Obligations if PacifiCare Ceases Operating or Termination of Agreement for Nonpayment. Notwithstanding any other provisions of this Agreement, Medical Group agrees that in the event PacifiCare ceases operations for any reason, including insolvency, Medical Group and its Participating Providers shall provide or arrange Covered Services and shall not xxxx, charge, collect or receive any form of payment from any Member for Covered Services provided after PacifiCare ceases operations. Such obligation shall be for the period for which Premium has been paid, but shall not exceed a period of thirty (30) calendar days, except for those Members who are hospitalized on an inpatient basis as provided below. In the event PacifiCare ceases operations or Medical Group terminates this Agreement on the basis of PacifiCare’s failure to make timely Capitation Payments, Medical Group and its Participating Providers shall continue to provide or arrange for Covered Services to those Members who are hospitalized on an inpatient basis at the time PacifiCare ceases operations or Medical Group terminates this Agreement until such Members are discharged from the hospital. Practitioner shall not xxxx, charge, collect or receive any form of payment from any Member for such Covered Services.
Appears in 5 contracts
Samples: Medical Group Services Agreement (Prospect Medical Holdings Inc), Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc), Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc)
Obligations if PacifiCare Ceases Operating or Termination of Agreement for Nonpayment. Notwithstanding any other provisions of this Agreement, Medical Group agrees that in the event PacifiCare ceases operations for any reason, including insolvency, Medical Group and its Participating Providers shall provide or arrange Covered Services and shall not not, at any time, xxxx, charge, collect or receive any form of payment from any Member for Covered Services provided after PacifiCare ceases operations. Such obligation shall be for the period for which Premium has been paid, but shall not exceed a period of thirty (30) calendar days, except for those Members who are hospitalized on an inpatient basis At such time as provided below. In the event PacifiCare ceases may cease operations or Medical Group terminates this Agreement on the basis of PacifiCare’s failure to make timely Capitation Payments, Medical Group and its Participating Providers shall continue to provide or arrange for Covered Services (i) to all Members for not less than thirty (30) calendar days thereafter or such shorter period of time as the applicable Member’s premium had been paid to PacifiCare and (ii) to those Members who are hospitalized on an inpatient basis at the time PacifiCare ceases operations or Medical Group terminates this Agreement until such Members are discharged from the hospital. Practitioner Medical Group shall not xxxx, charge, collect or receive any form of payment from any Member for such Covered Services.
Appears in 1 contract
Samples: Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc)