Med Savings Network
Important Terms and Conditions
- This Agreement is between you ("Member") and
Med Savings Network Corp. (Med Savings Network Corp) and shall be
effective on the date ("enrollment date") that Med Savings Network Corp receives
payment for all enrollment fees and forwards to you your Member ID Cards. MEMBER
UNDERSTANDS THAT Med Savings Network Corp. PROVIDES DENTAL, HEALTH AND MEDICAL SAVINGS
BENEFITS AND IS NOT AN INSURANCE POLICY, PLAN OR PROGRAM. Med Savings
Networks program makes available negotiated rate reductions for services and medical
procedures rendered by providers of service listed in the Plan. Med Savings Network will
NOT make any payments for services or any other kind of cost to either Members or
providers of service on behalf of Members. Med Savings Networks sole obligation
under this Agreement is to administer Member's enrollment in the Plan.
- Med Savings Network will only provide Members with
access to medical and healthcare Network(s) as listed in the Plan. Participating
networks vary from plan to plan. The member must select which plan and/or provider network
is most beneficial to member. A limited directory of participating providers of service is
provided to Member upon enrollment. The providers of service listed in the directory, Med
Savings Networks website or available from Med Savings Networks Member
Services Center are subject to addition, deletion or change at any time and without prior
notice to member. It is the Member's responsibility to contact Med Savings Network to
verify that a provider of service is a current participant in the Plan. Member may call
Med Savings Networks Member Services Center for current provider of service
information.
- Member is solely responsible for all providers of
service fees and costs. In order to access the Program's Network(s) and the related
benefit(s), the Member or the Member's family is responsible and must pay the balance for
services due (the services due shall be the remaining balance after the savings discount
benefit has been applied) to the provider of service promptly at the time of service
and/or make acceptable payment arrangements with the provider of service. Payments or
agreed payment arrangements with the provider of service must be made at the time of
service.
- The actual savings that a Member may receive will vary
and depend upon location, region, provider and the nature of the specific procedure or
service, including prescription drugs. Due to the usually higher expense associated with
in-patient hospital visits, Member is required to contact Med Savings Networks
Member Services Center before admission for pre-admission procedures. Based on the
hospital selected by Member from Med Savings Networks list of available facilities
and the hospital's total estimated cost to the member for the planned procedure, Member
may be required to submit a pre-deposit to the hospital of $1,000.00 for each estimated
scheduled day. If a deposit is required, Member's deposit to the hospital will be applied
to the Member's total bill (or partially refunded depending upon the total amount of the
final bill) at the end of the Member's hospitalization. Even though Med Savings Network
will use its best efforts to provide savings benefits for all in-patient hospital visits,
Med Savings Network can not guarantee or warrant that products, procedures, services and
facilities are available in every medical situation and/or geographic location.
- Neither Med Savings Network nor any of its affiliates
nor any Network(s) shall be liable or responsible to make any payment to a medical
provider or other provider of service used by a member of the Med Savings Network Plan.
Neither Med Savings Network Plus nor any of its affiliates nor any Network(s) shall be
liable for or held responsible for any refusal by a participating provider of service's
refusal to accept the network rates offered under this Plan. Med Savings Network, its
affiliates or any Network(s) is NOT an insurer, guarantor or underwriter of a Member
and is NOT responsible or liable for a Member's or Member's dependents' type, quality or
cost of medical care or any other goods or services provided to Member or Member's
dependents under this Plan.
- Participating medical providers of service are
independent contractors. Med Savings Network, its affiliates and any Network(s) are
not liable for or responsible for the provision or omission of any medical services,
treatments, consultations, diagnoses or advice that may be given or not given to a Member
or a Member's dependents by a medical provider of service. Med Savings Network does NOT
practice medicine and neither interferes with, participates in or is a part of the medical
provider-patient relationship. The selection of a medical provider is the obligation of
and the sole decision of the Member and such decision shall not be based upon the advice,
credentialing or recommendation of Med Savings Network, its affiliates or any Provider
Network(s).
- As part of its service to its Members, Med Savings
Network may provide to providers of service under this Plan network rate information. If
the disclosed information results in an underpayment to a medical provider for services
rendered to a Member, Member agrees to pay to the medical provider the amount of any
shortage within ten (10) days written notice to the affected member of the underpaid
reimbursement. Likewise, if the information results in an overpayment to a medical
provider for services rendered to a Member, Med Savings Network shall use its best efforts
to assist the Member to collect the amount of such overpayment from the medical provider.
- Member's payments for participation in Med Savings
Networks Plan are due and payable in advance. Med Savings Network shall
automatically deduct your payments on a recurring basis on or about each due date as
authorized by you. Members may cancel their membership in Med Savings Networks Plan
with 30 days written notice, and upon the return of the Member's ID cards. If a Member cancels his/her membership in writing
within the first thirty (30) days of enrollment in the Plan, the Member may be eligible
for a full refund if the Member's ID cards are returned to Med Savings Network
and the benefits have not been accessed.
- Med Savings Network reserves the right to terminate any
enrollment or membership of any Member or Member's dependents or deny eligibility to any
person for any reason, including for a Member's failure or refusal to pay a participating
provider of service listed under the Plan or for nonpayment of a payment to Med Savings
Network when due. If Med Savings Network receives a returned check, insufficient funds
notice on bank draft or denial of a charge to a Member's credit card, Med Savings Network
may terminate the affected Member's enrollment and membership effective immediately. If a
Member applies for reinstatement of enrollment/membership that was terminated due to
nonpayment, the member must pay as a condition of reinstatement a fee of $25.00 and 50% of
total plan cost at the time of reinstatement.
- This Agreement constitutes the entire agreement between
Member and Med Savings Network. THERE ARE NO WARRANTIES EXPRESS OR IMPLIED OTHER THAN
EXPRESSLY STATED HEREIN. This Agreement may only be amended, changed or modified in
writing. The laws of the State of Texas shall govern the interpretation, construction and
enforcement of this Agreement. Any dispute arising from, out of, or relating to this
Agreement shall be resolved by binding, non-appealable private arbitration, conducted in
accordance with the rules of the American Arbitration Association. The appropriate offices
of the American Arbitration Association located in Harris County, Texas, shall have
exclusive jurisdiction and venue over all matters concerning this Agreement and will be
the proper forums for adjudication of these matters. These provisions shall survive
termination of this Agreement and Member's enrollment or membership in the Plan.
Required State Disclosures
KY: This contract is not an insurance policy and is not protected by the Kentucky Life
and Health Guaranty Association.
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