DISCOUNT HEALTH PLAN
PLAN OVERVIEW:
ValuePoint MultiPlan Medical Network
To find a provider go to www.multiplan.com
A National network of over 450,000 primary and specialty care doctors, hospitals, diagnostics and lab facilities. An affordable alternative to insurance. ValuePoint provides negotiated contracted discounts on most health-related services nationwide.
Aetna Dental
Utilizing the Aetna Dental Access®Network
To look up a provider visit www.dad.a2dentallookup.com
As a member of the Dentachoice program, you have access to a national network of over 226,000 available dental locations through one of the largest dental discount networks in America, the Aetna Dental Access® Network. Participating dental locations provide savings that range from 15-50%**per visit, on average, on dental services including cleanings, x-rays, fillings, root canals, crowns, bridges and orthodontia.
Vision – Outlook
To look up a provider visit www.dad.e2visionlookup.com
· 12,000 independent and chain vision optical centers through the Outlook Vision network
· Savings of 10% to 50% on most prescription eyeglasses, frames, lenses, and surgical procedures, such as PRK and LASIK (where available and approved).
Epic Hearing
To access this benefit call 866-956-5400 and give the Promo code 9086 or NBBI
Receive customized care and, if needed, purchase brand-name hearing aids at savings of 20% to 50% off of Hearing aids, batteries & supplies, Hearing aid cleaning & care, Hearing aid-compatible phones, Assistive listening & alerting devices.
Alternative Medicine:
The Health Connection
Visit: www.thcnetwork.comand pick a provider. When you call the provider tell them that you are a member of The Health Connection. You can also call (800) 634 2968 to get a provider in your area.
Save an average of 25% at over 8,000 trained, qualified, and fully credentialed providers nationwide including acupuncture, massage and other integrated wellness therapies.
Chiropractic Lifecare of America
Visit http://www.gap.chirolookup.com/You can also call (800) 634-2968, provide the customer service representative with your name and membership number. Call the participating provider to make an appointment. Make sure to identify yourself as a member of Chiropractic Lifecare of America network.
This program offers a free initial consultation, up to 50% savings on diagnostic services and x-rays (if necessary), and unlimited treatments at up to 30% savings from a national network of over 12,000 chiropractors.
FoneMed 24/7 Nurse Help Line
To access this benefit call 855-771-6081 and provide the Registered Nurse with your name, group number, and membership number.
· Have 24/7 access to a registered nurse (RN) to answer questions on family health issues.
· Services in over 100 languages are included with medical information assistance.
*Not available in New York.
Gr8speech Speech Therapy
To access your 10% speech therapy discount, please call 954-247-8757 and use referral source code: NBBI.
Gr8 Speech utilizes video conferencing technology to provide live, one-on-one, highly individualized and interactive speech therapy services worldwide. Our innovative telepractice model of therapy provides an exciting alternative to the traditional service model.
All you need is a computer, high-speed internet access, a web camera and a quiet room. During pre-scheduled sessions, our therapists engage and interact with our clients using appropriate therapeutic activities and exercises. Materials and follow-up resources are also available so that patients can practice the skills they learn between sessions.
ID Resolution Identity Theft Protection
To access this benefit call 877-308-9167
Experienced fraud resolution specialists can resolve financial identity theft, criminal identity theft, and medical identity theft. Members who are victimized by identity fraud will interact with one fraud specialist who knows the details of the case and who manages the case from beginning through final resolution.
One Call Imaging
To access this benefit call 877-814-2461. You will be quoted a significantly reduced fee and asked for your method of payment. Member ID: 92200 Group: Image
Our network providers can save members an average of 60% off of the usual cost for advanced radiology testing, such as Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) scans.
Priority appointment scheduling, Unique scheduling services to assist members with selection and scheduling of appointments, Coast-to-coast call centers operating 8:00am 8:30pmEST, with multilingual staff, Significant savings compared to traditional PPO fee schedules (an average of 60% savings), Quality care and service at no additional costs.
