Terms of Service Agreement


We appreciate you for becoming a member of US Med Savers INC, and we look forward to assisting you. Upon membership with US Med Savers INC you confirm that you understand the information you provide to us will be kept confidential and will only be communicated as necessary for the main purpose of assisting you in completing the application to determine your eligibility for any available patient assistance programs for prescription drug assistance programs and to assist with any medical billing, procedures and testing. Due to the private nature of the information we have obtained from you, and to abide by HIPAA regulations you are giving US Med Savers INC your authorization to contact your doctor’s office, pharmacy staff, and medical staff on your behalf to facilitate the completion of the application for any patient assistance programs pertaining to prescription drug assistance and medical advocacy with your doctor’s office and medical staff.
As a member of US Med Savers INC, you agree that you understand that US Med Savers INC is not affiliated with any patient assistance, or drug assistance programs and that we cannot guarantee your acceptance into any of these programs. US Med Savers INC is not responsible for the reimbursement, for the cost of any medication, or cost to any medical procedures before your acceptance into the program. This is not any insurance policy, nor are we affiliated with your insurance.
As a member of US Med Savers INC, you agree your consent to receive information from US Med Savers INC by telephone or email to the address provided above, and you also agree to be contacted using an auto dialer regardless of any prior no-call preferences. Your consent here does not require you to purchase anything additional. Standard cellular charges may apply.
Once effective, you may cancel your enrollment at any time by mail, fax, or email. Cancellation will then take place within 7 business days after receipt of your cancellation letter. If you should get denied by all PAP programs that we are assisting, you with you will be refunded all monthly dues paid. Proof of denial letters must be sent within 90 days of the date of the denial for refund to take place. If you choose to cancel the assistance without proof of a denial letter from the manufacturing pharmaceutical company, you will not be entitled to a refund. If you request to cancel in the first 30 days of your membership you will be refunded the first month’s service fee; however, the onetime administrative and processing fee is a nonrefundable fee.
As a member of US Med Savers INC you confirm that you understand that you are not purchasing medical services or receiving medication from US Med Savers INC, that we are working with manufacturers, non-profit organizations, patient assistance programs and pharmacies for you to receive your medications and medical services, at free of discounted cost depending on the program.
We want you to understand that the employees here at US Med Savers INC are advocates working on your behalf to attempt to reduce your out of pocket medication expenses and medical expenses. We are not licensed physicians or licensed pharmacists and cannot prescribe or provide medical advice. It is your responsibility of taking the correct medication, as prescribed by your physician.
As a member of US Med Savers INC, you confirm that you are giving US Med Savers INC your authorization to contact your doctor’s office and medical staff on your behalf to facilitate the completion of the application for prescription drug assistance with your doctor’s office and if needed to provide assistance with medical bills and upcoming procedures.
As a member of US Med Savers INC, you understand that we are assisting you to apply directly with the manufacturing Pharmaceutical company’s patient assistance programs and other programs if needed for medical advocacy assistance. These programs are free and available to those that meet the required qualifications. The monthly fees you are paying are not for your medications, and are not co-pays, but are for our services which include; initial application process, the refill process for your medications, the required follow up and applying for any additional medications, and the necessary paperwork for medical advocacy if needed.
We want you to understand that it will be your responsibility to follow up with your doctor’s office to ensure the application is signed by you and your doctor and completed. Once signed it will be your responsibility to ensure all necessary documents are attached to the completed application and mailed, or faxed back to US Med Savers INC. All missing information needed from the patient and/or doctor is the patient’s responsibility. Once all paperwork has been received the process once mailed or faxed takes approximately 2-3 weeks for approval and shipment by the manufacturing pharmaceutical companies. It will be a case by case for medical advocacy assistance timeframe, it is dependent on the extensity of the request. Approval and shipment may change at the manufacturing pharmaceutical company’s discretion and you will be responsible to follow up if for any reason you have not received the shipment of the medications.
As a member of US Med Savers INC, you confirm you understand that US Med Savers INC will help you facilitate the completion of your refill process. US Med Savers INC cannot increase or decrease dosages, prescribe alternative medications, or supply additional medication if you do not have any refills. We will automatically send a request to place your refills 30 days prior to you running out of your medication. Please allow at least 2 weeks for processing & shipping. If you have not received your refill at least 2 weeks before you are to run out of your current prescription, please call customer service at (888) 671-1096 to ensure adequate time for refills. It will be your responsibility to contact customer service to confirm that a refill is necessary.
You as a member of US Med Savers INC understand that US Med Savers INC is assisting to apply directly with the manufacturing pharmaceutical companies’ free patient assistance programs (PAP) and if requested patient assistance programs with facilities for medical assistance. These patient assistance programs are readily accessible to individuals who meet the required qualifications. The monthly service payments to US Med Savers INC are for our advocacy services and are not for medication costs, or delivery of medication. Service fees collected and services provided by US Med Savers INC consists of services which include but are not limited to:
