Common use of Subscription Fees Clause in Contracts

Subscription Fees. I understand that the annual subscription fee is intended to alleviate the member’s liability for cost-sharing amounts for medically necessary covered services within the service area. Payment of fee may be by check, money order, debit or credit card. Effective Dates: The effective date of this agreement shall be the date your completed subscription agreement and fee are received and approved by the Authority. This agreement will be in effect for a period of one (1) year from that date.

Appears in 5 contracts

Sources: Ambulance Membership Program Agreement, Ambulance Membership Program Agreement, Ambulance Membership Program Agreement

Subscription Fees. I understand that the annual subscription fee is intended to alleviate the member’s liability for cost-sharing amounts for medically necessary covered services within the service area. Payment of fee may be by check, money order, debit or credit card. There is an additional $2.25 convenience fee for debit or credit card payments. Effective Dates: The effective date of this agreement shall be the date your completed subscription agreement and fee are received and approved by the Authority. This agreement will be in effect for a period of one (1) year from that date.

Appears in 3 contracts

Sources: Ambulance Membership Program Agreement, Ambulance Membership Program Agreement, Ambulance Membership Program Agreement

Subscription Fees. I understand that the annual subscription fee is intended to alleviate the member’s liability for costlimit my out-sharing amounts of-pocket payments for medically necessary covered services within the service area. Payment of fee may be by check, money order, debit MasterCard, or credit cardVisa. Effective Dates: The effective date of Effective dates to this agreement shall be will become effective on the date your first day of the month after a completed subscription agreement and fee are is received following full payment and approved by the Authority. This agreement will be in effect for a period of one (1) year from that date.one

Appears in 1 contract

Sources: Ambulance Membership Program Agreement

Subscription Fees. I understand that the annual subscription fee is intended to alleviate the member’s liability for cost-sharing amounts for medically necessary covered services within the service area. Payment of fee may be by check, money order, debit MasterCard, or credit cardVisa. Effective Dates: The effective date of this agreement shall be the date your completed subscription agreement and fee are received and approved by the Authority. This agreement will be in effect for a period of one (1) year from that date.

Appears in 1 contract

Sources: Ambulance Membership Program Agreement

Subscription Fees. I understand that the annual subscription fee is intended to alleviate the member’s liability for costlimit my out-sharing amounts of-pocket payments for medically necessary covered services within the service area. Payment of fee may be by check, money order, debit MasterCard, or credit cardVisa. Effective Dates: The effective date of this agreement shall be the date your completed subscription agreement and fee are received and approved by the Authority. This agreement will be in effect for a period of one (1) year from that date.

Appears in 1 contract

Sources: Ambulance Membership Program Agreement

Subscription Fees. I understand that the annual subscription fee is intended to alleviate the member’s liability for cost-cost- sharing amounts for medically necessary covered services within the service area. Payment of fee may be by check, money order, debit MasterCard, or credit cardVisa. Effective Dates: The effective date of this agreement shall be the date your completed subscription agreement and fee are received and approved by the Authority. This agreement will be in effect for a period of one (1) year from that date.

Appears in 1 contract

Sources: Ambulance Membership Program Agreement