Medical retainer agreement definition

Medical retainer agreement means a written contract:
Medical retainer agreement means a contract between a health care provider and an individual patient or his or her legal representative in which the health care provider agrees to provide routine health care services to the individual patient for an agreed-upon fee and period of time.
Medical retainer agreement means a contract between a health

More Definitions of Medical retainer agreement

Medical retainer agreement means a contract between a health care provider and an individual patient in which the health care provider agrees to provide to the patient routine health care services for an agreed-upon fee and period of time; and
Medical retainer agreement means a contract between a health care provider and an individual patient or patient's legal representative in which the health care provider agrees to provide routine health care services to the individual patient for an agreed-upon fee and period of time.
Medical retainer agreement means a written contract: 80 (i) between: 81 (A) except as provided in Subsection (1)(b)(iii)(B), a natural person or a professional 82 corporation, alone or with others professionally associated with the natural person or 83 professional corporation; and
Medical retainer agreement means a written contract: 32 (i) between: 33 (A) except as provided in Subsection (1)(b)(iii)(B), a natural person or a professional 34 corporation, alone or with others professionally associated with the natural person or 35 professional corporation; and 36 (B) an individual patient or a patient's representative; and 37 (ii) in which: 38 (A) the person described in Subsection (1)(a)(i)(A) agrees to provide routine health 39 care services to the individual patient for an agreed upon fee and period of time; and 40 (B) either party to the contract may terminate the agreement upon written notice to the 41 other party. 42 (b) "Routine health care services" include: 43 (i) screening, assessment, diagnosis, and treatment for the purpose of promotion of 44 health, and detection and management of disease or injury; 45 (ii) supplies and prescription drugs that are dispensed in a health care provider's office; 46 and 47 (iii) laboratory work, such as routine blood screening or routine pathology screening 48 performed by a laboratory that: 49 (A) is associated with the health care provider entering into the medical retainer 50 agreement; or 51 (B) if not associated with the health care provider, has entered into an agreement with 52 the health care provider to provide the laboratory work without charging a fee to the patient for 53 the laboratory work. 54 (2) A medical retainer agreement exempt from the provisions of Subsection 55 31A-4-106(2) [shall]: 56 (a) shall describe the specific routine health care services that are included in the 57 contract; 58 (b) shall prominently state in writing that the retainer agreement is not health 59 insurance; and 60 (c) may not prohibit the health care provider[, but not] or the patient[,] from billing an 61 insurer for the services provided under the medical retainer agreement. 62 Section 2. Section 31A-45-303 is amended to read: 63 31A-45-303. Network provider contract provisions. 64 (1) Managed care organizations may provide for enrollees to receive services or 65 reimbursement under the health benefit plans in accordance with this section. 66 (2) (a) Subject to restrictions under this section, a managed care organization may enter 67 into contracts with health care providers under which the health care providers agree to be a 68 network provider and supply services, at prices specified in the contracts, to enrollees. 69 (b) A network provider contract shall require the network provider to accept the 70 specified payment in ...
Medical retainer agreement to mean a contract between a health care provider and an individual patient in which the health care provider agrees to provide to the patient routine health care services for an agreed-upon fee and period of time; and ● “Routine health care service” to mean only the following: ○ Screening, assessment, diagnosis, and treatment for the purpose of promotion of health or the detection and management of disease or injury; ○ Medical supplies and prescription drugs that are dispensed in a health care provider’s office or facility site; and ○ Laboratory work including routine blood screening or routine pathology screening performed by a laboratory meeting certain requirements. The bill states the requirements of a medical retainer, as follows: ● Be in writing; ● Be signed by the health care provider and the individual patient; ● Allow either party to terminate the agreement upon written notice; ● Describe and quantify the routine health care services; ● Specify the fee for the agreement; ● Specify the period of time under the agreement; ● Prominently state the agreement is not health insurance; ● Prohibit the health care provider and the patient from billing an insurer or other third-party payer for the services provided under the agreement; and ● Prominently state in writing the patient must pay the health care provider for all services not covered under the agreement and not otherwise covered by insurance. The bill requires the following provision to be prominently stated in writing, in boldface type in 10-point font or larger, all words capitalized, on the front page of the medical retainer, and requires the patient or patient’s legal representative to initial below the provision: Notice: This Medical Retainer Agreement does not constitute insurance, is not a medical plan that provides health insurance coverage for purposes of the Federal Patient Protection and Affordable Care Act and covers only limited routine health care services as designated in this agreement.

Related to Medical retainer agreement

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