Holding Members Harmless. Facility hereby agrees that in no event, including, but not limited to the failure, denial or reduction of payment by Company, insolvency of Company or breach of this Agreement, shall Facility xxxx, charge, collect a deposit from, seek remuneration or reimbursement from, or have any recourse (i) against Members or persons acting on their behalf (other than Company) or (ii) any settlement fund or other res controlled by or on behalf of, or for the benefit of, a Member for Covered Services. This provision shall not prohibit collection of Copayments, Coinsurance, Deductibles made in accordance with the terms of the applicable Plan. Facility further agrees that this Section 4.3.2: (a) shall survive the expiration or termination of this Agreement regardless of the cause giving rise to termination and shall be construed for the benefit of Members; and (b) supersedes any oral or written contrary agreement or waiver now existing or hereafter entered into between Facility and Members or persons acting on their behalf.
Holding Members Harmless. Provider hereby agrees that in no event, including, but not limited to the failure, denial or reduction of payment by Company, insolvency of Company or breach of this Agreement, shall Provider xxxx, charge, collect a deposit from, seek remuneration or reimbursement from, or have any recourse (i) against Members or persons acting on their behalf (other than Company) or (ii) any settlement fund or other res controlled by or on behalf of, or for the benefit of, a Member for Covered Services. Provider further agrees that this Section 4.3.2: (a) shall survive the expiration or termination of this Agreement regardless of the cause giving rise to termination and shall be construed for the benefit of Members; and (b) supersedes any oral or written contrary agreement or waiver now existing or hereafter entered into between Provider and Members or persons acting on their behalf. To protect Members, Provider agrees not to seek or accept or rely upon waivers of the Member protections provided by this Section 4.3.
Holding Members Harmless. Facility hereby agrees that in no event, including, but not limited to the failure, denial or reduction of payment by Company, insolvency of Company or breach of this Agreement, shall Facility clinics/providers xxxx, charge, collect a deposit from, seek remuneration or reimbursement from, or have any recourse (i) against Members or persons acting on their behalf (other than Company) or (ii) any settlement fund or other asset controlled by or on behalf of, or for the benefit of, a Member for Covered Services. This provision shall not prohibit collection of Copayments, Coinsurance, Deductibles or other supplemental charges made in accordance with the terms of the applicable Plan. Facility further agrees that Medicare Members will not be held liable for payment of any fees that are the legal obligation of Company. Facility further agrees that this Section 4.3.2: (a) shall survive the expiration or termination of this Agreement regardless of the cause giving rise to termination and shall be construed for the benefit of Members; and (b) supersedes any oral or written contrary agreement or waiver now existing or hereafter entered into between Facility and Members or persons acting on their behalf. Where required by applicable law no modification of this provision shall be effective without the prior written approval of such applicable regulatory agency.
Holding Members Harmless. Service Provider hereby agrees that in no event including, but not limited to, non-payment by the Authority or breach of this Agreement, shall Service Provider xxxx, charge, collect a deposit from, seek remuneration or reimbursement from, or have any recourse against Members or persons acting on their behalf (other than the Authority) for Covered Services, except as otherwise permitted by law. This provision shall not prohibit collection of Copayments, Coinsurance, Deductibles, and non-Covered Services. Service Provider further agrees that: (a) this provision shall survive the termination of this Agreement regardless of the cause giving rise to termination and shall be construed for the benefit of Members, and (b) this provision supersedes any contrary verbal or written agreement now existing or hereafter entered into between Service Provider and Members or persons acting on their behalf.
Holding Members Harmless. Group and Participating Group Physicians hereby agree that in no event, including, but not limited to the failure, denial or reduction of payment by Company, insolvency of Company or breach of this Agreement, shall Group or Participating Group Physicians xxxx, charge, collect a deposit from, seek remuneration or reimbursement from, or have any recourse (i) against Members or persons acting on their behalf (other than Company) or (ii) any settlement fund or other res controlled by or on behalf of, or for the benefit of, a Member for Covered Services. This provision shall not prohibit collection of Copayments, Coinsurance, or Deductibles made in accordance with the terms of the applicable Plan. Group and Participating Group Physicians further agree that this Section 4.3.2: (a) shall survive the expiration or termination of this Agreement regardless of the cause giving rise to termination and shall be construed for the benefit of Members; and (b) supersedes any oral or written contrary agreement or waiver now existing or hereafter entered into between Group and Participating Group Physicians and Members or persons acting on their behalf.
