Common use of Private Payment Clause in Contracts

Private Payment. If the Resident does not have a third party payment source in place, his/her care will be billed at private pay rates. The private pay room and board rate (“Daily Basic Rate”) is $ per day for a private room and $ per day for a semi-private room. Ancillary services are not included in the Daily Basic Rate. Ancillary services, such as physician services, rehabilitation therapies, oxygen, dental and diagnostic services, laboratory, x-ray, podiatry, optometry, medications, urinary care supplies, trach and ostomy supplies, surgical supplies, parenteral and enteral feeding supplies, transportation services, and extraordinary rehabilitative devices, are not included in the Daily Basic Rate and will be billed separately according to the Facility’s and/or the service providers’ charge schedules. Rates of payment to the Facility may differ for individuals with additional sources of payment such as third party coverage. A copy of the Facility charge schedule for ancillary services is attached to this Agreement and included in your admission package. In addition, certain items and services, such as beauty/xxxxxx services; personal telephone, newspaper delivery etc. (see Attachment A - “Non-Clinical Service”) are not covered in the Daily Basic Rate or by health insurance plans and the Resident is responsible to pay for such services. Room and board charges are billed monthly on a one- month advance basis. Ancillary charges are billed in the month following the month that the services were provided. Bills are generated at the end of each month and cover the next month of room and board charges (“Monthly Advance Payment”) and the previous month’s ancillary charges. All payments are due upon receipt of the monthly bill. The Daily Basic Rate and charges for ancillary and/or additional services are subject to increase upon thirty (30) days’ written notice to the Resident, Resident Representative and/or Sponsor.

Private Payment. If the Resident does not have a third third-party payment source in place, his/her care will be billed at private pay rates. The private pay room and board rate (“Daily Basic Rate”) is $ per day for a private room and $ per day for a semi-private room. Ancillary services are not included in the Daily Basic Rate. Ancillary services, such as physician services, rehabilitation therapies, oxygen, dental and diagnostic services, laboratory, x-ray, podiatry, optometry, medicationspharmacy services, urinary care supplies, trach and ostomy supplies, surgical supplies, parenteral and enteral feeding supplies, transportation services, and extraordinary rehabilitative devices, are not included in provided by independent service providers who contract with the Daily Basic Rate Facility and will be billed separately according to the Facility’s and/or the service providers’ charge schedules. Rates of payment to the Facility may differ for individuals with additional sources of payment such as third third-party coverage. A copy of the Facility charge schedule for ancillary services is attached to this Agreement and included in your admission package. In addition, certain items and services, such as beauty/xxxxxx services; personal telephone, newspaper delivery etc. (see Attachment A “A” - “Non-Clinical Service”Services) are not covered in the Daily Basic Rate or by health insurance plans and the Resident is responsible to pay for such services. Room and board charges are billed monthly on a one- one-month advance basis. Ancillary charges are billed in the month following the month that the services were provided. Bills are generated at the end of each month and cover the next month of room and board charges (“Monthly Advance Payment”) and the previous month’s ancillary charges. All payments are due upon receipt of the monthly bill. The Daily Basic Rate and charges for ancillary and/or additional services are subject to increase upon thirty (30) days’ written notice to the Resident, Resident Representative and/or Sponsor.

Private Payment. If the Resident does not have a third third-party payment source in place, his/her care will be billed at private pay rates. The private pay room and board rate (“Daily Basic Rate”) is $ per day for a private room and $ per day for a semi-private room. Ancillary services are not included in the Daily Basic Rate. Ancillary services, such as physician services, rehabilitation therapies, oxygen, dental and diagnostic services, laboratory, x-ray, podiatry, optometry, medicationspharmacy services, urinary care supplies, trach and ostomy supplies, surgical supplies, parenteral and enteral feeding supplies, transportation services, and extraordinary rehabilitative devices, are not included in provided by independent service providers who contract with the Daily Basic Rate Facility and will be billed separately according to the Facility’s and/or the service providers’ charge schedules. Rates of payment to the Facility may differ for individuals with additional sources of payment such as third third- party coverage. A copy of the Facility charge schedule for ancillary services is attached to this Agreement and included in your admission package. In addition, certain items and services, such as beauty/xxxxxx services; personal telephone, newspaper delivery etc. (see Attachment A “A” - “Non-Clinical Service”Services) are not covered in the Daily Basic Rate or by health insurance plans and the Resident is responsible to pay for such services. Room and board charges are billed monthly on a one- one-month advance basis. Ancillary charges are billed in the month following the month that the services were provided. Bills are generated at the end of each month and cover the next month of room and board charges (“Monthly Advance Payment”) and the previous month’s ancillary charges. All payments are due upon receipt of the monthly bill. The Daily Basic Rate and charges for ancillary and/or additional services are subject to increase upon thirty (30) days’ written notice to the Resident, Resident Representative and/or Sponsor.

