AMENDMENT TO HEALTH OPTIONS, INC. PARTICIPATION AGREEMENT
(CAPITATION)
WHEREAS, the parties have entered into a Health Options, Inc. Participation
Agreement (Capitation)("the Agreement") with initial effective date of June
1, 1997; and
WHEREAS, the parties are in the process of finalizing the terms of a new
provider agreement to replace this Agreement given the anticipated enhanced
utilization by HEALTH OPTIONS of the services of Provider going forward; and
WHEREAS, since the parties have agreed that the role of Provider under
this Agreement has been modified to such an extent that it is necessary to
amend this Agreement;
IT IS THEREFORE agreed as follows:
1. Attachment A to this document, this attachment entitled "PAYMENT
SCHEDULE," is made a part of this Agreement and hereby amends the
Agreement as of 4/1/01; and
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2. To the extent of any inconsistency between the terms of this
document and the Agreement, the terms of this document control.
By signing below the parties hereby execute this document which so amends
the Agreement.
PROVIDER HEALTH OPTIONS, INC.
By: /s/ Xxxxx Xxx By: /s/ Xxxxxxx X. Xxxxxx
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Its Authorized Agent Its Authorized Agent
Date Signed: 3/29/01 Date Signed: 7/3/01
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*A Confidential Treatment Request pursuant to Rule 24(B)-2 under the
Securities Exchange Act Of 1934, as amended, for certain information in this
document has been filed with the Securities and Exchange Commission. The
information for which treatment has been sought has been deleted from such
exhibit and the deleted text replaced by an asterisk (*).
BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.
AND
HEALTH OPTIONS, INC.
PHARMACY SERVICES AGREEMENT
ATTACHMENT A
PAYMENT SCHEDULE
I. CAPITATION
*
Service Area members = Health Options Inc. and Medicare and More members
located in the following counties:
Broward
Xxxx
Xxxxxx
Okeechobee
Palm Beach
St. Lucie
THE FOLLOWING SERVICES WILL BE INCLUDED IN THE CAPITATION RATE:
*
1 of 3
*
THE FOLLOWING ARE NOT INCLUDED IN THE CAPITATION RATE (PAID UNDER FEE FOR
SERVICE PAYMENT RATE):
*
II. FEE FOR SERVICE PAYMENT RATE.
*
2 of 3
*
THE FOLLOWING ARE NOT INCLUDED UNDER THIS CONTRACT:
*
3 of 3
