Disclosures

    

Discount Medical Plan Organization

    

These programs are NOT insurance, and the programs do not make payments directly to the providers of the services. This program is not a supplement for insurance. This program does not meet the minimum essential requirements set forth by the Affordable Care Act.

This plan does not make payments directly to the providers of medical services. The plan member is obligated to pay for all healthcare services but will receive a discount from those healthcare providers who have contracted with the discount plan organization. This plan provides discounts at certain healthcare providers for medical services. The Discount Medical Plan Organization is: AccessOne Consumer Health, Inc. 84 Villa Rd Greenville SC 29615; (ph) 800-896-1962 www.accessonedmpo.com.

The program administrator may obtain fees from pharmacies based on your prescription drug purchases. These fees may be retained by the program administrator or shared with you and/or your pharmacy. The discount medical card program makes available, before purchase and upon request, a list of program providers, including the name, city, state, and specialty of each program provider located in the cardholder's service area. Internet website address to obtain participating providers is www.accessonedmpo.com.

This is not a Medicare Part D Prescription Drug Program.

         

This discount card program contains a 30 day cancellation period:

Member shall receive a full refund of membership fees, if membership is cancelled within the first 30 days from receipt of ID card and upon return of the discount card. For cancellation and refund,card must be returned via USPS or facsimile (855) 422-2007 to 2805 E Oakland Park Blvd #449, Ft Lauderdale, FL 33306. Any complaints should be sent to AccessOne Consumer Health, Inc. 84 Villa Rd. Greenville, SC 29615 (800-896-1962) www.accessonedmpo.com.

         

Massachusetts Residents:

The plan is not insurance coverage and does not meet the minimum creditable coverage requirements under M.G.L. c. 111M and 956 CMR 5.00. The range of discounts for medical or ancillary services provided under the plan will vary depending on the type of provider and medical or ancillary service received.

    

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.

         

Texas Residents

 

If you are paying for the discount medical plan, AccessOne or the plan will cease collecting membership fees in a reasonable amount of time, but no later than (30) days after receiving a valid cancellation notice. This plan is: regulated by the Texas Department of Insurance, P.O. Box 12157 Austin Texas 78711: telephone 1-800-252-3439 or (512) 463-6515; website: www.tdi.state.texas.com

    

Texas Prescription Card Disclaimer: By using this card, you agree to pay the entire prescription cost less any applicable discount. Savings may vary by drug and by pharmacy. Savings are based on actual drug purchases using the discount card. The program administrator may obtain fees or rebates from manufacturers and/or pharmacies based on your prescription drug purchases. These fees or rebates may be retained by the program administrator or shared with you and/or your pharmacy. Prescription claims through this program will not be eligible for reimbursement through Medicaid, Medicare or any other government program. This program does not guarantee the quality of the services or products offered by individual providers. This plan is: regulated by the Texas Department of Insurance, P.O. Box 12157 Austin Texas 78711: telephone 1-800-252-3439 or (512) 463-6515; website: www.tdi.state.texas.com

         

Utah Residents

These programs are not covered by the Utah Health Insurance Guarantee Act.

         

West Virginia Residents

If after receiving our response to a complaint you are not satisfied with the resolution you may write or call: West Virginia Insurance Commissioner.


Washington Residents

If a member cancels his or her membership in the discount plan organization within the first thirty days after the date of receipt of the written documents for the discount plan, the member must receive a reimbursement of all periodic charges upon return of the discount plan card to the discount plan organization.

If a resident of the state of Washington remains dissatisfied after completing the organization's complaint system, the plan member may contact the office of the insurance commissioner:

    

Washington Office of the Insurance Commissioner

P.O. Box 40259

Olympia, WA 98504-0259

800-562-6900

www.insurance.wa.gov

THIS PROGRAM DOES NOT REPLACE INSURANCE AND DOES NOT CONSTITUTE ESSENTIAL COVERAGE UNDER THE AFFORDABLE CARE ACT.

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