Common use of Non-Participation in Insurance Clause in Contracts

Non-Participation in Insurance. Patient acknowledges that neither Practice, nor the Providers participate in any health insurance or HMO plans. Neither the Practice nor Providers make any representations regarding third party insurance reimbursement of fees paid under this Agreement. The Patient shall retain full and complete responsibility for any such determination.

Appears in 3 contracts

Samples: Patient Service Agreement, Direct Primary Care Patient Agreement, Direct Primary Care Patient Agreement

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Non-Participation in Insurance. Patient acknowledges that neither Practice, nor the Providers Physician, participate in any health insurance or nor HMO plans. Neither the Practice nor Providers Physician make any representations regarding third party insurance reimbursement of fees paid under this Agreement. The Patient shall retain full and complete responsibility for any such determination.

Appears in 2 contracts

Samples: Direct Primary Care Patient Agreement, Direct Primary Care Patient Agreement

Non-Participation in Insurance. Patient acknowledges that neither Practice, nor the Providers Physician(s) participate in any health insurance or HMO plans. Neither the Practice nor Providers Physician(s) make any representations regarding third party insurance reimbursement of fees paid under this Agreement. The Patient shall retain full and complete responsibility for any such determination.

Appears in 2 contracts

Samples: Patient Agreement, Patient Agreement

Non-Participation in Insurance. Patient acknowledges that neither PracticeNuMed, nor the Providers Provider participate in any health insurance or HMO plansplans or panels. Neither of the Practice nor Providers above make any representations regarding third party insurance reimbursement of whatsoever that any fees paid under this AgreementAgreement are covered by your health insurance or other third-party payment plans applicable to the Patient, including Medicare. The Patient shall retain full and complete responsibility for any such determinationdetermination and neither NuMed nor Provider shall xxxx Medicare for services rendered hereunder. Payment for all services remains the responsibility of the Patient.

Appears in 1 contract

Samples: Patient Agreement

Non-Participation in Insurance. Patient acknowledges that neither PracticeResolve MD, nor the Providers Physician participate in any health insurance or HMO plans. plans or panels.Neither of the Practice nor Providers above make any representations regarding third party insurance reimbursement of whatsoever that any fees paid under this AgreementAgreement are covered by your health insurance or other third party payment plans applicable to the Patient. The Patient shall retain full and complete responsibility for any such determination.such

Appears in 1 contract

Samples: Patient Agreement

Non-Participation in Insurance. Patient acknowledges that neither Practice, nor the Providers Provider, participate in any health insurance or HMO plans. Provider is not able to provide service for Medicare patients at this time. Neither the Practice nor Providers Provider make any representations regarding third party insurance reimbursement of fees paid under this Agreement. The Patient shall retain full and complete responsibility for any such determination.

Appears in 1 contract

Samples: Direct Primary Care Patient Agreement

Non-Participation in Insurance. Patient acknowledges You acknowledge that neither Practice, nor the Providers its providers participate in any public or private health insurance or HMO plans. Neither the Practice nor Providers its providers make any representations regarding third party insurance reimbursement of fees paid under this Agreement, and such reimbursement is not anticipated by this Agreement. The Patient shall retain If you have a health benefit plan or insurance, we will provide you with documentation so you may submit for your own reimbursement. You are responsible for payment in full and complete responsibility for any such determinationat the time Services are rendered.

Appears in 1 contract

Samples: Patient Agreement

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Non-Participation in Insurance. Patient acknowledges that neither Practice, nor the Providers Physician, participate in any health insurance or HMO plans. Neither the Practice nor Providers Physician make any representations regarding third party insurance reimbursement of fees paid under this Agreement. The Patient shall retain full and complete responsibility for any such determination. If Patient is eligible for Medicare or Medicaid, or during the term of this Agreement becomes eligible for Medicare or Medicaid, the Patient is responsible to notify the Practice. This Agreement acknowledges your understanding that Medicare and Medicaid cannot be billed for reimbursement for any services provided by Physician and Practice.

Appears in 1 contract

Samples: Primary Care Patient Agreement

Non-Participation in Insurance. Patient acknowledges that neither Practice, nor the Providers Physicians participate in any health insurance or HMO plans. Neither the Practice nor Providers Physicians make any representations regarding third party insurance reimbursement of fees paid under this Agreement. The Patient shall retain full and complete responsibility for any such determination.

Appears in 1 contract

Samples: Direct Primary Care Patient Agreement

Non-Participation in Insurance. Patient acknowledges that neither Practice, nor the Providers participate in will xxxx any health insurance or HMO plansplans for any “Services” defined above. The Patient also understands the membership fees are not able to be used towards their health insurance deductible. Neither the Practice nor Providers make any representations regarding third party insurance reimbursement of fees paid under this Agreement. The Patient shall retain full and complete responsibility for any such determination.

Appears in 1 contract

Samples: Direct Primary Care Patient Agreement

Non-Participation in Insurance. Patient acknowledges that neither Practice, nor the Providers participate in any health insurance or HMO plans. Neither the Practice nor Providers make any representations regarding third party insurance reimbursement of fees paid under this Agreement. The Patient shall retain full and complete responsibility for any such determination.any

Appears in 1 contract

Samples: Direct Primary Care Patient Agreement

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