LiveWell Plus Member Participation Agreement
By agreeing to the terms & conditions outlined below, you are agreeing to a purchase a LiveWell Plus membership. This Membership is effective as of the date stated on your identification card and shall continue monthly until we are notified of your cancellation.
The cost for this membership is $89.97 per month for your household and will automatically be drafted from the credit card or bank account you provided to us each month unless you contact us to discontinue the service at our toll-free number, which is 855-205-0402. The breakdown of the benefits is $30.00 for the Dental, $19.97 for the Vision & Hearing, $20.00 for the Prescription Assistance Program, and $20.00 for the Mobile Diagnostics. There may also be a one-time processing fee of $0, $25, or $35. The recurring charge will appear on your bank statement as PLUS 8552050402.
If you need to change your payment method, please contact the member services number on your identification card. LiveWell Plus may terminate your participation in the plan if you fail to make your membership payment when due. This plan includes you or you and all members of your household (you your spouse and legal dependents). You are not required to list your dependents to participate in the plan. You may add dependents or additional members of your household by calling 855-205-0402.
This plan includes discounts for those items listed in this brochure for dental, vison, hearing, mobile diagnostics, and prescription assistance program. The minimum discount for any service provided under the plan is 5% and may go to as much as 50%. You can find out more about the savings available at LiveWellPlusPlan.com. This plan is NOT insurance. This 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 those healthcare providers who have contracted with the discount plan organization. This plan provides discounts at certain healthcare providers for medical services. The Discount Medical Plan Organization is: Access One Consumer Health, Inc. 84 Villa Rd Greenville SC 29615; www.accessonedmpo.com. The discount medical card program makes available, before purchase and upon request, a list of program providers, including the name, city, state, and specialty of each program provider located in the cardholder’s service area. Internet website address to obtain participating providers is www.accessonedmpo.com.
Members may utilize the MobilexUSA benefit for access to one (1) of the following complimentary, mobile diagnostic tests per year: (i) Ultrasound (ii) EKG and (iii) X-Rays after the 90 day waiting period. You agree to pay for additional testing at discounted rates upon the need of further and/or additional testing offered by MobilexUSA. Members may also utilize the testing at discounted rates prior to the 90 day waiting period.
As a part of utilizing the prescription assistance program (PAP) you are authorizing us and our representatives to use and/or disclose certain protected health information (PHI) about you and your dependents to certain health care providers and suppliers as part of your participation in this program. The authorized use and disclosure of this information allows us to assist you in enrolling in drug manufacturers’ patient assistance programs, and to review your completed Health Wellness Assessment Survey and the provision of suggestions for prospective utilization of partners’ products and services. This authorization will expire upon the date of termination of this Agreement. Eligible members that utilize the PAP agree to pay the monthly administrative service fee for Individual or Family membership as well as pricing discussed in your voice recorded verification upon for approved medication. You may be required to provide proper identification and documentation to determine your eligibility, and a physician must agree to participate and prescribe any medication. You can ask your Wellness Specialist for more information about this program.
WellCardRX is not a Medicare Part D Prescription Drug Program. WellCardRX is a free, complimentary program for LiveWell Plus members. This LiveWell Plus discount card program contains a 30 day cancellation period. FL, LA, MS, ND, OK, RI, SC, SD and TX residents: Member shall receive a full refund of membership fees, excluding one-time application fee, if membership is cancelled within the first 30 days after the effective date. UT, AR and TN residents: A refund of all fees will be issued if membership is cancelled within the first 30 days. MD Residents: The membership fee and one-time application fee (minus $5.00) will be refunded if cancelled within the first 30 days and upon return of the discount card.
If you have a complaint regarding the plan you may go to www.accessonedmpo.com or call 800-896-1962. You may also 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.
ARKANSAS RESIDENTS: You may cancel your membership in 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: 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.
MASSACHUSETTS: 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.
MARYLAND RESIDENTS: “Discounts for hospital services, if any, are not applicable in Maryland.”
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.
SOUTH CAROLINA RESIDENTS: You may cancel your membership in 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 in 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: Access One Consumer Health will cease collecting membership fees in a reasonable amount of time, but no later than (30) days after receiving a valid cancellation notice.
If you are not satisfied with your resolution of your complaint, you may contact your State Department of Insurance.
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
This plan is not available in the following states: AK, CT, MT, RI, UT, VT, & WA.
Thank you again for choosing to become a LiveWell Plus member, helping you save money while staying healthy. You will receive your membership kit in the next 7 to 10 days, which includes your ID cards and detailed information regarding your plan. Contact our customer service department prior to utilizing the membership so that we can guide to achieving the most savings possible at 855-205-0402.
