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Member Agreement

 
MEMBER PARTICIPATION AGREEMENT
 
 
As a member you are a participant in a Discount Medical Program (Plan) provided by Access One Consumer Health, Inc.  Below are the terms and conditions of your membership in the Access One Consumer Health discount medical plan. This agreement is between you and Access One Consumer Health.
 
 
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 Access One Consumer Health is notified of your cancellation.
 
The Charge for participation in the plan is on your enrollment form.
 
 
DISCLOSURES:
 
 
·         This is NOT an insurance policy;
 
·         The Plan provides discounts certain healthcare providers for medical services;
 
·         The 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 healthcare providers who have contracted with the discount plan organization;
 
·         The name and address of the licensed discount medical plan organization: Access One Consumer Health 84 Villa Road, Greenville SC 29615; (800) 896-1962; 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 Access One Consumer Health 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  after the effective date of enrollment in the plan, you will receive a full refund of all fees and or dues paid to participate in this plan less the non-refundable enrollment fee. After the first thirty (30) days, you may cancel participation at any time and if you have pre-paid any membership fees, the prepayment will be refunded on a pro-rata basis for months you have not used. Notification must be received at least five (5) business days in advance of the next billing cycle for you not to be charged for that billing cycle.
 
Access One Consumer Health may terminate your participation in the plan if you fail to make your membership payment when due.
 
 
This plan includes you or you and 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 Access One Consumer Health 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 Access One 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 Access One Consumer Health, Inc. and supersede all other prior representations, statements, or written agreements between you and Access One Consumer Health.
 
ARKANSAS RESIDENTS
 
You may cancel you membership in the discount medical plan organization within the first thirty (30) days from receipt of your ID card and receive a full refund of all fees or dues paid. 
 
ILLINOIS RESIDENTS
 
If you are not satisfied with your resolution of your complaint, you may contact Illinois Department of Insurance.
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.
 
 
SOUTH CAROLINA RESIDENTS

You may cancel you membership in the discount medical plan organization within the first thirty (30) days from receipt of your ID card and receive full refund on any fees or dues paid, less the one time processing fee.

 

TENNESSEE RESIDENTS

You may cancel you membership in the discount medical plan organization within the first thirty (30) days from receipt of your ID card and receive a full refund of all fees or dues paid.


TEXAS RESIDENTS
Access One Consumer Health will cease collecting membership fees in a reasonable amount of time, but no later than (30) days after receiving a valid cancellation notice.
If you are not satisfied with your resolution of your complaint, you may contact your State Department of Insurance.
UTAH RESIDENTS
 
These programs are not covered by the Utah Health Insurance Guarantee Act.
 
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, RI, WA, VT.