MyMedLab Labratory Benefit
To access this benefit call 888-696-3352
The Laboratory Savings Program offers services offer an efficient, affordable, and confidential solution to medical laboratory testing. Members are able to browse a wide array of medical laboratory tests, become informed on both the tests and diseases, and have the ability to purchase the medical lab test directly on the website. MyMedLab’s online solution is centralized around the PHR (Personal Health Record) system and allows the member to see specific test results and monitor their overall health.
*Not available in NY, NJ or RI.
NBBI Lifestyles
To access this benefit visit www.nbbilifestyle.com
Consumers are always looking to save money on services and products they access throughout the year. That is why our Lifestyle Savings Program is a great way for individuals and families to save hundreds of dollars through the NBBI Lifestyle Savings Program. Get special member savings and offers on the following items:
Discount Movie Tickets, Restaurants.com, Glasses.com, Discounts on Spas; Travel; Hotels; Theme Parks; Water Parks; Zoos and Aquariums
SDO Nutrition
To access this benefit visit www.sdonutrition.com
SDO Nutrition helps you achieve personal health goals, maintain a healthy lifestyle, and manage chronic health conditions through food and diet education.
SDO Nutrition provides individuals and groups with services and support for Weight Loss, Dietary Restrictions, Geriatric Health, Diabetes & High Blood Pressure Management, Chronic Health Conditions Management, Prenatal Nutrition, Nutrition for Athletic & Fitness Training.
MyTelemedicine
To schedule a consultation with a Physician call 800-611-5601 or visit www.mytelemedicine.com
Doctors can be hard to reach, illnesses can occur in the middle of the night, and sometimes you just have a question. In all of those circumstances, NBBI Telehealth is a convenient and affordable solution. As a member you now receive access to a national network of U.S. board-certified doctors who are available 24/7/365 to treat many of your medical issues.
When to Use Telemedicine
NBBI Telehealth does not replace your primary care physician. Our goal is to provide you with convenient, affordable healthcare, when you need it most.
· When you or your child need care now
· If you need a second opinion on lab results
· If you have a health-related questions and Just need professional guidance
· On vacation, on a business trip, or away from home
· If you’re considering the ER or urgent care center for a non-emergency issue
· For short-term prescription refills
Common Conditions:
·Cold & Flu Symptoms, Sinus Problems, Ear infection, Allergies, Urinary Tract Infection, Nausea, Pink eye, Stomach viruses, Infections, Rashes, Sore Throat, Acne.
RX Discount ADC:
Walk-in Pharmacy. To look up a generic drug price visit www.adclookup.com
Highlights of the discount card
· All FDA approved drugs are discounted with the card. Even lifestyle drugs can be obtained at greatly reduced rates.
· Covers entire household
· There is no limit on the number of prescriptions filled.
· No forms to fill out. You do not have to activate the card.
· The card can be used over and over.
· Personal information is never collected from the card user.
· Simply present your member ID card to the pharmacist, along with your prescription to receive the discounts.
· Website to assist in the location of participating pharmacy and discounts by drug.
How does it work?
Present your prescription drug discount card to your pharmacy. When the card information is entered into the pharmacy’s system, the price on the prescription is discounted based on our contract through our Pharmacy Benefit Manager.
The discount prescription cards are accepted at over 80% of pharmacies in the US and its territories, including Puerto Rico. Anyone can use the America’s Drug Card, regardless of age or income.
RX Discount MedAfford Global
International Brand-name mail-order. To look up a Brand-name drug price visit www.medaffordglobal.com
With a valid prescription from your doctor our Customer Service team will assist you in identifying savings on your brand drug(s) and provide information on cost differential by dosage and country, order your prescription, and set you up for refill reminder.
How It Works
Step 1. Price your brand-name medication.
Step 2. Call 855-633-7977 to place your order or refill.
Step 3. Your medications ship directly to you.
Most commonly ordered brand-name medications
· Abilify, Advair Diskus, Celebrex, Cialis, Crestor, Cymbalta, Entocort, Januvia, Lyrica, Nexium, Pradaxa, Premarin, Viagra, Vytorin, Xarelto.
