Visitors. Family members* temporarily visiting a Patient from out of town may, for a two- week period, take advantage of the services described in subparagraphs (a), (c), and (d) of this paragraph. Medical services rendered to Patient’s visitors shall be charged on a fee-for-service basis. *Family members who are Medicare beneficiaries must be covered by a Medicare opt out and waiver agreement in order to be treated by a Mind & Body Christian Physician.
Appears in 2 contracts
Samples: Patient Agreement, Patient Agreement
Visitors. Family members* members temporarily visiting a Patient from out of town may, for a two- week period, take advantage of the services described in subparagraphs (a), (c), and (d) of this paragraph. Medical services rendered to Patient’s visitors shall be charged on a fee-for-service basis. *Family members who are Medicare beneficiaries must be covered by a Medicare opt out and waiver agreement in order to be treated by a Mind & Body Christian New South Family Medicine, LLC Physician.
Appears in 2 contracts
Samples: New Patient Agreement, New Patient Agreement
Visitors. Family members* temporarily visiting a Patient from out of town may, for a two- week period, take advantage of the services described in subparagraphs (a), (c), and (d) of this paragraph. Medical Patient services rendered to Patient’s visitors shall be charged on a fee-for-service basis. *Family members who are Medicare Medicare, Medicaid, or other Federal Health Plan beneficiaries must be covered are currently NOT ELEGIBLE for treatment by a Medicare opt out and waiver agreement in order to be treated by a Mind & Body Christian PhysicianHEALTH FROM HOME Provider.
Appears in 1 contract
Samples: Membership Agreement
Visitors. Family members* members temporarily visiting a Patient from out of town may, for a two- week period, take advantage of the services Services described in subparagraphs (a), (cb), and (dc) of this paragraph. Medical services rendered to Patient’s 's visitors shall be charged on a fee-for-service for- service- performed basis, subject to the terms and conditions of the Agreement between Patient and Functional Family. *Family members who are Medicare beneficiaries must be covered by a Medicare opt Opt-out and waiver agreement & Waiver Agreement in order to be treated by a Mind & Body Christian PhysicianFunctional Family.
Appears in 1 contract
Samples: Membership Agreement
Visitors. Family members* Non-Medicare family members temporarily visiting a Patient from out of town may, for a two- two-week period, take advantage of the services described in subparagraphs (a), (c), and (d) of this paragraph. Medical services rendered to Patient’s visitors shall be charged on a fee-for-service basis. *Family members who are Medicare beneficiaries must be covered by a Medicare opt out After the 2 week period, any further services and waiver agreement in order to be treated by a Mind & Body Christian Physicianpayment is at the discretion of the physician.
Appears in 1 contract
Samples: Health Suite 110 Patient Agreement
Visitors. Family members* temporarily visiting a Patient from out of town may, for a two- week period, take advantage of the services Services described in subparagraphs (a), (c), and (d) of this paragraph. Medical services rendered to Patient’s 's visitors shall be charged on a fee-forfor- service-service performed basis, subject to the terms and conditions of the Agreement between Patient and Functional Family. *Family members who are Medicare beneficiaries must be covered by a Medicare opt Opt-out and waiver agreement & Waiver Agreement in order to be treated by a Mind & Body Christian PhysicianFunctional Family.
Appears in 1 contract
Visitors. Family members* temporarily visiting a the Patient from out of town may, for a two- week two-‐week period, take advantage of the services described in subparagraphs (a), (c), and (d) of this paragraph. Medical services rendered to the Patient’s visitors shall be charged on a fee-for-service fee-‐for-‐services basis. *Family members who are Medicare beneficiaries must be covered by a Medicare opt out opt-‐out and waiver agreement in order to be treated by a Mind & Body Christian PhysicianXxx Xxxxxx MD PC provider.
Appears in 1 contract
Samples: Patient Agreement
Visitors. Family members* temporarily visiting a Patient from out of town may, for a two- week period, take advantage of the services described in subparagraphs (a), (c), and (d) of this paragraph. Medical services rendered to Patient’s visitors shall be charged on a fee-for-service basis. *Family members who are Medicare beneficiaries must be covered by a Medicare opt out and waiver agreement in order to be treated by a Mind & Body Christian Magnolia DPC Physician.
Appears in 1 contract
Samples: Patient Agreement
Visitors. Family members* temporarily visiting a Patient from out of town may, for a two- week period, take advantage of the services described in subparagraphs (a), (c), and (d) of this paragraph. Medical services rendered to Patient’s 's visitors shall be charged on a fee-for-service basis. *Family members who are Medicare beneficiaries must be covered by a Medicare opt out and waiver agreement in order to be treated by a Mind & Body Christian Frontier Physician.
Appears in 1 contract
Samples: Patient Agreement
Visitors. Family members* temporarily visiting a Patient from out of town may, for a two- week period, take advantage of the services described in subparagraphs (a), (c), and (d) of this paragraph. Medical services rendered to Patient’s visitors shall be charged on a fee-for-service basis. *Family members who are Medicare beneficiaries must be covered by a Medicare opt out and waiver agreement in order to be treated by a Mind & Body Christian an AtlasMD Physician.
Appears in 1 contract
Samples: Patient Agreement
Visitors. Family members* temporarily visiting a Patient from out of town may, for a two- two-week period, take advantage of the services described in subparagraphs (a), (c), and (d) of this paragraph. Medical services rendered to Patient’s visitors shall be charged on a fee-for-service basis. *Family members who are Medicare beneficiaries must be covered by a Medicare opt out and waiver agreement in order to be treated by a Mind & Body Christian PhysicianCreative Wellness, LLC Provider.
Appears in 1 contract
Samples: Patient Agreement
Visitors. Family members* temporarily visiting a Patient from out of town may, for a two- two-week period, take advantage of the services Services described in subparagraphs (a), (c), and (d) of this paragraph. Medical services rendered to Patient’s visitors shall be charged on a fee-for-service basis. *Family members who are Medicare beneficiaries must be covered by a Medicare opt out and waiver agreement in order to be treated by a Mind & Body Christian Med Club Physician.
Appears in 1 contract
Samples: Membership Agreement
Visitors. Family members* temporarily visiting a Patient from out of town may, for a two- two-week period, take advantage of the services described in subparagraphs (a), (c), and (d) of this paragraph. Medical services rendered to Patient’s visitors shall be charged on a fee-for-service basis. *Family members who are Medicare beneficiaries must be covered by a Medicare opt out and waiver agreement in order to be treated by a Mind & Body Christian Physicianan NuMed Provider.
Appears in 1 contract
Samples: Patient Agreement
Visitors. Family members* temporarily visiting a Patient from out of town (greater than 150 miles from home) may, for less than a two- two-week period, take advantage of the services Services described in subparagraphs (a), (c), and (d) of this paragraph. Medical services rendered to Patient’s visitors shall be charged on a fee-for-service basis. *Family members who are Medicare beneficiaries must be covered by a Medicare opt out and waiver agreement in order to be treated by a Mind & Body Christian Med Club Physician.
Appears in 1 contract
Samples: Med Club Membership Agreement
Visitors. Family members* temporarily visiting a Patient from out of town may, for a two- week period, take advantage of the services described in subparagraphs (a), (c), ) and (d) of this paragraph. Medical services rendered to Patient’s visitors shall be charged on a fee-for-service basis. *Family members who are Medicare beneficiaries must be covered by a Medicare opt out and waiver agreement in order to be treated by a Mind & Body Christian BloomMed Physician.
Appears in 1 contract
Samples: Patient Agreement Bloommed, LLC