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Member,
which includes cardholder and any person living in the cardholder’s
household, understands that this is not an insurance plan or program. No
payments to medical providers or members will be made by this medical
savings plan.
This plan provides savings to its members on medical services through a number of medical networks. In order to access these networks and the related discounts, member or member’s dependents must pay the medical providers promptly. Payments on all medical bills are due and payable at the time of service. The member has no out-of-network benefits and must use a contracted provider in order to receive any benefits. As a service to members, this medical savings program may provide network rate information to medical providers under this program. If the information provided results in an underpayment to a medical provider, member agrees to pay the medical provider for any shortages within ten (10) days of notice to such member of the inappropriate reimbursement. If the information provided results in an overpayment to a medical provider, the plan will assist member, to the best of its ability, in collecting any such amount from the appropriate party. Neither the plan nor any of its affiliates, nor any network accessed shall be liable for any payment to a provider accessed under this program, or any refusal of participating providers to accept the network rates offered under this program. The plan, its affiliates or any network accessed, is not an insurer, guarantor or underwriter of the responsibility or liability of Member for Member’s or Member’s dependent’s medical care or any other goods or services provided to Member or Member’s dependents. The providers listed in this directory are subject to change without notice. Member may call the provider referral line for current provider information. Participating medical providers are independent contractors and, the plan and its affiliates and its contracted networks are not responsible for health care provided or the omission of the provision of health care by any provider. The plan administrators do not practice medicine or in any manner interfere with or participate in the provider-patient relationship. All health care decisions are between the patient and a provider. The selection of a provider is the obligation and decision of the patient and is not based upon the credentialing or any recommendation by the plan, its affiliates or its contracted networks. The medical savings program reserves the right to terminate any member for failure to pay a medical provider accessed under the medical savings program under the terms provided. Members may cancel their medical savings program at any time upon written notice to the company that you make payment to and return of the ID cards. |
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