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This plan is not insurance.
Discount Medical Plan Organization: New Benefits, Ltd. Attn: Compliance Department,
PO Box 671309, Dallas, TX 75367-1309, 800-800-7616.
This plan provides discounts at certain healthcare providers for medical services.
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 discount card program contains a 30 day cancellation period.
FL, LA, ND, OK, SC, SD and TX residents: Member shall receive a full refund of membership
fees, excluding registration fee, if membership is cancelled within the first 30 days
after the effective date. AR and TN residents: A refund of all fees will be issued if
membership is cancelled within the first 30 days. MD Residents: The membership fee and
one-time registration fee (minus $5.00) will be refunded if cancelled within the first
30 days and upon return of the discount card. MA 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.
Physician Referral Network
Note:This program is a referral and discount plan and does not warrant
professional services, nor is it responsible for the care received. This
program makes no warranties express or implied concerning services or care provided.
Vision Network
Savings guarantee applies to in-store purchases only.
Vision Benefit is not available to VT residents.
Replacement Contact Lenses
Note: It is the member's responsibility to have regular eye
exams to update their prescription.
Passport to Health® makes no warranty of merchandise fitness for a particular
purpose, or warranty of merchantability, or any other warranty, express or implied,
with respect to the merchandise. All warranties, express or implied, are the
responsibility of the manufacturer.
Chiropractic Services
Chiropractic Benefit is not available to VT residents.
Dental Network
Dental benefit is not available to VT residents.
Important: You must pay the reduced cost for the dental
work performed at the time service is rendered unless other arrangements are made with
the dentist's office. There are no out of network services payable in this
program. The Aetna dental access ® discounts cannot be combined with any other
discount dental program.
To access the dental network: Simply visit our
website at Locate A Provider
or call the toll free number listed on the front of your membership card. We're
open 24 hours a day, 7 days a week, excluding holidays, for your convenience. The customer
service representative will request your name, group number, membership number and zip code.
Once your information is confirmed, you will be provided with the names and telephone numbers
of participating dentists in your community.
Please make sure to identify yourself as an Aetna Dental Access ® member when making an
appointment with a participating dentist.
Note: Final costs of dental services will vary depending on type
of service and location.
The discount program provides access to the Aetna Dental Access®
network. This network is administered by Aetna Life Insurance Company (ALIC). Neither
ALIC nor any of its affiliates offers or administers the discount program. Neither ALIC
nor any of its affiliates is an affiliate, agent, representative or employee of discount
program. Dental providers are independent contractors and not employees or agents of
ALIC or its affiliates. ALIC does not provide dental care or treatment and is not
responsible for outcomes.
Aetna Dental Access ® Network is NOT insurance.
Pharmacy Network
Discount Medical Plan Organization: New Benefits,
Ltd. Attn: Compliance Department, PO Box 671309, Dallas, TX 75367-1309, 800-800-7616
* Applies to FL and IN customers only.
Your membership card must be presented to the pharmacist before
having your prescription filled. The pharmacy program cannot be used in conjunction
with any other offer, coupon or pharmacy card. Participating pharmacies are subject
to change without notice.
Extended Care Services
Note: Even though we cannot guarantee access to a specific
health care service provider, you do automatically qualify to receive the same
discounts that were previously available only to large health insurance companies.
Note: This program is a referral and discount plan and does
not warrant professional services; nor is it responsible for the care received.
Remember, Wellington Health Group (WHG) does not diagnose illness nor prescribe
treatments. We are available to assist you in locating an Extended Care Service
provider and to offer significant savings on the health care needs of you and
your family. This program makes no warranties express or implied concerning services
or care provided. WHG protects the privacy of all our clients. We do not share any
information and maintain all confidential information in accordance with government
regulations.
Terms and Conditions
The following Terms & Conditions are included in fulfillment materials.
South Carolina and Ohio members must receive a copy of the Terms & Conditions with the Refund
Policy at the time of application.
1. Member is defined as primary member, spouse, and all legal dependents.
All legal dependents are automatically registered and no additional registration is required.
2. At any time, a participating professional may be eliminated from the
respective network in which they are associated.
3. Companies providing benefits and discounts in this program are not a
licensed insurer, health maintenance organization, or other underwriter of health care services.
No portion of any provider.s fees will be reimbursed or otherwise paid.
4. The discounts contained herein may not be used in conjunction with any
other discount plan or program. All listed or quoted prices are current prices from participating
providers and subject to change without notice. From time to time, certain providers may offer
products and/or services to the general public at prices lower than the discounted prices available
through this program. In such event, members will be charged the lowest price.
5. Providers are subject to change without notice and programs may vary in
some states. This is a discount membership program only, not insurance, and may be discontinued or
modified at anytime. You will receive notice if plan is discontinued or materially modified.
6. Savings are based upon the provider.s normal fees. Actual savings will vary
depending upon location and specific services or products purchased.
7. This program is a referral and discount plan and does not warrant professional
services, nor is it responsible for the quality of care received. This program makes no warranties express
or implied concerning services or care provided.
8. Companies providing benefits and discounts in this program are not licensed to
provide and do not provide medical services or items to individuals. Providers contracted by each network
associated with this program are solely responsible for the professional advice and treatment rendered to
members and each company disclaims any liability with respect to such matters.
9. Refund Policy and 30-day Money Back Guarantee: If you cancel for any reason
within 30 days of the effective date, you will receive a full refund of paid membership fees, excluding
the one-time application fee.
Note: This contract is not covered by any life and health guarantee association.
Cost
Passport to Health costs 3.99 for the first month, and $29.99 each subsequent month.
*Montana Residents: will be under the jurisdiction and venue of the courts
of Montana.
Oklahoma and Indiana Residents: If the member cancels the membership within the
first 30 days and if all of the periodic charges have not been paid with 30 days of cancellation, interest
shall be assessed and paid on the proceeds at a rate of the Treasury Bill rate of the preceding calendar
Syear, plus two (2) percentage points. For assistance, plan information or complaints call: 1-800-871-7082.
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