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DISCOUNT PRESCRIPTION PLAN

PLAN OVERVIEW:

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 plus spouse, $59.95 per month for an individual plus child(ren) $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:

· The Plan is not insurance;

· The Plan provides discounts at certain healthcare providers for medical services;

· The 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 healthcare providers who have contracted with the discount Plan organization;

  • 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.comor you may call (877) PHONE. 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.E13WEB.v18

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