Assignment of Benefits. All rights of the Member to receive benefits hereunder are personal to the Member and may not be assigned.
Assignment of Benefits. Neither the Participant nor any other beneficiary under the Plan shall have any right to assign the right to receive any benefits hereunder, and in the event of any attempted assignment or transfer, the Company shall have no further liability hereunder.
Assignment of Benefits. I hereby assign to SUNCOAST PREMIER MEDICAL LLC any and all benefits from my insurance plans or any other protection maintained by the patient. I authorize and direct such benefits to be paid directly to SUNCOAST PREMIER MEDICAL LLC for services provided. If my insurance plan does not uphold the agreement to pay a claim on my behalf within 30 days of filing, I authorize SUNCOAST PREMIER MEDICAL LLC file a complaint to the Insurance Commissioner in order to be reimburse for professional services. Financial Agreement I, __ ___ __ understand all patients are financially responsible for all services rendered by SUNCOAST PREMIER MEDICAL LLC. Patients with NO Insurance are to pay in full at the time of service. Insurance must be verified and approved prior to acceptance, although this is NOT a guarantee of payment form your insurance company. Office visits, Co-pays, deductibles, and other services not covered by your insurance are to be paid in full at the time of your service. You the Patient remain responsible for payment for services if your insurance company has not paid your claim within 45 calendar days. This facility does use legal means provided by law to collect bad debt accounts and returned checks. Returned checks may be directly withdrawn from your account with a fee applied. Consent for Medical Services I, __ ___ ___ ___ consent to treatment, diagnostic and/or therapeutic services as ordered and/or provided by SUNCOAST PREMIER MEDICAL LLC. I hereby give my permission and consent for SUNCOAST PREMIER MEDICAL LLC and staff to treat me using generally accepted standards of medical care. I am aware that medicine and surgery are not exact sciences and no guarantee for successful outcome has been made nor implied to me. I understand that treatment for my condition(s) will be based upon the information that I provide. I accept full responsibility should I provide inaccurate, incomplete, or misleading information. I certify that the identifying information and address, and telephone informat ion is correct and agree to provide SUNCOAST PREMIER MEDICAL LLC and its staff if such information changes or becomes outdated. I understand that SUNCOAST PREMIER MEDICAL cannot contact me if I have provided incorrect or illegible information or should I not keep this information current and correct. The undersigned certifies that He/She has read and understands s the above and fully accepts all specified terms therein. The undersigned also certifies that He/She has rea...
Assignment of Benefits. You may not in any way, assign or transfer your rights or benefits under this Contract. In addition, you may not, in any way, assign or transfer your right to pursue any causes of action arising under this Contract including, but not limited to, causes of action for denial of benefits under this Contract. ENROLLMENT PAYMENTS Coverage under this Contract is conditioned on our regular receipt of payments for all enrollees. Enrollment payments are based upon the contract type and the number and status of any dependents enrolled with the enrollee. Enrollment payments do not take into account the claim experience or any change in health status of the enrollee, which occurs after the initial issuance of this Contract. Your enrollment payments usually change annually on your Renewal Date (which may be different than your effective date), subject to 30 days notice. Your enrollment payments may change during the year if you add xx terminate coverage for any dependents. We will bill you for your pre-payment on a monthly cycle. BENEFITS This Contract provides comprehensive Network Benefits (Network Benefits) underwritten by GHI, when you seek medical and dental services delivered by participating network providers or authorized by us. This Contract describes your Network Benefits and how to obtain covered services. This Contract also provides Non-Network Medical Expense Benefits (Non-Network Benefits), underwritten by HealthPartners Insurance Company, for medical and dental services delivered by non-network providers. This coverage is in addition to your comprehensive network coverage under this Contract. It is not used to fulfill the comprehensive HMO coverage required by law. This Contract describes your Non-Network Benefits and how to obtain covered services. Pediatric services will be covered until at least the end of the month in which the member turns 19. If you are insured under this Contract you may have access to certain additional benefits and discounts offered by or through an arrangement with HealthPartners from time to time. BENEFITS CHART Attached to this Contract is a Benefits Chart, which is incorporated and fully made a part of this Contract. It describes the amounts of payments and limits for the coverage provided under this Contract. Refer to your Benefits Chart for the amount of coverage applicable to a particular benefit. CHANGES IN BENEFITS We are permitted to change benefits under this Contract to maintain compliance with federal and stat...
Assignment of Benefits. You may assign Benefits provided for Covered Services only to the Provider rendering services. You may not assign this Agreement to anyone else without our written permission.
Assignment of Benefits. Your rights and Benefits under this Plan are Yours alone. You may not give them to anyone else. If You are treated for a Covered Disease, You may ask Us to pay Your Benefits directly to the Hospital if both this Plan and the Provider are subject to La. R.S. 40:2010. We call paying Your Benefits to someone else assignment of Benefits. If both this Plan and the Provider are not subject to La. R.S. 40:2010, We will not pay Your Benefits to the Hospital. Nothing in the written description of health coverage makes the Plan or Us bound by law to pay any third party to whom You may owe the cost of medical care, treatment, or services.
Assignment of Benefits. We will pay for medical expenses directly to a licensed health care provider if the insured gives us a signed written assignment of benefits payable under PART B > MEDICAL PAYMENTS COVERAGE. If we pay benefits directly to a health care provider, we have no further duty or liability to pay those same benefits to an insured or to any other person or entity.
Assignment of Benefits. Where the insurer has paid expenses or benefits to you or on your behalf under this policy, the insurer has the right to recover, at its own expense, those payments from any applicable source or any insurance policy or plan that provides the same benefits or recoveries. This policy also allows the insurer to receive, endorse and negotiate eligible payments from those parties on your behalf. When the insurer receives payment from any other insurer, or any other source of recovery to the insurer, the respective payor is released.
Assignment of Benefits. As an assist to the Dealer in effecting an orderly transfer of his assets to a replacement dealer and to minimize possible interruptions in customer convenience and service, in the event of termination or nonrenewal by either party, any rights or benefits with respect to subparagraphs 21(a), 21(b), 21(c) and 21(d), herein may be assigned by the Dealer to anyone to whom the Dealer has agreed to sell the respective property and whom the Company has approved as a replacement for the Dealer. Such assignments will be subject to Dealer's fulfillment of his obligations under paragraph 19 and this paragraph 21 and subject to the Dealer's tender of a general release as specified in paragraph 23.
Assignment of Benefits. The pensions and other benefits provided under the terms of the Plan are not capable of assignment or alienation and do not confer upon any member, personal representative or dependent, or any other person, any right or interest in the pensions and other benefits capable of being assigned or otherwise alienated.
