Member Protection Clause. Dentist agrees not to bill, charge, collect a deposit from, seek remuneration from, or have any recourse against any Member or persons acting on their behalf for services provided under this Agreement or for payment of any fees that are the legal obligation of Medica under its contract with CMS. This provision applies to, but is not limited to, the following events: (1) nonpayment by Medica or DDMN, or (2) breach of this Agreement. Dentist shall accept as payment in full for Dental Services rendered to Members such amounts as are paid by DDMN and Medica in accordance with this Agreement. In no event shall Dentist hold or attempt to hold any Member financially responsible for any Dental Services provided, except for Deductibles, Copayments and services not eligible for coverage under the Member's Benefit Contract. In addition, Dentist agrees not to hold Members that are eligible for both Medicare and Medicaid financially responsible for Medicare Part A and Part B cost sharing when Medicaid is responsible for payment of such amounts. Medica shall not impose cost sharing in excess of the cost sharing permitted under Title XIX of the Social Security Act. Dentist shall either accept Medica’s payment for services as payment in full, or bill the appropriate state source. This provision survives the termination of this Agreement for any unauthorized services Dentist provides before termination of this Agreement, regardless of the reason for termination. This provision is for the benefit of the Members. This provision does not apply to services provided after termination of this Agreement. This provision supersedes any contrary oral or written agreement existing now or entered into in the future between Dentist and Member or persons acting on their behalf regarding liability for payment for services provided under this Agreement. Nonpayment shall include nonpayment in the event of insolvency of Medica or DDMN. The following provision is incorporated into this Agreement as required by the federal regulations promulgated by the Secretary of Health and Human Services pursuant to authority granted to the Secretary under the Health Insurance for the Aged Act, 42 U.S.C. Section 1395hh, which regulations are codified at 42 C.F.R. 417.122(b). Dentist agrees that in the event of Medica's insolvency, Dentist shall continue to provide any Member with Health Services from the date of the Medica's insolvency for the duration of the contract period for which premium payment has ...
