Insurance or Other Medical Coverage. Patient acknowledges and understands that this Agreement is not an insurance plan and is not a substitute for health insurance or other health plan coverage. Patient acknowledges that the Practice has advised patient to obtain or keep in full force such health insurance policies or plans that will cover Patient for general healthcare costs. Further, Patient acknowledges that (i) the Program Services provided pursuant to this Agreement are not covered by insurance, Medicare, Medicaid and/or other third-party payor, and (ii) neither the Practice nor Physician participate in any health insurance or HMO plans or panels and has opted out of Medicare. If Patient is eligible for Medicare, or during the term of this Agreement becomes eligible for Medicare, then Patient, by signing the Agreement, acknowledges the Patient’s understanding that Physician has opted out of Medicare, and as a result, Medicare cannot per billed for any services performed for the Patient by Physician. Patient agrees not to xxxx Medicare or attempt reimbursement for any such services.
Appears in 1 contract
Samples: Concierge Practice Patient Agreement
Insurance or Other Medical Coverage. Patient acknowledges and understands that this Agreement is not an insurance plan and is not a substitute for health insurance or other health plan coverage. Patient acknowledges that the Practice has advised patient to obtain or keep in full force such health insurance policies or plans that will cover Patient for general healthcare costs. Further, Patient acknowledges that (i) the Program Services provided pursuant to this Agreement are not covered by insurance, Medicare, Medicaid and/or other third-party payor, and (ii) neither the Practice nor Physician participate in any health insurance or HMO plans or panels and has opted out of Medicare. If Patient is eligible for Medicare, or during the term of this Agreement becomes eligible for Medicare, then Patient, by signing the Agreement, acknowledges the Patient’s understanding that Physician has opted out of Medicare, and as a result, Medicare cannot per billed for any services performed for the Patient by Physician. Patient agrees not to xxxx bill Medicare or attempt reimbursement for any such services.
Appears in 1 contract
Samples: Concierge Practice Patient Agreement
Insurance or Other Medical Coverage. Patient acknowledges and understands that this Agreement is not an insurance plan and is not a substitute for health insurance or other health plan coverage. Patient acknowledges that the Practice has advised patient Patient to obtain or keep in full force such health insurance policies or plans that will cover Patient for general healthcare costs. Further, Patient acknowledges that (i) the Program Services provided pursuant to this Agreement are not covered by insurance, Medicare, Medicaid and/or any other third-party payor, and (ii) neither the Practice nor Physician participate in any health insurance or HMO plans or panels and has opted out of Medicare. If Patient is eligible for Medicare, or during the term of this Agreement becomes eligible for Medicare, then Patient, by signing the Agreement, acknowledges the Patient’s understanding that Physician has opted out of Medicare, and as a result, Medicare cannot per be billed for any services performed for the Patient by Physician. Patient agrees not to xxxx bill Medicare or attempt reimbursement for any such services.
Appears in 1 contract
Samples: Concierge Practice Patient Agreement
Insurance or Other Medical Coverage. Patient acknowledges and understands that this Agreement is not an insurance plan and is not a substitute for health insurance or other health plan coverage. Patient acknowledges that the Practice has advised patient Patient to obtain or keep in full force such health insurance policies or plans that will cover Patient for general healthcare costs. Further, Patient acknowledges that (i) the Program Services provided pursuant to this Agreement are not covered by insurance, Medicare, Medicaid and/or any other third-party payor, and (ii) neither the Practice nor Physician participate in any health insurance or HMO plans or panels and has opted out of Medicare. If Patient is eligible for Medicare, or during the term of this Agreement becomes eligible for Medicare, then Patient, by signing the Agreement, acknowledges the Patient’s understanding that Physician has opted out of Medicare, and as a result, Medicare cannot per be billed for any services performed for the Patient by Physician. Patient agrees not to xxxx Medicare or attempt reimbursement for any such services.
Appears in 1 contract
Samples: Concierge Practice Patient Agreement