Common use of Medicare Select Programs Clause in Contracts

Medicare Select Programs. Under the Medicare Select Programs PPG shall accept Medicare assignment from Members for Contracted Services covered under the Medicare Program, and shall xxxx and accept payment from Medicare as payment in full for such services, except for applicable Copayments and deductibles. PPG shall xxxx HMO and not Members for such Copayments and deductibles or for Contracted Services rendered that are not covered under Medicare, but which are covered under the applicable Medicare Select Program. PPG shall submit claims to HMO in accordance with the terms of the Agreement.

Appears in 2 contracts

Samples: Provider Services Agreement (Prospect Medical Holdings Inc), Group Provider Services Agreement (Prospect Medical Holdings Inc)

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Medicare Select Programs. Under the Medicare Select Programs PPG shall accept Medicare assignment from Members for Contracted Services covered under the Medicare Program, and shall xxxx but and accept payment from Medicare as payment in full for such services, except for applicable Copayments and deductiblesdeductible. PPG shall xxxx but HMO and not Members for such Copayments and deductibles or for Contracted Services rendered that are not covered under Medicare, but which are covered under tinder the applicable Medicare Select Program. , PPG shall submit claims to HMO in accordance with the terms of the Agreement.

Appears in 1 contract

Samples: Group Provider Services Agreement (Prospect Medical Holdings Inc)

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Medicare Select Programs. Under the Medicare Select Programs PPG shall accept Medicare assignment from Members for Contracted Services covered under the Medicare Program, and shall xxxx and accept payment from Medicare as payment in full for such services, except for applicable Copayments and deductibles. PPG shall xxxx HMO Health Net and not net Members for such Copayments and deductibles or for Contracted Services rendered that are not covered under Medicare, but which are covered under the applicable Medicare Select Program. PPG shall submit claims to HMO Health Net in accordance with the terms of the Agreement.

Appears in 1 contract

Samples: Prospect Medical Holdings Inc

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