Dept. P.O. Box 15645 Las Vegas, NV 89114-5645 888-293-6831

Appears in 2 contracts

Samples: Agreement of Coverage, Agreement of Coverage

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Continuity of Care from Plan Providers. Termination of a Plan Provider’s contract will not release the Provider from treating a Member, except for reasons of medical incompetence or professional misconduct as determined by HPN. Coverage provided under this section is available until the latest of the following dates:  The 120th day following the date the contract was terminated between the Provider and HPN; or  If the medical condition is pregnancy, the 45th 90th day after the date of delivery or if the pregnancy does not end in delivery, the date of the end of the pregnancy. The Member or Plan Provider may submit a request for continuity of care to the address shown below. If the Plan agrees to the continued treatment, the Plan will pay for Covered Services at the Plan Provider level of benefits for a limited time, as outlined above. The Plan Provider may not seek payment from the Member for any amounts for which the Member would not be responsible if the Provider were still a Plan Provider. Health Plan of Nevada, Inc. Attn: Provider Services Dept. P.O. Box 15645 Las Vegas, NV 89114-5645 888-293-6831

Appears in 1 contract

Samples: Agreement of Coverage

Continuity of Care from Plan Providers. Termination of a Plan Provider’s contract will not release the Provider from treating a Member, except for reasons of medical incompetence or professional misconduct as determined by HPN. Coverage provided under this section is available until the latest of the following dates:  The 120th day following the date the contract was terminated between the Provider and HPN; or  If the medical condition is pregnancy, the 45th day after the date of delivery or if the pregnancy does not end in delivery, delivery the date of the end of the pregnancy. The Member or Plan Provider may submit a request for continuity of care to the address shown below. If the Plan agrees to the continued treatment, the Plan will pay for Covered Services at the Plan Provider level of benefits for a limited time, as outlined above. The Plan Provider may not seek payment from the Member for any amounts for which the Member would not be responsible if the Provider were still a Plan Provider. Health Plan of Nevada, Inc. Attn: Provider Services Dept. P.O. Box 15645 Las Vegas, NV 89114-5645 8881-293000-6831000-0000

Appears in 1 contract

Samples: Agreement of Coverage

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Continuity of Care from Plan Providers. Termination of a Plan Provider’s contract will not release the Provider from treating a Member, except for reasons of medical incompetence or professional misconduct as determined by HPN. Coverage provided under this section is available until the latest of the following dates: The 120th day following the date the contract was terminated between the Provider and HPN; or If the medical condition is pregnancy, the 45th day after the date of delivery or if the pregnancy does not end in delivery, delivery the date of the end of the pregnancy. The Member or Plan Provider may submit a request for continuity of care to the address shown below. If the Plan agrees to the continued treatment, the Plan will pay for Covered Services at the Plan Provider level of benefits for a limited time, as outlined above. The Plan Provider may not seek payment from the Member for any amounts for which the Member would not be responsible if the Provider were still a Plan Provider. Health Plan of Nevada, Inc. Attn: Provider Services Dept. P.O. Box 15645 Las VegasDepartment XX Xxx 00000 Xxx Xxxxx, NV 89114XX 00000-5645 8880000 Phone: 0-293000-6831000-0000

Appears in 1 contract

Samples: Group Enrollment Agreement

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