Opt-Out of Medicare. Practitioner agrees that Humana will not be responsible for reimbursing any services, other than emergency or urgently needed services, furnished to a Medicare Participant, if Practitioner opts out of Medicare, as specified in 42 CFR 405.440. Humana will only pay for emergency or urgently needed services furnished by Practitioner to a Participant, if Practitioner has not signed a private contract with a Participant or Participant's beneficiary, as specified in 42 CFR 422.220.
Appears in 5 contracts
Samples: Participating Practitioner Agreement, Covered Benefit and Wholehealth Living, Covered Benefit and Wholehealth Living
