Non-Participation in Insurance. The Patient understands and agrees that neither the CLINIC, nor its Physician, participate in any health insurance or HMO plans or panels and cannot accept Medicare eligible patients. We make no representations that any fees that You pay under this Agreement are covered by your health insurance or other third party payment plans. It is the Patient’s responsibility to determine whether reimbursement is available from a private, nongovernmental insurance plan and to submit any required billing.
Appears in 2 contracts
Samples: Patient Agreement, Patient Agreement
Non-Participation in Insurance. The Patient understands and agrees You acknowledge the Patient’s understanding that neither the CLINIC, nor its PhysicianDentist, participate in any health insurance or HMO plans or panels and cancan not accept Medicare eligible patientspayments. We make no representations that any fees that You pay under this Agreement are is covered by your health insurance or other third party payment plans. It is the Patient’s 's responsibility to determine whether reimbursement is available from a private, nongovernmental non-governmental insurance plan and to submit any required billingbilling on Your own.
Appears in 2 contracts
Samples: Dental Savings Plan Agreement Terms and Conditions, Dental Savings Plan Agreement Terms and Conditions
Non-Participation in Insurance. The Patient understands and agrees You acknowledges the Patient’s understanding that neither the CLINIC, nor its PhysicianDentist, participate in any health insurance or HMO plans or panels and cancan- not accept Medicare eligible patientspayments. We make no representations that any fees that You pay under this Agreement are covered by your health insurance or other third party payment plans. It is the PatientPa- tient’s responsibility to determine whether reimbursement is available from a private, nongovernmental non-gov- ernmental insurance plan and to submit any required billingbilling on Your own.
Appears in 2 contracts
Samples: Dental Retainer Agreement, Dental Retainer Agreement
Non-Participation in Insurance. The Patient understands and agrees You acknowledge the Patient’s understanding that neither the CLINIC, nor its PhysicianDentist, participate in any health insurance or HMO plans or panels and cancan not accept Medicare eligible patientspayments. We make no representations that any fees that You pay under this Agreement are is covered by your health insurance or other third party payment plans. It is the Patient’s 's responsibility to determine whether reimbursement is available from a private, nongovernmental non-gov ernmental insurance plan and to submit any required billingbilling on Your own.
Appears in 1 contract
Samples: Dental Savings Plan Agreement