Common use of Paying for The Resident's Care Clause in Contracts

Paying for The Resident's Care. A. Who Can be Required to Pay for the Resident's Care. Only the Resident and the Resident's insurers can be required to pay for the Resident's care. You cannot be required to pay for the Resident's care from your own funds, unless you knowingly and voluntarily agree to pay for the cost of the Resident's care with your own funds.1 1 Whenever the phrase "you will be charged", "you pay", or "you agree to pay" are used in this Agreement, it shall be subject to the qualifications of thisparagraph. By signing this Agreement, you and the Resident agree to pay for care and services provided to the Resident with the Resident's income, funds and assets. (Bysigning this Agreement, you intend to bind the Resident to all obligations of this Agreement, including payment for care and services.) If you fail to pay a Facility bill, we may request a court to order such payment. You understand you may not use the assets or income of the Resident for any purpose that is not authorized by the Resident, or that is not necessary for the direct and immediate welfare of the Resident.2 You agree to provide us with all information about the Resident's finances and health. You understand that, if we later find that you knowingly provided the Facility with incomplete or inaccurate information, we will consider that a breach of this Agreement. It is anticipated that the Resident's care will be paid for by: Γ The Medicare Program; Γ The Medicaid Program (also known as "Medical Assistance"); Γ Other third-partyinsurer, please specify: ; Γ You with the Resident's income, funds and/or assets; Γ You with your own income, funds and/or assets; Γ Other, please specify: .

Paying for The Resident's Care. A. Who Can be Required to Pay for the Resident's Care. Only the Resident and the Resident's insurers can be required to pay for the Resident's care. You cannot be required to pay for the Resident's care from your own funds, unless you knowingly and voluntarily agree to pay for the cost of the Resident's care with your own funds.1 1 Whenever the phrase "you will be charged", "you pay", or "you agree to pay" are used in this Agreement, it shall be subject to the qualifications of thisparagraph. By signing this Agreement, you and the Resident agree to pay for care and services provided to the Resident with the Resident's income, funds and assets. (Bysigning By signing this Agreement, you intend to bind the Resident to all obligations of this Agreement, including payment for care and services.) If you fail to pay a Facility bill, we may request a court to order such payment. You understand you may not use the assets or income of the Resident for any purpose that is not authorized by the Resident, or that is not necessary for the direct and immediate welfare of the Resident.2 You agree to provide us with all information about the Resident's finances and health. You understand that, if we later find that you knowingly provided the Facility with incomplete or inaccurate information, we will consider that a breach of this Agreement. It is anticipated that the Resident's care will be paid for by: Γ  The Medicare Program; Γ  The Medicaid Program (also known as "Medical Assistance"); Γ  Other third-partyinsurerparty insurer, please specify: ________________________; Γ  You with the Resident's income, funds and/or assets; Γ  You with your own income, funds and/or assets; Γ  Other, please specify: __________________________. It is understood that Medicare and Medicaid will make the determination concerning the Resident's medical and financial eligibility for payment by those programs. You agree to pay either directly or through a third party payor for all items and services provided to the Resident by the Facility. You request that the Facility send the bills to : .

Paying for The Resident's Care. A. Who Can be Required to Pay for the Resident's Care. Only the Resident and the Resident's insurers can be required to pay for the Resident's care. You cannot be required to pay for the Resident's care from your own funds, unless you knowingly and voluntarily agree to pay for the cost of the Resident's care with your own funds.1 1 Whenever the phrase "you will be charged", "you pay", or "you agree to pay" are used in this Agreement, it shall be subject to the qualifications of thisparagraph. By signing this Agreement, you and the Resident agree to pay for care and services provided to the Resident with the Resident's income, funds and assets. (Bysigning By signing this Agreement, you intend to bind the Resident to all obligations of this Agreement, including payment for care and services.) If you fail to pay a Facility bill, we may request a court to order such payment. You understand you may not use the assets or income of the Resident for any purpose that is not authorized by the Resident, or that is not necessary for the direct and immediate welfare of the Resident.2 You agree to provide us with all information about the Resident's finances and health. You understand that, if we later find that you knowingly provided the Facility with incomplete or inaccurate information, we will consider that a breach of this Agreement. It is anticipated that the Resident's care will be paid for by: Γ The Medicare Program; Γ The Medicaid Program (also known as "Medical Assistance"); Γ Other third-partyinsurerparty insurer, please specify: _________________________________________; Γ You with the Resident's income, funds and/or assets; Γ You with your own income, funds and/or assets; Γ Other, please specify: _________________________. It is understood that Medicare and Medicaid will make the determination concerning the Resident's medical and financial eligibility for payment by those programs. You agree to pay either directly or through a third-party payor for all items and services provided to the Resident by the Facility. You request that the Facility send the bills to: .

Paying for The Resident's Care. A. Who Can be Required to Pay for the Resident's Care. Only the Resident and the Resident's insurers can be required to pay for the Resident's care. You cannot be required to pay for the Resident's care from your own funds, unless you knowingly and voluntarily agree to pay for the cost of the Resident's care with your own funds.1 1 Whenever the phrase "you will be charged", "you pay", or "you agree to pay" are used in this Agreement, it shall be subject to the qualifications of thisparagraphthis paragraph. By signing this Agreement, you and the Resident agree to pay for care and services provided to the Resident with the Resident's income, funds and assets. (Bysigning By signing this Agreement, you intend to bind the Resident to all obligations of this Agreement, including payment for care and services.) If you fail to pay a Facility bill, we may request a court to order such payment. You understand you may not use the assets or income of the Resident for any purpose that is not authorized by the Resident, or that is not necessary for the direct and immediate welfare of the Resident.2 You agree to provide us with all information about the Resident's finances and health. You understand that, if we later find that you knowingly provided the Facility with incomplete or inaccurate information, we will consider that a breach of this Agreement. It is anticipated that the Resident's care will be paid for by: Γ  The Medicare Program; Γ  The Medicaid Program (also known as "Medical Assistance"); Γ  Other third-partyinsurerparty insurer, please specify: ; Γ  You with the Resident's income, funds and/or assets; Γ  You with your own income, funds and/or assets; Γ  Other, please specify: . 2 If there is an abuse of the Resident's funds, the person who misused the funds is guilty of a misdemeanor and, on conviction, is subject to a fine up to $10,000. "Abuse of funds" means using the assets or income of a resident against the express wishes of the resident unless the expenditure was necessary for the direct and immediate welfare of the resident. Abuse also means using the assets or income of the resident for the use or benefit of another unless such use is for the direct and immediate benefit of the resident or is consistent with an express wish and past behavior of the resident. It is understood that Medicare and Medicaid will make the determination concerning the Resident's medical and financial eligibility for payment by those programs. You agree to pay either directly or through a third party payor for all items and services provided to the Resident by the Facility. You request that the Facility send the bills to : .