Common use of Non-Participation in Insurance Clause in Contracts

Non-Participation in Insurance. Patient acknowledges that neither Inside Health, nor the Chiropractor, participate in any health insurance or HMO plans or panels and provides wellness services that are not covered under Medicare guidelines. No representation is made whatsoever that any fees paid under this Agreement are covered by your health insurance or other third party payment plans applicable to the Patient. The Patient shall retain full and complete responsibility for any such determination. If the Patient is eligible for Medicare, or during the term of this Agreement becomes eligible for Medicare, then Patient will sign the Advanced Beneficiary Notice (ABN). The ABN acknowledges your understanding that the Chiropractor is providing wellness/maintenance services that are not covered by Medicare, and as a result, Medicare cannot be billed for any services performed for you by the Chiropractor. Patient agrees not to bill Medicare or attempt Medicare reimbursement for any such services. Patient shall renew and sign the ABN every year thereafter chiropractic care is provided.

Non-Participation in Insurance. Patient acknowledges that neither Inside HealthNLC, nor the Chiropractor, Chiropractor participate in any health insurance or HMO plans or panels and provides wellness services that are not covered under Medicare guidelines. No representation is made Neither of the above make any representations whatsoever that any fees paid under this Agreement are covered by your health insurance or other third party payment plans applicable to the Patient. The Patient shall retain full and complete responsibility for any such determination. If the Patient is eligible for Medicare, or during the term of this Agreement becomes eligible for Medicare, then Patient will sign the Advanced Beneficiary Notice (ABN)Notice. The ABN This agreement acknowledges your understanding that the Chiropractor is providing wellness/maintenance services that are not covered by Medicare, and as a result, Medicare cannot be billed for any services performed for you by the Chiropractor. Patient agrees not to bill Medicare or attempt Medicare reimbursement for any such services. Patient shall renew and sign the ABN Advanced Beneficiary Notice every year thereafter chiropractic care is provided.

Non-Participation in Insurance. Patient acknowledges that neither Inside HealthNLC, nor the Chiropractor, Chiropractor participate in any health insurance or HMO plans or panels and provides wellness services that are not covered under Medicare guidelines. No representation is made Neither of the above make any representations whatsoever that any fees paid under this Agreement are covered by your health insurance or other third party payment plans applicable to the Patient. The Patient shall retain full and complete responsibility for any such determination. If the Patient is eligible for Medicare, or during the term of this Agreement becomes eligible for Medicare, then Patient will sign the Advanced Beneficiary Notice (ABN)Notice. The ABN This agreement acknowledges your understanding that the Chiropractor is providing wellness/maintenance services that are not covered by Medicare, and as a result, Medicare cannot be billed for any services performed for you by the Chiropractor. Patient agrees not to bill xxxx Medicare or attempt Medicare reimbursement for any such services. Patient shall renew and sign the ABN Advanced Beneficiary Notice every year thereafter chiropractic care is provided.