Medical and Hospital Service Contract Sample Contracts

AvMed Engage Plan for Individuals and Families Medical and Hospital Service Contract
Medical and Hospital Service Contract • September 9th, 2021

IN CONSIDERATION of the payment of pre-paid monthly Premiums as provided herein, AvMed, Inc., a private Florida not-for-profit corporation, state licensed as a health maintenance organization under Chapter 641, Florida Statutes (hereinafter, “AvMed”), and the Contractholder as named on the Application for Coverage , agree as follows:

This Contract Contains Deductible Provisions
Medical and Hospital Service Contract • September 9th, 2021

SERVICE AREA Alachua Hillsborough Palm Beach Baker Lake Pasco Bradford Lee Pinellas Broward Marion Seminole Clay Miami-Dade St. Johns Columbia Nassau Suwanee Duval Orange Union Osceola

This Contract Contains Deductible Provisions
Medical and Hospital Service Contract • September 9th, 2021

SERVICE AREA Alachua Hillsborough Palm Beach Baker Lake Pasco Bradford Lee Pinellas Broward Marion Seminole Clay Miami-Dade St. Johns Columbia Nassau Suwanee Duval Orange Union Osceola

with
Medical and Hospital Service Contract • October 16th, 2017

*NOTE: Part XII. 11BPHARMACY MEDICATION BENEFITS is applicable only if the Subscribing Group elected, through the Master Application attached hereto, coverage of pharmacy medication benefits with their AvMed Large Group Empower Plan. If coverage of pharmacy medication benefits was not elected, Part XII does not apply, and coverage of pharmacy medications is explicitly excluded under this Contract.