Common use of Health Plan Affiliates Clause in Contracts

Health Plan Affiliates. If a Provider renders covered services to a member of a benefit plan issued or administered by a Health Plan Affiliate, the Health Plan Affiliate may pay for such covered services, and the Provider shall accept, the applicable out of network rates paid by the Health Plan Affiliate for the member’s benefit plan. A list of Health Plan Affiliates is available in the Provider Manual or on Health Plan’s provider website. There shall be no joint liability between or among Health Plan and its Affiliates.

Health Plan Affiliates. If a Provider renders covered services to a member of a benefit plan issued or administered by a Health Plan Affiliate, the Health Plan Affiliate may pay for such covered services, and the Provider shall accept, the applicable out of network lowest fee for service rates paid by the Health Plan Affiliate for the member’s benefit planset forth in this Agreement. A list of Health Plan Affiliates is available in the Provider Manual or on Health Plan’s provider website. There shall be no joint liability between or among Health Plan and its Affiliates.