Private Payment. If the Resident does not have a third party payment source in place, his/her care will be billed at private pay rates. The private pay room and board rate (“Daily Basic Rate”) is $ 370.00 per day for a private room and $ 340.00 per day for a semi-private room. Ancillary services are not included in the Daily Basic Rate. Ancillary services, such as physician services, rehabilitation therapies, oxygen, dental and diagnostic services, laboratory, x-ray, podiatry, optometry, medicationspharmacy services, urinary care supplies, trach and ostomy supplies, surgical supplies, parenteral and enteral feeding supplies, transportation services, and extraordinary rehabilitative devices, are not included in provided by independent service providers who contract with the Daily Basic Rate Facility and will be billed separately according to the Facility’s and/or the service providers’ charge schedules. Rates of payment to the Facility may differ for individuals with additional sources of payment such as third party coverage. A copy of the Facility charge schedule for ancillary services is attached to this Agreement and included in your admission package. In addition, certain items and services, such as beauty/xxxxxx services; personal telephone, newspaper delivery etc. (see Attachment A - “Non-Clinical Service”) are not covered in the Daily Basic Rate or by health insurance plans and the Resident is responsible to pay for such services. Room and board charges are billed monthly on a one- one-month advance basis. Ancillary charges are billed in the month following the month that the services were provided. Bills are generated at the end of each month and cover the next month of room and board charges (“Monthly Advance Payment”) and the previous month’s ancillary charges. All payments are due upon receipt of the monthly billxxxx. The Daily Basic Rate and charges for ancillary and/or additional services are subject to increase upon thirty (30) days’ written notice to the Resident, Resident Representative and/or Sponsor.

Private Payment. If the Resident does not have a third third-party payment source in place, his/her care will be billed at private pay rates. The private pay room and board rate (“Daily Basic Rate”) is $ per day for a private room and $ per day for a semi-private room. Ancillary services are not included in the Daily Basic Rate. Ancillary services, such as physician services, rehabilitation therapies, oxygen, dental and diagnostic services, laboratory, x-ray, podiatry, optometry, medicationspharmacy services, urinary care supplies, trach and ostomy supplies, surgical supplies, parenteral and enteral feeding supplies, transportation services, and extraordinary rehabilitative devices, are not included in provided by independent service providers who contract with the Daily Basic Rate Facility and will be billed separately according to the Facility’s and/or the service providers’ charge schedules. Rates of payment to the Facility may differ for individuals with additional sources of payment such as third third- party coverage. A copy of the Facility charge schedule for ancillary services is attached to this Agreement and included in your admission package. In addition, certain items and services, such as beauty/xxxxxx services; personal telephone, newspaper delivery etc. (see Attachment A “A” - “Non-Clinical Service”Services) are not covered in the Daily Basic Rate or by health insurance plans and the Resident is responsible to pay for such services. Room and board charges are billed monthly on a one- one-month advance basis. Ancillary charges are billed in the month following the month themonth that the services were provided. Bills are generated at the end of each month and cover the next month of room and board charges (“Monthly Advance Payment”) and the previous month’s ancillary charges. All payments are due upon receipt of the monthly bill. The Daily Basic Rate and charges for ancillary and/or additional services are subject to increase toincrease upon thirty (30) days’ written notice to the Resident, Resident Representative and/or Sponsor.

Private Payment. If the Resident does not have a third third-party payment source in place, his/her care will be billed at private pay rates. The private pay room and board rate (“Daily Basic Rate”) is $ per day for a private room and $ per day for a semi-private room. Ancillary services are not included in the Daily Basic Rate. Ancillary services, such as physician services, rehabilitation therapies, oxygen, dental and diagnostic services, laboratory, x-ray, podiatry, optometry, medicationspharmacy services, urinary care supplies, trach and ostomy supplies, surgical supplies, parenteral and enteral feeding supplies, transportation services, and extraordinary rehabilitative devices, are not included in provided by independent service providers who contract with the Daily Basic Rate Facility and will be billed separately according to the Facility’s and/or the service providers’ charge schedules. Rates of payment to the Facility may differ for individuals with additional sources of payment such as third third- party coverage. A copy of the Facility charge schedule for ancillary services is attached to this Agreement and included in your admission package. In addition, certain items and services, such as beauty/xxxxxx services; personal telephone, newspaper delivery etc. (see Attachment A “A” - “Non-Clinical Service”Services) are not covered in the Daily Basic Rate or by health insurance plans and the Resident is responsible to pay for such services. Room and board charges are billed monthly on a one- one-month advance basis. Ancillary charges are billed in the month following the month that the services were provided. Bills are generated at the end of each month and cover the next month of room and board charges (“Monthly Advance Payment”) and the previous month’s ancillary charges. All payments are due upon receipt of the monthly billxxxx. The Daily Basic Rate and charges for ancillary and/or additional services are subject to increase upon thirty (30) days’ written notice to the Resident, Resident Representative and/or Sponsor.

