Canceling appointments Clause Samples

Canceling appointments. If you are unable to keep an appointment, you should notify the provider at least 24 hours before your scheduled appointment. Some offices charge a fee for missed appointments unless it is due to an emergency or you give 24-hour advance notice. This fee will not be more than your Copayment or Coinsurance for the visit. Continuity of care may be available if: • Your provider leaves your Medical Group during your care; • Your MHSA Participating Provider becomes an MHSA Non-Participating Provider during your care; • You are a newly-covered Member whose coverage choices do not include out-of-network Benefits; or • You are a newly-covered Member whose previous health plan was withdrawn from the market. You can request to continue treatment with your Non-Participating Provider in the situations described above if you are currently receiving the following care: • Ongoing treatment for an acute or serious chronic condition; • Pregnancy care, including care immediately after giving birth; • Treatment for a maternal mental health condition; • Treatment for a terminal illness; • Other services authorized by a now-terminated provider as part of a documented course of treatment; or • Care for a child up to 36 months old. To request continuity of care, visit ▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ and fill out the Continuity of Care Application. Blue Shield will confirm your eligibility and review your request for Medical Necessity. The Non-Participating Provider must agree to accept Blue Shield’s Allowed Charges as payment in full for your ongoing care. If the provider agrees and your request is authorized, you may continue to see the Non-Participating Provider at the Participating Provider Cost Share for: • Up to 12 months; • For a maternal mental health condition, 12 months after the condition’s diagnosis or 12 months after the end of the pregnancy, whichever is later; or • If you have a terminal illness, for the duration of the terminal illness. See the Your payment information section for more information about the Allowed Charges. You can ask your PCP for a referral to another provider for a second medical opinion in situations including but not limited to: • You have questions about the reasonableness or necessity of the treatment plan; • There are different treatment options for your medical condition; • Your diagnosis is unclear; • Your condition has not improved after completing the prescribed course of treatment; • You need additional information before deciding on a treatment plan...

Canceling appointments. If you are unable to keep an appointment, you should notify the provider at least 24 hours before your scheduled appointment. Some offices charge a fee for missed appointments unless it is due to an emergency or you give 24-hour advance notice. This fee will not be more than your Copayment or Coinsurance for the visit. Continuity of care may be available if: • Blue Shield, the Medical Group, or the MHSA no longer contracts with your Former Participating Provider for the services you are receiving; • You are a newly-covered Member whose coverage choices do not include out-of-network Benefits; or • You are a newly-covered Member whose previous health plan was withdrawn from the market. Continuity of care may also be available to you when your Employer terminates its contract with Blue Shield and contracts with a new health plan (insurer) that does not include your Blue Shield Participating Provider in its network. If your Former Participating Provider is no longer available to you for one of the reasons noted above, Blue Shield, the Medical Group, or the MHSA will notify you of the option to continue treatment with your Former Participating Provider. You can request to continue treatment with your Former Participating Provider in the situations described above if you are currently receiving the following care:

Canceling appointments. If you cannot make your scheduled appointment, you must notify the office to cancel your appointment.

Canceling appointments. ▇▇. ▇▇▇▇▇▇’▇ patients are very important to her and so we do not overbook appointments. Missed appoint- ments are costly and take away from valuable appoint- ment time from others. Therefore we ask that you be aware of your commitment. For new patients who have scheduled 60 to 75 minutes, please make any changes 4 to 5 days in advance. For established patients, we must ask that you con- tact the office at least 2 working days prior to your scheduled appointment for any changes or cancellation. There is a $75 charge for late cancellations when you cancel less than 2 business days prior to your appointment. There is a $125 charge for missed ap- pointments.

Canceling appointments. If you are unable to keep an appointment, you should notify the provider at least 24 hours before your scheduled appointment. Some offices charge a fee for missed appointments unless it is due to an emergency or you give 24-hour advance notice. Continuity of care may be available if: • Blue Shield, the Medical Group, or the MHSA no longer contracts with your Former Participating Provider for the services you are receiving; • You are a newly-covered Member whose coverage choices do not include out-of-network Benefits; or • You are a newly-covered Member whose previous health plan was withdrawn from the market. Continuity of care may also be available to you when your Employer terminates its contract with Blue Shield and contracts with a new health plan (insurer) that does not include your Blue Shield Participating Provider in its network. If your Former Participating Provider is no longer available to you for one of the reasons noted above, Blue Shield, the Medical Group, or the MHSA will notify you of the option to continue treatment with your Former Participating Provider. You can request to continue treatment with your Former Participating Provider in the situations described above if you are currently receiving the following care:

Canceling appointments. If you find it necessary to cancel an appointment, please give your counselor notice as early as possible. You will be charged $50.00 for each missed appointment and each appointment cancelled without 24 hours notice. Extenuating circumstances may be taken into consideration upon the discretion of your counselor.