Non-Participation in Insurance. Your initials on this clause of the Agreement acknowledges the Patient’s understanding that neither MODERN MOBILE MEDICINE, nor its Physicians, participate in any health insurance or HMO plans or panels and have opted out of Medicare. Neither make any representations that the fees paid under this Agreement are covered by the Patient’s health insurance or other third party payment plans. 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. ______ (Initial)
Appears in 5 contracts
Samples: Patient Agreement, Patient Agreement, Patient Agreement
Non-Participation in Insurance. Your initials on this clause of the Agreement acknowledges the Patient’s understanding that neither MODERN MOBILE MEDICINE, nor its Physicians, participate in any health insurance or HMO plans or panels and have opted out of Medicare. Neither make any representations that the fees paid under this Agreement are covered by the Patient’s health insurance or other third party payment plans. It is the Patient’s responsibility to determine whether reimbursement is available from a private, non-‐ non-governmental insurance plan or HSA and to submit any required billing. ______ (Initial)
Appears in 1 contract
Samples: Patient Agreement
