Medicare Private Agreement In Accordance with 42 U.S.C. §1395a; 42.C.F.R. §405, Subpart DMedicare Private Agreement • March 15th, 2024
This Agreement is between Redrose Medical, located at [Redrose Medical Address], and the undersigned Medicare beneficiary (referred to as the “Beneficiary”), residing at [Beneficiary Address]. This Agreement shall be effective as of [Effective Date] and will continue until terminated by either party (the "Opt-Out Period").
