Common Contracts
2 similar Sharp Health Plan Group Agreement contracts
SHARP HEALTH PLAN GROUP AGREEMENTSharp Health Plan Group Agreement • September 28th, 2023
SHARP HEALTH PLAN GROUP AGREEMENTSharp Health Plan Group Agreement • January 11th, 2023
accordance with prevailing medical standards. Certain Members may, for personal reasons, refuse to accept procedures or treatments recommended by Plan Physicians. Plan Physicians may regard such refusal as incompatible with the continuance of a satisfactory physician-patient relationship and as obstructing the providing of proper medical care. If a Member refuses to follow a recommended treatment(s) or procedure(s), and the Plan Physician believes that no professionally acceptable alternative exists, the Member will be so advised. The Member may then contact Plan to obtain assistance in either: (a) choosing a new Primary Care Physician; or (b) seeking a referral to a specialty Plan Physician, as appropriate. If, after consulting with such other Plan Physician, the Member still refuses to follow a recommended treatment(s) or procedure(s), then the Member may contact Plan for a determination as to whether any Medically Necessary, medically superior (as determined by Plan), covered altern
