Community Healthcare Event
Event Information
About this Event
Pre-register to reserve you stop and skip the line.
65 years old and older, simple sign up with your Medicare.
Any insurances like BCBS, UHC, Aetna, Humana, simple sign up with your Plan name and ID number
**By purchasing this ticket you are agreeing to the consent terms for our telemedicine services displayed on this eventbrite. You are also agreeing to allow Emerge MedStaffing to bill your insurance for payment of services to you. Emerge MedStaffing will forgive any balance owed by you after insurance payments are made. Emerge MedStaffing and Emerge Telemedicine will not be held liable for any services provided or implied.
I, the undersigned, hereby certify and attest that I have sought evaluation, treatment, or medical advice from the staff at Emerge Medstaffing. I therefore authorize the medical staff and personnel to release my or my minor child’s medical information to the insurance company listed above for the purpose of determining and receiving benefits for medical bills.I understand and acknowledge that the medical staff will submit my claim to the insurance company on my behalf. I further understand that I will be held responsible for any amount of my medical bills not covered by my insurance policy or claims, and that I will be responsible for paying all deductibles, fees, co-payments, and co-insurance payments required.I understand that any portion of my medical bills not covered by insurance will be billed to me at the address I have provided above. Non-compliance or defaulting on payments may result in denial of service and/or a legal claim against me for non-payment.
My registration on Eventbrite, is my consent and authorization for Emerge MedStaffing to proceed as mentioned above.