Managed Care Agreement Sample Clauses

Managed Care Agreement. Notwithstanding anything in this Agreement to the contrary but subject to Section 3.3(c) below, during such time as (i) a written agreement (the “Provider Agreement”) is in effect between the Facility and a managed care company (the “Managed Care Company”) for the reimbursement to the Facility for certain services (“Covered Services”) to enrolled members of the Managed Care Company’s plan; and (ii) the Resident continues as an enrolled Member of the Managed Care Company’s plan, except to the extent permitted under the Provider Agreement the Resident will not be responsible to the Facility for the payment of any Covered Services covered under the Provider Agreement. The Resident will remain liable for services for which the Facility is not entitled to reimbursement under the Provider Agreement, including deductibles, co-payments, co-insurance and/or payment for non-Covered Services.
Sample 1
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Managed Care Agreement 
Sample 1

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