Third Party Payor Programs in General Sample Clauses

Third Party Payor Programs in General. We participate in the Medicaid and EAEDC Programs as a provider of Residential facility care and services. If you are eligible for benefits under either program, we agree to accept payment from the Program in lieu of our daily rate; however, you remain responsible for paying all co-payments, co-insurance, deductibles, patient paid amounts and charges for items and services that the Program does not cover. We also participate as providers of residential facility care and services offered by other third party payors such as private insurance companies. If you are entitled to benefits under insurance offered by a non-Medicaid insurance program and if we participate as a provider under the program, we agree to accept payment from the program in lieu of our daily rate; however, you remain responsible for paying all co-payments, coinsurance, deductibles, patient paid amounts and charges for items and services that the program does not cover. Information concerning coverage under the Medicaid and EAEDC programs, as applicable, is set forth in Appendix B to this Agreement.

Third Party Payor Programs in General. We participate in the Medicare Program as a provider of nursing facility care and services. If you are eligible for Medicare benefits, we agree to accept payment from the Program in lieu of our daily rate; however, you remain responsible for paying all co-payments, coinsurance, deductibles, patient paid amounts and charges for items and services that the Program does not cover. We also participate as providers of nursing facility care and services offered by other third party payors such as private insurance companies. If you are entitled to benefits under insurance offered by a non-Medicare insurance program and if we participate as a provider under the program, we agree to accept payment from the program in lieu of our daily rate; however, you remain responsible for paying all co-payments, coinsurance, deductibles, patient paid amounts and charges for items and services that the program does not cover. Any appeal of a private insurance coverage decision is solely your responsibility and a pending appeal will not impact your obligation to pay for the services for which coverage was denied. If insurance payment is ultimately received, we will promptly reimburse you. Information concerning coverage under the Medicare program, is set forth in Exhibit B to this Agreement. We do not participate in the Medicaid/MassHealth program.