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 4 contracts

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

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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 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, 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 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 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: Primary Care Patient Agreement

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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: Primary Care Patient Agreement

Non-Participation in Insurance. Patient acknowledges that neither Practice, nor the Providers Provider(s) participate in any health insurance or HMO plans. Provider(s) have opted out of Medicare. Patient acknowledges that federal regulations REQUIRE that Provider(s)s opt out of Medicare so that Medicare patients may be seen by the Practice pursuant to this private direct primary care contract. Neither the Practice nor Providers Provider(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.such

Appears in 1 contract

Samples: Primary Care 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

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