CARExpress Member Terms and Conditions
Member understands that CARExpress is NOT an insurance program.
No payments to medical providers or members will be made by CARExpress.
CARExpress provides savings to its members on health services
through a number of medical networks.In
order to access these networks and the related discounts, member or memberís
dependents must be a member in good standing, meaning their current membership
status is active and their CARExpress membership payment is current. Payments
on all medical bills are due and payable at the time of service.Member
is required to pay the entire amount of the discounted rate. The member has no
out-of-network benefits and must use a contracted provider in order to receive
any savings.The range of discounts for
medical or ancillary services provided under the program will vary depending on
the type of provider and medical or ancillary service received.
Neither CARExpress nor any of its affiliates, nor any network
accessed shall be liable for any payment to a provider accessed under the
CARExpress program, or any refusal of participating providers to accept the
network rates offered under this program. CARExpress
savings, its affiliates or any network accessed is not an insurer, guarantor or
underwriter of the responsibility or liability of Member for Memberís or
Memberís dependentís medical care or any other goods or services provided to
Member or Memberís dependents.
The providers listed in the CARExpress on-line directory are
subject to change without notice.Member
may visit us on-line at www.carexpresshealth.com
or call the provider referral line at 1-866-635-9532 for current provider
Participating medical providers are independent contractors and,
CARExpress and its affiliates and its contracted networks are not responsible
for health care provided or the omission of the provision of health care by any
provider.CARExpress does not practice
medicine or in any manner interfere with or participate in the provider-patient
relationship.All health care decisions
are between the patient and a provider.The
selection of a provider is the obligation and decision of the patient and is
not based upon the credentialing or any recommendation by CARExpress, its
affiliates or its contracted networks.
reserves the right to terminate any member for failure to pay a medical
provider accessed under the CARExpress medical savings program under the terms
provided.CARExpress may also terminate
any member for failure to pay their monthly or annual membership fee when due
and payable.If a member fails to make
payment upon the second day after the CARExpress membership fee is due and
payable, member can be moved to inactive status until such payment is received
and brings their CARExpress membership current.If
CARExpress terminates a member for any reason other than non-payment of fees by
the member, CARExpress will make a prorated reimbursement of all periodic
charges to the member.
Cancellation: Members may cancel their membership within 30 days
after joining a CARExpress program and receive a refund of all membership fees
paid to CARExpress and money paid as a nominal one-time enrollment fee that
exceeds $30. Members will not receive a refund of any money paid by the
member to a provider for health care services or products received.
Thereafter, members may cancel their CARExpress program at any time by
providing written notice to CARExpress and returning their membership cards,
and CARExpress will cease collecting membership fees in a reasonable amount of
time, but no later than 30 days after receiving a valid cancellation notice.
provisions under this Agreement constitute the entire Agreement between
CARExpress and the Member.If any
provision is declared void under the law, that provision is severable and the
remainder of this Agreement shall remain in full force and effect.
Member will be provided with a Membership
Card.Such card and other forms of
identification should be carried by the Member at all times to provide proof of
the right to Eligible Services under the Membership Agreement.A
new CARExpress membership card and materials will be provided to new members no
later than 15 days after enrolling in the program.
Add/Remove Dependents: Members may call the CARExpress customer
#1-866-635-9532 in the event they need to add or delete dependent information.
It will take up to 72 hours for the membership change to take effect.
Renewal:To insure quality
uninterrupted service, your CARExpress membership will be automatically renewed
upon expiration each year and the current membership fee will be billed in
accordance with your current payment method.If
an automatic payment method is not indicated, then a renewal notice will be
sent to the member to notify them of the upcoming expiration date and renewal
a member have a question, concern or complaint regarding the CARExpress
program, providers or procedures, contact should be made immediately either in
writing or by telephone to the CARExpress customer service center.CARExpress
will acknowledge each complaint in writing within 5 business days and shall
investigate each complaint and provide the complainant with the results
of its investigation no later than the 30th
calendar day after the date CARExpress received the complaint. In the event
that the problem surrounds the services received from a provider, the member
must look solely to the provider of the benefit for rectification. CARExpress
does not give any warranty for any benefits or services obtained. West
Virginia Residents: If a member remains dissatisfied after
completing the Complaint Procedure, member may contact the Offices of the West
Virginia Insurance Commissioner.
Limitations, Exclusions or Exceptions: Since
CARExpress is a discount health savings program and not insurance, there are no
applicable limitations, exclusions or exceptions other than that the program
requires a member to use a participating provider in order to receive their
savings and they must be a member in good standing as detailed above.
Utah Residents: This program is not protected by the Utah Life
and Health Guaranty Association.
Maryland Residents: Some discounts under the Physician and
Hospital Referral Plan benefit are not applicable in Maryland. Discounts are
not available for all In-Patient procedures and certain Out-Patient Procedures
under Maryland law. Out patient procedures at network hospitals such as
laboratory and diagnostics services are eligible for the discount.
Note to Texas Consumers: Regulated by the Texas Department of
Licensing and Regulation, P.O. Box 12157, Austin, Texas 78711; Telephone: (800)
(512) 463-6599; Website: https://www.license.state.tx.us/complaints