This plan is NOT insurance nor is it a replacement for insurance. It is not a Medicare Part D drug plan and makes no payments to providers. Receive a discount for eligible services when visiting participating providers. Show your AccessPlus card and pay for services at the time they are rendered. Discounts are not available with third party payments. These plans or programs do not qualify under the Affordable Care Act (ACA). For questions or complaints, contact the Discount Medical Plan Organization: AccessOne Consumer Health, 84 Villa Rd Greenville, SC 29615 www.accessonedmpo.com
Terms and Conditions of Plan
▪This is NOT an insurance policy
▪Discounts are provided at certain healthcare providers for healthcare services
▪The Plan 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 the Plan
▪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.adhcplus.com. You will be able to apply plan discounts at 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 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 the Plan 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 fee’s 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. This notification can be made to: Access Plus address, Access Plus Fax or Access Plus email.
▪You have the right to cancel participation in the program at any time. If you do so within 30 days of receipt of your participation materials you will receive a full refund. of all fees and or subscriptions paid to participate in this plan less the non-refundable enrollment fee.
▪The Plan may terminate your participation in the plan if you fail to make your subscription 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.
▪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 the Plan.
“Discounts for hospital services, if any, are not applicable in Maryland.”
“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.”
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 Insurance, P.O. Box 12157 Austin Texas 78711: telephone 1-800-803-9202 or (512) 463-6599; website: www.license.state.tx.s/complaints.”
“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, VT, WA”
“The Plan is not a replacement for or in lieu of any major medical or health insurance. It does not qualify as coverage under the Affordable Care Act (ACA) nor is it a Medicare Part D prescription drug plan. The MDiPass telephonic and email consultations are not part