1. Completing the application and submitting the applications to the member, authorized individual of the account and/or member’s prescribing doctor.
2. Review the applications and documentation provided by you the member and doctor for possible submission to the pharmaceutical companies for approval.
3. Submission of the applications to the required patient assistance programs for application approval.
4. Assistance with submitting refill requests to the physician for medications to come from the manufacturing pharmaceutical company, or pharmacy.
5. Re-enrollments to the patient assistance program, which includes a prescreening verification, a t no additional cost.
IF Medical Advocacy Assistance is needed US Med Savers INC Advocates will service you as the patient and will include but not limited to:
1. Reaching out to the facilities, medical staff and billing agencies to assist in enrollment for patient assistance programs, negotiations for outstanding bills and if needed bill audits to verify if the charges are compliant.
2. Following up with the facilities, medical staff and billing agencies to verify the status of applications, or settlements for the account.
3. Researching facilities and programs to qualify you for discounted or free services that may be income based and assisting you throughout the process until services have been completed, or you as the patient revoke authorization for US Med Savers INC to reach out on your behalf.
As a member of US Med Savers INC, you agree that fulfillment of at least one of the above listed actions constitutes a fulfillment in US Med Savers INC. You also are aware that we are NOT a mail order pharmacy, nor do we distribute medication and you are NOT purchasing or receiving medication from US Med Savers INC. We are not a facility, nor providers office that has access to prescribing medications or giving you medical advice.
I understand that my monthly payments are for service as described above and the service will continue until I cancel the service by a written letter, or verbal request. I understand that it will be my responsibility to return all required information.
I agree that the receipt of medication from pharmaceutical companies is a possible benefit of US Med Savers INC, but is not guaranteed by US Med Savers INC
I understand that US Med Savers INC may require additional information from the member/doctor required for submission of application for approval. Failure of the member in the acquisition and return of information deemed required by US Med Savers INC will not constitute a failure in US Med Savers INC.
PAYMENT AUTHORIZATION
As a member of US Med Savers INC, you are giving us permission today to charge your (credit card/debit card a total which will include your first month’s service and the one-time non-refundable enrollment fee. Each month thereafter your account will be charged your monthly service fee on or about every 30 days from the first bill date. US Med Savers INC will continue every month until we receive cancellation from you via mail/fax/email.
I authorize US Med Savers INC to debit my account as identified according to the terms of service. I authorize this membership to continue until or unless the plan is terminated earlier by me providing a cancellation letter or call to US Med Savers INC. This authorization shall remain in effect until the Company receives written notification from me of any intent to terminate this payment plan and at such time and in such manner as to afford US Med Savers INC reasonable opportunity to act (14 days from receivable written notification) All other changes such as payment amount, frequency, and bank account or credit card numbers, may require a new Electronic Payment Authorization Form to be filled out and submitted to Company 15-days prior to any change being implemented. I understand that this payment plan may be cancelled by Company due to Non-Sufficient Funds (NSF).
I represent and warrant that I am authorized to execute this payment authorization for the purpose of implementing this electronic payment plan. I indemnify and hold US Med Savers iNC and the bank harmless from damage, loss, or claim resulting from all authorized actions hereunder.
NOTICE OF VOICE CONSENT TO ELECTRONIC TRANSACTIONS, SIGNATURES AND DOCUMENTS
Each Member consents and agrees to the use of electronic signatures of documents. Each Member consents and agrees that their voice consent shall serve as their signature. Each Member agrees they will be fully responsible for reviewing the application which has been produced by this voice signature and will review such application carefully to ensure their full understanding of all provisions of the coverage.
CONSENT TO ELECTRONIC TRANSACTIONS
I agree that, by also using electronic transactions and signatures, my agreement or consent shall be legally binding and enforceable and the legal equivalent of my handwritten or manual signature. By signing this Terms of Service, I acknowledge that I have fully read, and I understand the second page of the Terms of Service regarding US Med Savers INC. I also understand that this Terms of Service will remain in effect unless I cancel this via written notification to US Med Savers.
If applicable, each Member acknowledges and agrees that if there are any discrepancies between what they thought the selling Agent told them about the membership plan purchased and what the actual policy states, the policy terms govern. EACH MEMBER IS STRONGLY ENCOURAGED AND ADVISED TO READ ALL MEMBERSHIP AND, IF APPLICABLE, POLICY MATERIALS CAREFULLY AND TO GO OVER ANY QUESTIONS OR CONCERNS WITH THEIR ADVOCATE, A FAMILY MEMBER, OR A TRUSTED INDIVIDUAL WHO MAY BETTER UNDERSTAND SUCH MEMBERSHIP AND POLICIES MATERIALS

October 25, 2020

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Document name: Terms of Service Agreement
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March 18, 2020 1:01 pm EDTTerms of Service Agreement Uploaded by Carla Becker - carla@usmedicalproviders.com IP 67.181.24.203
March 23, 2020 12:15 pm EDT Document owner info@mackstor-designs.com has handed over this document to carla@usmedicalproviders.com 2020-03-23 12:15:53 - 67.181.24.203
March 23, 2020 12:15 pm EDTCarla Becker - carla@usmedicalproviders.com added by Carla Becker - carla@usmedicalproviders.com as a CC'd Recipient Ip: 67.181.24.203
March 23, 2020 6:51 pm EDTCarla Becker - carla@usmedicalproviders.com added by Carla Becker - carla@usmedicalproviders.com as a CC'd Recipient Ip: 67.181.24.203
March 23, 2020 7:44 pm EDTCarla Becker - carla@usmedicalproviders.com added by Carla Becker - carla@usmedicalproviders.com as a CC'd Recipient Ip: 67.181.24.203