Common use of Non-Covered Services Clause in Contracts

Non-Covered Services. Nothing in this Agreement shall be construed to prohibit or otherwise restrict Practitioner from advising or advocating on behalf of Member about Member’s health status, medical care, or treatment options; the risks, benefits, and consequences of treatment or non-treatment; or the opportunity for Member to refuse treatment or to express preferences about future treatment decisions, regardless of Health Plan benefit coverage limitations. The parties recognize that Members may consent to receive services that are not Covered Services or are not authorized by Health Plan and therefore, may be payable by Member. Practitioner is responsible for confirming all proposed services as Covered Services and for verifying proper authorization of such services prior to treating Member. When proposed services are not payable by Health Plan, Practitioner must inform Member in advance and should document in writing Member’s consent to be billed for the services.

Non-Covered Services. Nothing in this Agreement shall be construed to prohibit or otherwise restrict Practitioner Provider, its employees and agents from advising or advocating on behalf of Member about Member’s health status, medical care, or treatment options; the risks, benefits, and consequences of treatment or non-treatment; or the opportunity for Member to refuse treatment or to express preferences about future treatment decisions, regardless of Health Plan benefit coverage limitations. The parties recognize that Members may consent to receive services that are not Covered Services or are not authorized by Health Plan and therefore, may be payable by Member. Practitioner Provider is responsible for confirming all proposed services as Covered Services and for verifying proper authorization of such services prior to treating Member. When proposed services are not payable by Health Plan, Practitioner Provider must inform Member in advance and should document in writing Member’s consent to be billed for the services.