Common use of Member Protections Clause in Contracts

Member Protections. 4.5.1 Providers shall not discriminate in their treatment of Members based on Members’ health status, source of payment, cost of treatment, participation in Benefit Plans, race, ethnicity, national origin, religion, gender, age, mental or physical disability, sexual orientation, or genetic information. 4.5.2 In no event including nonpayment by Health Plan, Health Plan’s insolvency or breach of this Agreement, shall a Provider xxxx, charge, collect a deposit from, seek compensation, remuneration or reimbursement from, or have any recourse against any Member or persons (other than Health Plan) acting on the Member’s behalf, for amounts that are the legal obligation of Health Plan. This provision (a) shall survive termination or expiration of this Agreement regardless of the cause giving rise to termination or expiration, (b) shall be construed for the benefit of Members, (c) does not prohibit collection of Member Expenses where lawfully permitted or required, and (d) supersedes any oral or written agreement to the contrary now existing or hereafter entered into between a Provider and Members or persons acting on their behalf. 4.5.3 Regardless of any denial of a claim or reduction in payment to a Provider by Health Plan, in no event will a Member be responsible for payment for any Covered Services other than Member Expenses. However, Members shall not be responsible for Member Expenses where collection of Member Expenses is prohibited by Laws, Program Requirements, or this Agreement. If payment of an amount sought in a claim is denied or reduced by Health Plan, the Provider shall adjust Member Expenses accordingly. 4.5.4 Except where collection of Member Expenses is prohibited by Laws, Program Requirements, or this Agreement, a Provider shall (a) collect Member Expenses directly from the Member, and (b) not waive, discount or rebate any such amounts except as permitted by and in accordance with Laws and Program Requirements regarding prohibited inducements to Federal Health Care Program beneficiaries. 4.5.5 Providers shall not xxxx Members for any items or services, such as missed appointments or administrative fees, where such billing is prohibited by Laws or Program Requirements.

Member Protections. 4.5.1 4.5.1. Providers shall not discriminate in their treatment of Members based on Members’ health status, source of payment, cost of treatment, participation in Benefit Plans, race, ethnicity, national origin, religion, gender, age, mental or physical disability, sexual orientation, or genetic information. 4.5.2 4.5.2. In no event including nonpayment by Health Plan, Health Plan’s insolvency or breach of the this Agreement, shall a Provider xxxx, charge, collect a deposit from, seek compensation, remuneration or reimbursement from, or have any recourse against any Member or persons (other than Health Plan) Plan acting on the any Member’s behalf, for amounts that are the legal obligation of Health Plan. This provision (a) shall survive termination or expiration of this Agreement regardless of the cause giving rise to termination or expiration, (b) shall be construed for the benefit of Members, (c) does not prohibit collection of Member Expenses where lawfully permitted or required, and (d) supersedes any oral or written agreement to the contrary now existing or hereafter entered into between a Provider and Members or persons acting on their behalf. 4.5.3 4.5.3. Regardless of any denial of a claim or reduction in payment to a Provider by Health Plan, in no event will a Member be responsible for payment for any Covered Services other than Member Expenses. However, Members shall not be responsible for Member Expenses where collection of Member Expenses is prohibited by Laws, Program Requirements, Requirements or this Agreement. If payment of an amount sought in a claim is denied or reduced by Health Plan, the Provider shall adjust Member Expenses accordingly. 4.5.4 4.5.4. Except where collection of Member Expenses is prohibited by Laws, Program Requirements, Requirements or this Agreement, a Provider shall (a) collect Member Expenses directly from the Member, and (b) not waive, discount or rebate any such amounts except as permitted by and in accordance with Laws and Program Requirements regarding prohibited inducements to Federal Health Care Program beneficiaries. 4.5.5 4.5.5. Providers shall not xxxx Members for any items or services, such as missed appointments or administrative fees, where such billing is prohibited by Laws or Program Requirements.

Member Protections. 4.5.1 4.5.1. Providers shall not discriminate discr iminate in their t heir treatment of Members Me mbers based on Members’ health status, source s ource of payment, cost of o f treatment, participation in Benefit PlansP lans, race, ethnicity, national origin, religion, gender, age, mental or physical disability, sexual orientation, or genetic information. 4.5.2 4.5.2. In no event including nonpayment n onpayment by Health Plan, Health Plan’s insolvency or breach of the this Agreement, shall a Provider xxxx, charge, collect a deposit fromfrom , seek compensationco mpensation, remuneration or reimbursement from, or have any an y recourse against any Member or persons (other than Health Plan) Plan acting on the any Member’s behalf, for amounts that are the legal obligation of Health Plan. This provision (a) shall survive termination or expiration of this Agreement regardless of the cause giving rise to termination or expirationexpirati on, (b) shall be construed for the benefit of Members, (c) does not prohibit pro hibit collection of Member Mem ber Expenses where lawfully permitted or required, and (d) supersedes any oral or written agreement to the contrary now existing or hereafter entered into between a Provider and Members or persons acting on their behalf. 4.5.3 4.5.3. Regardless of any denial of a claim clai m or reduction in payment pa yment to a Provider by Health Plan, in no event will a Member be responsible for payment for any Covered Services Servi ces other than Member Expenses. However, Members shall not be responsible for Member Expenses where collection of Member Expenses is prohibited by Laws, Program Requirements, Progra m Requirements or this Agreement. If payment of an amount sought in a claim is denied or reduced by Health Plan, the Provider shall adjust Member Expenses accordingly. 4.5.4 4.5.4. Except where collection of Member Me mber Expenses is prohibited by Laws, Program Requirements, Progra m Requirements or this AgreementAgree ment, a Provider shall (a) collect Member Expenses directly directl y from the Member, and (b) not waivew aive, discount or rebate any such amounts except as permitted perm itted by and in accordance with Laws and Program Requirements regarding prohibited inducements induce ments to Federal F ederal Health Care Program beneficiaries. 4.5.5 4.5.5. Providers shall not xxxx Members for any items or services, such as missed appointments or administrative fees, where such billing is prohibited by Laws or Program Requirements.