Member Participation
As a member of the Compass Discount Health Program, referred hereafter as the “Plan”, you are a participant in a Discount Medical Plan Organization provided by Access One Consumer Health Below are the terms and conditions of your membership in the discount medical plan. This agreement is between you, Compass Discount Health, and Access One Consumer Health. The effective date of your enrollment is as of the date you receive your card.
La. R.S. 22:1260.7.D(1)(d) - The mode of payment of any processing fees and periodic charges and procedure for changing the mode of payment.
The cost for participation in the Plan is:Monthly [ $39.95 per month for an individual, $49.95 per month for an individual and spouse, $59.95 per month for an individual and children, $69.95 per month for a household]. The initial payment includes a $50.00 fee upon enrollment, in addition to the Annual or Monthly fee.
DISCLOSURES:
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The Plan is not insurance;
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The Plan provides discounts at certain healthcare providers for medical services;
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The Plan does not make payments directly to the providers of medical services;
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The Plan member is obligated to pay for all healthcare services but will receive a discount from healthcare providers who have contracted with the discount Plan organization;
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The name and address of the licensed discount medical Plan organization: Access One Consumer Health, Inc., 84 Villa Road, Greenville, SC 29615; (800)896-1962; www.AccessOnedmpo.com.
You may find a list of participating providers at: www.MultiPlan.com or you may call (732) 876-9733. You will be able to apply Plan discounts to all participating providers.
The discounts for participating dentists range from 15-50% per visit off standard billed charges. The vision services (including lenses and frames) are available at participating providers at discounts of 5% to 50%. The medical services discounts average 39%. You will receive discounts at participating chiropractors, medical equipment & supplies, and diagnostic imaging centers ranging from 5% to 40%, hearing services discounts of 5% to 20% and participating pharmacies provide discounts of 15% to 55%.
At participating providers, you will be billed at the time of service and the applicable discount(s) will be applied to that bill. In no instance will the Plan make payments to the provider on your behalf.
Your participation in the Plan will continue monthly or annually upon timely payment of your monthly or annual dues and shall cease upon your failure to make the payment. You may terminate your participation in the Plan by returning your ID card to Compass Discount Health Program, 187 Route 36, Suite 210, West Long Branch NJ 07764. If you return your card at any time within the first 30 days of receipt, you will be refunded the entire membership fee. This plan includes, as per application, you and your legal dependents at no additional charge. You are not required to list your dependents for them to participate in the Plan.
If you have a complaint regarding the Plan, you may contact NBBI Member Services at: www.nbbihome.com and (877) 271-6559 or, in writing to: NBBI Member Services, 25 Hanover Road, A200, Florham Park, NJ 07932. The complaint will be addressed and you will receive a response within 15 business days.
THIS PLAN IS NOT INSURANCE and is not intended to replace health insurance. This plan does not meet the minimum creditable coverage requirements under M.G.L. c.111M and 956 CMR 5.00. This plan is not a Qualified Health Plan under the Affordable Care Act. This is not a Medicare prescription drug plan.
This Member Agreement, the Member ID Card, and its Benefit Descriptions represent the entire agreement between you, Compass Discount Health Program, and Access One Consumer Health and supersedes all other prior representations, statements, or written agreements between you, Compass Discount Health Program, and Access One Consumer Health. Access One Consumer Health has no liability for providing nor guaranteeing service or any liability for the quality of services rendered.
Maryland 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.
Massachusetts 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. The range of discounts for medical or ancillary services provided under the Plan will vary depending on the type of provider and medical or ancillary service received. Nebraska Residents: 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.
Texas Residents: If you are paying for the discount medical Plan, Access One Consumer Health or 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. This Plan is: regulated by the Texas Department of Insurance, P.O. Box 12157 Austin Texas 78711: telephone 1-800-252-3439 or (512) 463-6515; website: www.tdi.state.texas.com.
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.
Renewal Conditions: By joining the plan, you are authorizing Compass Discount Health Program to bill your credit card or checking account. This charge shall remain in force until you notify Compass Discount Health Program in writing of its cancellation. This plan will automatically renew (monthly or annually) until cancelled.
This Plan is not available in the following states AK, MT, RI, UT, VT & WA.
Keep a copy of this Member Participation Agreement for your records.
Form AO-NBBI.E11WEB.v18