|ALTERNATIVE BENEFIT SOLUTIONS LLC WELCOMES YOU TO|
| THE || || CARD|
DentAchoice Utilizes the
Aetna Dental AccessSM Network
Over 65,000* Providers Nationwide
| Our Vision Network! |
Eye Care International (ECI)
Thousands of Providers Nationwide
*According to the Aetna Enterprise Provider Database as of October 1, 2008
THIS IS NOT INSURANCE. It is a
reduced-fee-for-service program, with substantial savings.
Program Participant: Several states have enacted legislation relating to being a Discount Medical plan Organization (DMPO). These states require certain disclosures to be to be made regarding your rights and programs to be registered. The package you purchased includes DMPO programs.
The terms and conditions of participation in the DMPO are outlined below:
The plan is not a health insurance policy
The plan provides discounts at certain health care providers for medical services.
The plan does not make payments directly to the providers of medical services.
The plan Participant is obligated to pay for all health care services but will receive a discount from those health care providers who have contracted with the DMPO. The corporate name and location of the licensed DMPO is: Access One Consumer Health, Inc., 84 Villa Rd., Greenville, SC, 29615
The DMPO will provide the Participant with a list of participating providers at its website www.accessonedmpo.com or the Participant may call (800) 896-1962 to find a provider. Participants will be able to apply program discounts to all providers of each participating network.. The Participant is obligated to pay the provider for services rendered. In no instance will the DMPO make payments directly to health care providers on behalf of the Participant.
If the Participant or the provider has a complaint regarding the DMPO, then he or she may go to www.accessonedmpo.com or call (800) 896-1962 or write to Access One Consumer Health, Inc., 84 Villa Rd., Greenville, SC 29625. This complaint will be addressed and the Participant or provider will receive a response within 15 days of receipt of the complaint by the DMPO.
The Participant may terminate participation in the first forty-five (45) days after receipt of ID card and receive full refund on any fees or dues paid, less the one time processing fee in states where permitted. After the first forty-five (45) days, the participant may cancel participation at any time. The Administrator must receive notification at least five (5) business days in advance of the next billing cycle for the Participant not to be charged for that billing cycle. If you have canceled at any time after the 45 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.
In addition to the above terms and conditions, please note the following:
NOTE TO UTAH RESIDENTS: This program is not covered by the Utah Life and Health Guaranty Association.
NOTE TO WEST VIRGINIA RESIDENTS: If after receiving our response and you are not satisfied with the resolution, you may write or call the West Virginia Insurance Commissioner.
NOTE TO TEXAS RESIDENTS: The (PLAN) will cease collecting membership fees in a reasonable amount of time, but no later than (30) days after receiving a valid cancellation notice. Regulated by the Texas Department of Licensing and Regulation, P.O. Box 12157, Austin, Texas 78711: telephone (800) 803-9202 or (512) 463-5699; website: www.license.state.tx.s/complaints.
This program and the program administrators have no liability for providing or guaranteeing service or any liability for the quality of service rendered.
Dental and Vision Plan For
$8.00 A Month
This is NOT insurance.
NO waiting periods
NO claims forms, deductibles
NO limit on visits or services
NO age limit on dependents on household plans