MEMBER PARTICIPATION AGREEMENT
As a member of the Altogether Dental program, you are a participant in a Discount Medical Program referred hereafter as the ‘Program.’ Below are the terms and conditions of your membership in the Program.
The effective date of your participation in the Program is your date of enrollment, and your participation shall continue from month to month until Altogether Dental is notified of your cancellation.
The monthly charge and mode of payment for participation in the Program is stored in the Member area on www.AltogetherDental.com. If you need to change your payment mode, please contact 862-343-9238.
DISCLOSURES:
o This plan is a discount plan NOT a health insurance policy.
o This plan provides discounts at certain health care providers for medical services.
o This plan does not make payments directly to the providers of medical services.
o The plan member is obligated to pay for all health care services but will receive a discount from those health care providers who have contracted with the discount medical plan organization.
o The DMPO does make available an up-to-date list of all program providers which includes their name, city & state, and medical specialty prior to purchase, upon request.
o That the range of discounts for medical services provided under the plan will vary depending on the type of provider and the medical services received.
o The corporate name and the location of the licensed discount medical plan organization is: Access One Consumer Health, Inc. 84 Villa Road, Greenville, SC 29615; 1-800-896-1962; www.accessonedmpo.com
You may find a list of participating providers at www.AltogetherDental.com or you may call 862 343 9238. You will be able to access discounts of 15% to 50% on dental procedures from all providers in the network.
This program includes all members of your household (you, your spouse and legal dependents). Although you are not required to list your dependents to participate in the Program, you may document dependents or additional members of your household by calling 862-343-9238.
You will be billed at the time of service by the participating provider who will apply the applicable discounts to that bill. In no instance can Altogether Dental make payments directly to the provider on your behalf.
Your participation in the program will continue month to month upon payment of your monthly dues and shall cease upon (i) your failure to make the monthly payment; or (ii) notification to Altogether Dental of you desire to cancel. You may contact 862-343-9238 to provide notice of change in name or address.
You have the right to cancel participation in the program at any time. If you do so within 30 days of receipt of your membership materials, you will receive a full refund of all fees and or dues paid to participate in the program. After the first thirty (30) days, you may cancel participation at any time and if you have pre-paid any membership fees, the prepayment will be refunded on a pro-rata basis for months you have not used.
Membership Billing and Auto-Renewal. Your membership includes enrollment into an ongoing/recurring payment plan. Your membership will automatically renew at the end of the end of each month, unless cancelled in accordance with the instructions for cancellation set forth in these Terms. Payment will be charged to your chosen payment method at confirmation of purchase and at the start of every new billing period, unless cancelled. Your “billing period” is the interval of time between each recurring billing date and corresponds to the term of your membership. For purposes of this Agreement, a “day” or “date” begins at 12:00 a.m. Eastern time and ends at 11:59 p.m. Eastern time of that same calendar day. Where applicable, charges for one or more Services may be prorated for any partial month of service. We reserve the right to change our pricing. In the event of a price change, we will attempt to notify you in advance of the change by sending an email to the email address you have registered for your account. If you do not wish to accept a price change, you may cancel your membership in accordance with the instructions included in that email and below. If you do not timely cancel your membership, your membership will be renewed at the price in effect at the time of the renewal, without any additional action by you, and you authorize us to charge your payment method for these amounts. We will not be able to notify you of any changes in applicable taxes.
Free Trials and Promotions. Your membership may begin with a free trial. Availability of a free trial is not guaranteed and, if one is available, is only available on the specified terms of the free trial provided to you at the time of enrollment. Eligibility for free trials may vary based on factors including the number of participating members or our offering schedule. Certain limitations may also exist with respect to combining free trials with any other offers. Your first payment will be charged to your chosen payment method immediately following the free trial, unless cancelled in accordance with the instructions for cancellation below. You can cancel your membership at any time before the end of your free trial. We provide notice of the terms of the free trial at the time you register and you will not receive a separate notice that your free trial is about to end or has ended, or that your paid membership has begun, unless required by law in particular jurisdictions or instances. We will begin billing the same payment method we otherwise have on-file for your membership at the then-current, non-promotional price after your promotion ends unless you cancel prior to the end of your promotion or unless otherwise disclosed, if applicable.
Altogether Dental may terminate your participation in the Program if you fail to make your membership payment when due.
If you have a complaint regarding the Program, please contact 862-343-9238. Alternately, you may go to www.accessonedmpo.com, or call 800-896-1962 or write to Access One Consumer Health, Inc. 84 Villa Rd. Greenville, SC 29615. The complaint will be addressed, and you will receive a response within 15 days.
This Member Participation Agreement includes an arbitration provision, a waiver of jury trial, and a prohibition on participation in class actions. These provisions can be found in the Addendum which is incorporated herein by reference and made a part of this Member Participation Agreement to the same extent and with the same force as if fully set forth herein.
This Agreement and its Benefit Descriptions along with the Addendum represent the entire agreement between you and Altogether Dental and supersede all other prior representations, statements, or written agreements between you and the Altogether Dental.
Arkansas Residents:
You may cancel your membership with the discount medical plan organization within the first thirty (30) days from receipt of your ID card and receive a full refund of all fees or dues paid.
Illinois Residents:
If you are not satisfied with your resolution of your complaint, you may contact Illinois Department of Insurance.
Louisiana Residents:
The mode of payment of any processing fee and periodic charge were agreed upon when purchasing the plan. You may contact member services to change your mode of payment. The member services number can be found on your identification card. If a member cancels his membership in the discount medical plan organization within the first thirty days after the date of receipt of the written document for a discount medical plan, the member shall receive a reimbursement of all periodic charges and the amount of any one-time processing fee that exceeds thirty dollars upon return of the discount medical plan card to the discount medical plan organization.
Maryland Residents:
’Discounts for hospital services, if any, are not applicable in Maryland.’
Massachusetts Residents:
The plan is not insurance coverage and does not meet the minimum creditable coverage requirements under the Affordable Care Act or Massachusetts M.G.L. c. 111M and 956 CMR 5.00.
Nebraska Residents:
If you have cancelled at any time after the thirty (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.
South Carolina:
You may cancel your membership with the discount medical plan organization within the first thirty (30) days from receipt of your ID card and receive full refund on any fees or dues paid, less the one-time processing fee.
Tennessee Residents:
You may cancel your membership with the discount medical plan organization within the first thirty (30) days from receipt of your ID card and receive a full refund of all fees or dues paid.
Texas Residents:
If you remain dissatisfied after completing Access One’s complaint system, you may contact your state insurance department.
Utah Residents:
These programs are not covered by the Utah Health Insurance Guarantee Act.
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.
The Program is not available in the following states AK, MT, RI, UT, VT, WA.