Common use of Non-Participation in Insurance Clause in Contracts

Non-Participation in Insurance. By initialing this clause of the Agreement, You acknowledge your understanding that neither the Practice, nor its Staff, participates in any health insurance or HMO plans. We make no representations that the fees paid under this Agreement are covered by the Patient’s health insurance or other third-party payment plans. We cannot provide Patients with receipts individual visits and services charges for services. The Practice does not bill “fee for service.” (Initial)

Non-Participation in Insurance. By initialing this clause of the Agreement, You acknowledge your understanding that you understand that neither the PracticePRACTICE, nor its StaffPhysician, participates participate in any health insurance or HMO plans or panels and have opted out of Medicare and all other government funded plans. We make no representations representa- tions that the fees paid under this Agreement are covered by the Patient’s health insurance or other third-party payment plans. We cannot provide Patients with receipts individual visits It is the Patient’s responsibility to determine whether reimbursement is available from a private, non-governmental insurance plan or HSA and services charges for servicesto submit any required billing. The Practice does not bill “fee for service.” (Initial)

Non-Participation in Insurance. By initialing this clause of the AgreementAgreement where indicated, You acknowledge your understanding that You understand that neither the Practice, Practice nor its Staff, participates participate in any health insurance or HMO plans. We make no representations The Patient understands that neither the fees paid Physician, nor the Patient, may submit a xxxx to an insurer for services provided, and included in the monthly Membership Fee under this Agreement are covered by the Patient’s health insurance or other third-party payment plansAgreement. We cannot provide Patients with receipts individual visits and services charges for services. The Practice does not bill “fee for service.” (Initial)

Non-Participation in Insurance. By initialing this clause of the Agreement, You acknowledge your understanding that neither you understand that the Practice, nor and its Staff, participates Staff do not participate in any third party payor, other health insurance or HMO plans and have opted out of Medicare and all other government-funded plans. ; You understand that We make no representations that the fees paid under this Agreement are covered by the Patient’s health insurance or other third-party payment plans; and You understand and agree that it is the Patient’s responsibility to determine whether reimbursement is available from a private, non-governmental insurance plan or HSA and to submit any required billing. We cannot provide Patients with receipts individual visits and services charges for services. The Practice does not bill “fee for service.” (Initial)

Non-Participation in Insurance. By initialing this clause of the Agreement, You acknowledge your understanding that neither the Practice, nor its Staff, participates in any health insurance or HMO plans. We make no representations that the fees paid under this Agreement are covered by the Patient’s health insurance or other third-party payment plans. We cannot provide Patients with receipts individual visits and services charges for services. The Practice does not bill xxxx “fee for service.” (Initial)