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DISCLOSURES
The Vital Savings by Aetna® program (the
"Program") is not insurance. The Program provides Members
with access to discounted fees. The discounted fees are
negotiated by Aetna Life Insurance Company for the Vital
Savings by Aetna® discount program. Under the
Program:
· Each Member must make payments directly to the providers
participating in the Program.
· Each Member must pay for all services or products.
· Each Member will receive a discount from the providers
who have contracted with the Discount Medical Plan
Organization to participate in the Program.
· Aetna Life Insurance Company, 151 Farmington Avenue,
Hartford, CT 06156 is the Discount Medical Plan
Organization, 1-866-368-4825.
The following terms and conditions of participation in
the Vital Savings by Aetna® program (the
"Program") apply to:
· the enrollee whose name is listed on the Vital Savings by
Aetna® ID Card and
· any dependent whose name is listed on the Enrollment
Form.
Any limitations, exclusions, and exceptions that apply to
the Program are part of this Member Agreement.
1. There are no benefits payable to Members. Aetna does not
pay providers for services they may give to Members. Aetna
is not an insurer, guarantor or underwriter of any services
given under the Program or of any payments to providers.
Members arrange for needed care (and for the payment)
directly with the provider. Members are responsible for the
entire cost of the care. Aetna is not liable for any
payment to a provider accessed under the Program.
2. If the Member does not follow the terms and conditions
of this Member Agreement, it may result in an immediate end
of the Member’s participation in the Program. This
includes, but is not limited to, failure to make payments
to providers in a timely manner.
3. Providers are private contractors. Providers are not
employees or agents of Aetna Life Insurance Company and/or
its parents, subsidiaries or affiliates ("Aetna"). The
availability of any particular provider is not guaranteed.
The list of providers in the network may change without
notice. Aetna does not provide treatment under the Program.
Aetna is not responsible for Program or treatment outcomes.
In consultation with the Member, the treating provider is
responsible for all discounted services. Choice of the
provider is also the responsibility of the Member and is
not based on any representations by Aetna.
4. Providers participating in the Program have agreed to
make certain services and supplies available to Members on
a "discounted service" basis. The term "discounted service"
means a service that is available to a Member at a lower
cost from fees normally charged by the provider. All
payments to providers are due and paid by the Member.
Payments are made at the time of service, unless another
payment arrangement is agreed on between the Member and the
treating provider. Members are subject to the treating
provider's late payment and other office policies.
5. In order to get discounted service rates, a Member must
show his/her Program ID card to the provider's office at
the time of his/her appointment. A Member's participation
in the Program may end immediately if he/she gives his/her
Program ID card (or otherwise provides unauthorized access
to the Program) to any ineligible person.
6. The Program provides access to discounts from providers
participating in the Program. Aetna may also, from time to
time, and in its sole discretion, provide Members with
access, at no additional charge, to additional programs.
These additional programs offer access to health-related
services at discounted or special rates. Any such programs
are offered by independently contracted vendors/providers
who are not employees or agents of Aetna or its affiliates.
The providers of such “value-added” services are solely
responsible for the products/services they provide.
Providers included in such value-added programs are not
credentialed by Aetna. Aetna may receive a percentage of
the fee paid to the providers of the additional programs.
7. The Discount Medical Plan Organization offering the
Program is Aetna Life Insurance Company,
151 Farmington Avenue, Hartford, CT 06156
. The Program may not now, or in the future, be available
in all states. Aetna has the right to end the Program in
whole or in part, in any state(s) or other geographic
location(s) with 30 days’ prior written notice to Members.
8. Member's Plan Charge may increase if he/she changes from
a single to a family plan. Members may add or remove family
members by contacting Aetna at 1-866-36-VITAL
(1-866-368-4825). Members may also change from monthly to
annual billing. Members may also make these changes by
logging on to
www.vitalsavingsbyaetna.com
and downloading a Member Change Form to complete and mail
to Aetna, or by completing an Online Member Change Form.
(This online form may only be used for adding members.) A
Member’s Plan Charge may be increased upon 45 days’ written
notice from Aetna to the Member.
9. Aetna reserves the right to end a Member's participation
in the Program with 30 days’ prior written notice, for any
reason. Otherwise, the term of this Member Agreement starts
according to the date the Member ID Card became effective.
The Member Agreement will stay in effect until it is
canceled by the Member or Aetna.
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