Common use of Non-Participation in Insurance Clause in Contracts

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

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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

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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

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