Holding Members Harmless. Group and Participating Group Providers hereby agree that in no event, including, but not limited to the failure, denial or reduction of payment by Company, insolvency of Company or breach of this Agreement, shall Group or Participating Group Providers bill, charge, collect a deposit from, seek remuneration or reimbursement from, or have any recourse (i) against Members or persons acting on their behalf (other than Company) or (ii) any settlement fund or other res controlled by or on behalf of, or for the benefit of, a Member for Covered Services. This provision shall not prohibit collection of Copayments, Coinsurance, Deductibles or other supplemental charges made in accordance with the terms of the applicable Plan. Group and Participating Group Providers further agree that this Section 4.3.2: (a) shall survive the expiration or termination of this Agreement regardless of the cause giving rise to termination and shall be construed for the benefit of Members; and (b) supersedes any oral or written contrary agreement or waiver now existing or hereafter entered into between Group and Participating Group Providers and Members or persons acting on their behalf. Any modifications, additions, deletions to the provisions of this clause shall become effective on a date no earlier than ninety (90) days after notice to Group of any such modification, addition, or deletion to the provisions of this clause, and no earlier than fifteen (15) days after the Commissioner of Insurance has received written notice of such proposed changes. To protect Members, Group and Participating Group Providers agree not to seek or accept or rely upon waivers of the Member protections provided by this Section 4.3.
Holding Members Harmless. If the applicable Payor is an HMO, Pharmacy hereby agrees that in no event, including but not limited to non-payment by the HMO, insolvency of the HMO or breach of this Agreement, shall Pharmacy xxxx, charge, collect a deposit from, seek remuneration or reimbursement from, or have any recourse against a Member or persons (other than the HMO) acting on a Member's behalf for Covered Services. This provision shall not prohibit collection of Deductibles, Coinsurance, or Copayments from Members in accordance with the terms of the Member's Plan. Pharmacy further agrees that (a) this provision shall survive termination of this Agreement regardless of the cause giving rise to termination and shall be construed for the benefit of Members, and (b) this provision supersedes any oral or written agreement to the contrary now existing or hereafter entered into between Pharmacy and a Member or persons acting on a Member's behalf.
Holding Members Harmless. If the applicable Payor is an HMO, Physician hereby agrees that in no event, in- cluding, but not limited to, non-payment by the HMO, insolvency of the HMO or breach of this Agreement, shall Physician xxxx, charge, collect a deposit from, seek compensation, remuneration or reimbursement from, or have any recourse against a Member or persons (other than the HMO) acting on a Member’s behalf for Covered Services. This provision shall not prohibit collection of Deductibles, Coinsurance, or Copayments from Mem- bers in accordance with the terms of the Member’s Plan.
Holding Members Harmless. Laboratory hereby agrees that in no event, including, but not limited to the failure, denial or reduction of payment, insolvency of Xxxxxxx Xxxxx Plus or breach of this Agreement, shall Laboratory xxxx, charge, collect a deposit from, seek remuneration or reimbursement from, or have any remedy (i) against Members or persons acting on their behalf (other than Xxxxxxx Xxxxx Plus) or (ii) any settlement fund or other res controlled by or on behalf of, or for the benefit of, a Member for Covered Services. This provision shall not prohibit collection of Copayments, Coinsurance, and Deductibles Laboratory further agrees that this Section: (a) shall survive the expiration or termination of this Agreement regardless of the cause giving rise to termination and shall be construed for the benefit of Members; and (b) supersedes any oral or written contrary agreement or waiver now existing or hereafter entered into between Laboratory and Members or persons acting on their behalf.
Holding Members Harmless. The last sentence of Section 4.3.2 Holding Members Harmless, following shall be deleted and replaced with the following: “Any modifications, additions, deletions to the provisions of this clause shall become effective on a date no earlier than ninety (90) days after notice to Provider of any such modification, addition, or deletion to the provisions of this clause, and no earlier than fifteen (15) days after the Commissioner of Insurance has received written notice of such proposed changes.”
