Member Agreement
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MEMBER PARTICIPATION AGREEMENT
As a member you are a participant in a Discount Medical Program (Plan) provided
by AccessOne Consumer Health, Inc. Below are the terms and conditions of your
membership in the ACCESSONE discount medical plan. This agreement is between you and ACCESSONE.
This Membership Agreement is effective as of the date you receive your identification
card and shall continue as stated on your enrollment form, “monthly”, “semi-annually”
or “yearly”, until ACCESSONE is notified of your cancellation.
The Charge for participation in the plan is on your enrollment form.
DISCLOSURES:
· This is NOT an insurance policy;
· Discounts are provided at certain healthcare providers for healthcare services;
· ACCESSONE does not make payments directly to the providers of healthcare services;
· You are obligated to pay for all healthcare services but will receive a discount
from healthcare providers who have contracted with ACCESSONE;
· The discount medical plan organization you are joining is: AccessOne Consumer
Health 84 Villa Road, Greenville SC 29615 www.accessonedmpo.com
You may find a list of participating providers at: www.accessonedmpo.com or you may call: 800-896-1962. You will be able to apply plan discounts to all
participating providers of each participating network.
This plan includes discounts for those items listed in the Member Section entitled
“Benefits Description” The minimum discount for any service provided under the
plan is 5% and may go to as much as 50%. The Benefit Description(s) becomes part
of this Membership Agreement.
You will be billed at the time of service by the participating provider who will
apply the applicable discounts to that bill. In no instance can ACCESSONE make payments directly to the provider on your behalf.
Your participation in the plan will continue as stated on your enrollment form,
“monthly”, “semi-annually” or “yearly”, upon payment of your dues and shall cease
upon (i) your failure to make the payment; or (ii) notification in writing (USPS,
email or facsimile) of you desire to cancel.
You have the right to cancel participation in the program at any time. If you
do so within 30 days of receipt of your membership materials you will receive
a full refund of all fees and or dues paid to participate in this plan less the
non-refundable enrollment fee.
ACCESSONE may terminate your participation in the plan if you fail to make your membership
payment when due.
This plan includes all members of your household (you your spouse and legal dependants).
You are not required to list your dependants to participate in the plan. You may
add dependants or additional members of your household by calling ACCESSONE at 800-896-1962.
If you have a complaint regarding the plan you may go to www.accessonedmpo.com or call 800-896-1962. You may also write to AccessOne Consumer Health, Inc.
84 Villa Rd. Greenville, SC 29615. The complaint will be addressed and you will
receive a response within 15 days.
This Agreement and its Benefit Descriptions represent the entire agreement between
you and AccessOne Consumer Health, Inc. and supersede all other prior representations,
statements, or written agreements between you and ACCESSONE.
MARYLAND RESIDENTS
“Discounts for hospital services, if any, are not applicable in Maryland.”
NEBRASKA RESIDENTS
If you have cancelled at any time after the 30 day period, and you have pre-paid
any membership fees, the prepayment will be refunded on a pro-rata basis for months
you have not used.
NEW YORK RESIDENTS
"Nurseline" not available in New York.
TEXAS RESIDENTS
ACCESSONE will cease collecting membership fees in a reasonable amount of time, but no
later than (30) days after receiving a valid cancellation notice.
“Note to Texas Consumers: Regulated by the Texas Department of Licensing and
Regulation, P.O. Box 12157, Austin Texas 78711: telephone 1-800-803-9202 or (512)
463-6599; website: www.license.state.tx.s/complaints.”
UTAH RESIDENTS
WEST VIRGINIA RESIDENTS
If after receiving our response and you are not satisfied with the resolution
you may write of call: West Virginia Insurance Commissioner
This plan is not available in the following states
AK, CT, MT, NH, VT.
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