Private Payment. If the Resident does not have a third party payment source in place, his/her care will be billed at private pay rates. The private pay room and board rate (“Daily Basic Rate”) is $ 370.00 per day for a private room and $ 340.00 per day for a semi-private room. Ancillary services are not included in the Daily Basic Rate. Ancillary services, such as physician services, rehabilitation therapies, oxygen, dental and diagnostic services, laboratory, x-ray, podiatry, optometry, medicationspharmacy services, urinary care supplies, trach and ostomy supplies, surgical supplies, parenteral and enteral feeding supplies, transportation services, and extraordinary rehabilitative devices, are not included in provided by independent service providers who contract with the Daily Basic Rate Facility and will be billed separately according to the Facility’s and/or the service providers’ charge schedules. Rates of payment to the Facility may differ for individuals with additional sources of payment such as third party coverage. A copy of the Facility charge schedule for ancillary services is attached to this Agreement and included in your admission package. In addition, certain items and services, such as beauty/xxxxxx services; personal telephone, newspaper delivery etc. (see Attachment A - “Non-Clinical Service”) are not covered in the Daily Basic Rate or by health insurance plans and the Resident is responsible to pay for such services. Room and board charges are billed monthly on a one- one-month advance basis. Ancillary charges are billed in the month following the month that the services were provided. Bills are generated at the end of each month and cover the next month of room and board charges (“Monthly Advance Payment”) and the previous month’s ancillary charges. All payments are due upon receipt of the monthly bill. The Daily Basic Rate and charges for ancillary and/or additional services are subject to increase upon thirty (30) days’ written notice to the Resident, Resident Representative and/or Sponsor.

Private Payment. If the Resident does not have a third third-party payment source in place, his/her care will be billed at private pay rates. The private pay room and board rate (“Daily Basic Rate”) is $ per day for a private room and room, $ per day for a semi-private room, $ per day for a 3-bed room, and $ per day for a 4-bed room. Ancillary services are not included in the Daily Basic Rate. Ancillary services, such as physician services, rehabilitation therapies, oxygen, dental and diagnostic services, laboratory, x-ray, podiatry, optometry, medicationspharmacy services, urinary care supplies, trach and ostomy supplies, surgical supplies, parenteral and enteral feeding supplies, transportation services, and extraordinary rehabilitative devices, are not included in provided by independent service providers who contract with the Daily Basic Rate Facility and will be billed separately according to the Facility’s and/or the service providers’ charge schedules. Rates of payment to the Facility may differ for individuals with additional sources of payment such as third third- party coverage. A copy of the Facility charge schedule for ancillary services is attached to this Agreement and included in your admission package. In addition, certain items and services, such as beauty/xxxxxx services; personal telephone, newspaper delivery etc. (see Attachment A “A” - “Non-Clinical Service”Services) are not covered in the Daily Basic Rate or by health insurance plans and the Resident is responsible to pay for such services. Room and board charges are billed monthly on a one- one-month advance basis. Ancillary charges are billed in the month following the month that the services were provided. Bills are generated at the end of each month and cover the next month of room and board charges (“Monthly Advance Payment”) and the previous month’s ancillary charges. All payments are due upon receipt of the monthly bill. The Daily Basic Rate and charges for ancillary and/or additional services are subject to increase upon thirty (30) days’ written notice to the Resident, Resident Representative and/or Sponsor.

Private Payment. If the Resident does not have a third third-party payment source in place, his/her care will be billed at private pay rates. The private pay room and board rate (“Daily Basic Rate”) is $ per day for a private room and $ per day for a semi-private room. Ancillary services are not included in the Daily Basic Rate. Ancillary services, such as physician services, rehabilitation therapies, oxygen, dental and diagnostic services, laboratory, x-ray, podiatry, optometry, medicationspharmacy services, urinary care supplies, trach and ostomy supplies, surgical supplies, parenteral and enteral feeding supplies, transportation services, and extraordinary rehabilitative devices, are not included in provided by independentservice providers who contract with the Daily Basic Rate Facility and will be billed separately according to the Facility’s and/or the service theservice providers’ charge schedules. Rates of payment to the Facility may differ for individuals with additional sources of payment such as third third-party coverage. A copy of the Facility charge schedule for ancillary services is attached to this Agreement and included in your admission package. In addition, certain items and services, such as beauty/xxxxxx servicesbarberservices; personal telephone, newspaper delivery etc. (see Attachment A “A” - “Non-Clinical Service”Services) are not covered in the Daily Basic Rate or by health insurance plans and the Resident is responsible to pay for such services. Room and board charges are billed monthly on a one- one-month advance basis. Ancillary charges are billed in the month following the month that the services were provided. Bills are generated at the end of each month and cover the next month of room and board charges (“Monthly Advance Payment”) and the previous month’s ancillary charges. All payments are due upon receipt of the monthly bill. The Daily Basic Rate and charges for ancillary and/or additional services are subject to increase upon thirty (30) days’ written notice to the Resident, Resident Representative and/or Sponsor.